**Reinsurance Layoff Sheet**

**Assured:** J B M
**Policy Number:** 1225407
**Eff. Date of Reinsurance:** 5/21/79
**Policy Limit:** $1,000,000

**Type of Coverage:** Excess Umbrella
**Underlying Layer:** $3,000,000
**Policy Premium:** $183,367
**Policy Period:** From 5/21/79 to 5/20/80

**I Participating/Quota Share:**
- **Limits:** $8,000,000
- **Premium:** $183,367

| Reinsurer | Reinsurance Broker/Direct | Percent of Participation | % of Change | Total Comm. to Company | Closing Cert. Number | Ceded Premium Annual | Pro-Rata |
|-----------|--------------------------|-------------------------|-------------|------------------------|----------------------|----------------------|-----------|
| Net West Union | - | 25% | - | - | - | - | - |
| Contracted Capacity | RFC | 12.5% | 25% | - | - | - | - |
| Allianz Global | - | 12.5% | 25% | - | - | - | - |
| Ceiling Global | - | 12.5% | 25% | - | - | - | - |
| Generali Central | - | 6.25% | 25% | - | - | - | - |
| Many Re | - | 6.25% | 25% | - | - | - | - |
| Northland Re | - | 6.25% | 25% | - | - | - | - |
| Renaissance (Co. NY) | - | 6.25% | 25% | - | - | - | - |
| Phoenix Reinsurance | - | 4.6875% | 25% | - | - | - | - |
| Denning Ins Co | - | 4.6875% | 25% | - | - | - | - |
| Mead Reinsurance | - | 3.125% | 25% | - | - | - | - |

**II Excess of Loss or Section II Casualty:**
- **Limits:** -
- **Premium:** -

| Reinsurer | Reinsurance Broker/Direct | Percent of Participation | % of Change | Total Comm. to Company | Closing Cert. Number | Ceded Premium Annual | Pro-Rata |
|-----------|--------------------------|-------------------------|-------------|------------------------|----------------------|----------------------|-----------|
| - | - | - | - | - | - | - | - |

**III:**
- **Limits:** -
- **Premium:** -

**Automatic Excess Treaty Reinsurance:**

**Remarks:**
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**Coding:**