# Excess Insurance Policy

$25,000,000 – Aggregate Limit (where applicable)

**Item 5:** SCHEDULE OF UNDERLYING INSURANCE  
See Schedule of Underlying Policies – Excess

**Item 6:** FORMS AND ENDORSEMENTS ATTACHED attached hereto:  
See Forms and Endorsements Schedule – 104-XS (Ed. 03 00)

IN CONSIDERATION OF THE PAYMENT OF THE PREMIUM, IN RELIANCE UPON THE STATEMENTS IN THE DECLARATIONS, AND SUBJECT TO ALL TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE COVERAGE AS STATED IN THIS POLICY.

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**PRESIDENT**  
Christopher L. Peirce

**VICE PRESIDENT and SECRETARY**  
Mark C. Touhey

May 17, 2017  
Issuance Date

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100-XS (Ed. 03 00)  
2 - 13000