# Reinsurance Layoff Sheet

## Assured
- **Name:** J. B. M.

## Policy Details
- **Policy Number:** 9910600
- **Effective Date of Reinsurance:** 5/21/81
- **Policy Limit:** 30M
- **Underlying Layer:** 2,000,000
- **Policy Premium:** $163,152.60
- **Policy Period:** From 5/21/81 to 5/21/82

## Participating/Quota Share
| Reinsurer | Reinsurance Broker/Direct | Percent of Particip. | % of Change | Total Comm to Company | Closing Cert Number | Ceded Premium Annual | Pro-Rata |
|-----------|--------------------------|----------------------|-------------|-----------------------|--------------------|----------------------|-----------|
| Nat'l Union | #8097 | 12.5% | -2.5% | 28.6 | 36-872 | 16,411.80 |  |
| FCS | #8097 | 3.82% | 3.82% | 28.6 | 36-872 | 8,205.90 |  |
| CCA | #9-10 | 25% | 25% | 27.5 | 36-872 | 8,205.90 |  |
| TransRe | Direct | 12.5% | 12.5% | 27.5 | 36-872 | 11,488.22 |  |
| Continental Casualty Nat'l FacSem | 12.5% | 12.5% | 27.5 | 8,205.90 |  |
| Fremont Ind | 6.25% | 6.25% | 27.5 | 8,205.90 |  |
| Mission Re | 6.25% | 6.25% | 27.5 | 8,205.90 |  |
| New EngRe | 6.25% | 6.25% | 27.5 | 8,205.90 |  |
| Rees | 6.25% | 6.25% | 27.5 | 8,205.90 |  |
| Unity Fire General | 6.25% | 6.25% | 27.5 | 8,205.90 |  |

## Reinsurance Closings
- **Sent MS 6-11-81**
- **Premium:** $9,654

## Excess of Loss or Section II Casualty
- **Limits:** 5,000,000 X 5,192
- **Premium:** $9,654

## Automatic
- **Branch:** NY
- **Underwriter:** Chuck Ciccarelli
- **CODING:** 24120773