# DECLARATIONS, cont'd

**Item 7. Notice to: (Conditions 3 and 5)**

- **a) All Notices of Occurrence, Claim or Loss:**
  - **To:**
    - Via Email: `highexcessclaims@aig.com`
    - Via Easy-Link Fax: `877-839-9721`
    - Via mail to:
      - AIG Claims, Inc.
      - Cat Excess Casualty Claims
      - P.O. Box 305904
      - Nashville, TN 37230-5904

- **b) All other Notices:**
  - **To:**
    - American International Reinsurance Company, Ltd.
    - 27 Richmond Road
    - Pembroke, HM08
    - Bermuda
    - Att: Cat Excess Liability Underwriting

**Item 8. a) Premium:** USD 96,000 (for 100% Flat Annual)
- **b) Minimum Earned Premium:** USD 33,600
- **c) Commission:** 0%

**Item 9. The Company:** American International Reinsurance Company, Ltd. At the address stated at the top of the Declarations Page

**Item 10. Policy Form: Endorsements**
- **The Bermuda Shorts Form – 03 (Ed. 03/14)**
- **1 – 6 at Policy Issuance**

**Date of Issuance:** 11 July 2016

**Authorized Representative**

**POLICY NO.:60703940**

**Page 2 of 9**

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