**Policy No.:** BM00029768LI16A  
**Date:** July 18, 2016

**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: intlpropcasclaimnewnotices@xlcatlin.com
     - All Other Claims Correspondence: intlpropcasclaims@xlcatlin.com
   - Mailing Address for Notices of Occurrence:
     XL Catlin
     c/o ACS, Inc.
     P.O. Box 614002
     Orlando, Florida 32861-4002
     U.S.A.
     Facsimile: (859) 475 5667
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 200,226
   - Net: USD 200,226
b) Minimum Earned Premium: 0%
c) Commission: 0%