# IRON·STARR

THE BERMUDA SHORTS FORM - 03 (cont'd)

**DECLARATIONS - attaching to and forming part of Policy No:** IS0001796

**Item 6. Underlying Limits:**

* **(Insuring Agreement 2):**
    * a) USD 450,000,000 Each Occurrence, Claim or Loss
    * b) USD 450,000,000 Aggregate
        * Which in turn is excess of various insurances and/or retentions as more fully set forth in the Followed Policy

**Item 7. Notice to:**

* **(Conditions 3 and 5)**
    * a) All Notices of Occurrence, Claim or Loss:
        * To: Iron-Starr Excess Agency Ltd.
            * Attention: Claims Manager
            * 141 Front Street
            * Hamilton HM19, Bermuda
            * claims@ironstarrexcess.com
    * b) All other Notices:
        * To: Iron-Starr Excess Agency Ltd.
            * Attention: Underwriting Dept.
            * 141 Front Street
            * Hamilton HM 19, Bermuda

**Item 8.**
* a) Premium: USD 125,000
* b) Minimum Earned Premium: 35%
* c) Commission: 0%

**Item 9. The Company:**
* Iron-Starr Excess Agency Ltd. For and on behalf of subscribing insurers as follows:
    * 50% Ironshore Insurance Ltd.
    * 50% Starr Insurance & Reinsurance Limited
* at the address stated at the top of the Declarations Page

**Date of Issuance:** July 14, 2014
ISEABSF Declarations [03/14]