**Policy No.:** BM00027784LI14A  
**Date:** June 23, 2014

**THE BERMUDA SHORTS FORM DECLARATIONS (cont'd)**

| Item 5. | Limit of Liability: (Insuring Agreement 2): |
| --- | --- |
| a) | USD 75,000,000 part of USD 200,000,000 each Occurrence, Claim or Loss |
| b) | USD 75,000,000 part of USD 200,000,000 Aggregate |

| Item 6. | Underlying Limits: (Insuring Agreement 2): |
| --- | --- |
| a) | USD 200,000,000 each Occurrence, Claim or Loss |
| b) | USD 200,000,000 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: |
| Email Addresses: | New Claims Notices: intlpropcasclaimnnewnotices@xlgroup.com |
|  | All Other Claims Correspondence intlpropcasclaims@xlgroup.com |
| Mailing Address for Notices of Occurrence: | XL Insurance c/o ACS, Inc. P.O. Box 614002 Orlando, Florida 32861-4002 U.S.A. Facsimile: Toll Free: (866) 262 9002 Toll: (678) 819 7388 |
| b) | All Other Notices: |
| Attn: | XL Insurance (Bermuda) Ltd O'Hara House One Bermudiana Road Hamilton, HM 08, Bermuda P.O. Box HM 2245 Hamilton HM JX Bermuda Telephone: (441) 292-8515 Facsimile: (441) 292 1566 |

| Item 8. | a) Premium: |
| Gross: | USD 236,385 |
| Net: | USD 236,385 |

XL XS-BSF-03 (Ed. 03/14)  
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