**REINSURANCE LAYOFF SHEET**

- **ASSURED:** [Name]
- **TYPE OF COVERAGE:** Casualty
- **POLICY NUMBER:** 9710310
- **EFF. DATE OF REINSURANCE:** 5/21/90
- **POLICY LIMIT:** $18,000,000
- **POLICY PREMIUM:** $198,332.50
- **POLICY PERIOD:** From 5/1/90 to 5/31/91

**I. PARTICIPATING/QUOTA SHARE**

| REINSURER | REINSURANCE BROKER/DIRECT | PERCENT OF PARTICIP. | % OF CHANGE | TOTAL COMM. TO COMPANY | CLOSING CERT. NUMBER | CEDED PREMIUM ANNUAL | PRO-RATA |
|-----------|--------------------------|----------------------|-------------|------------------------|-----------------------|----------------------|-----------|
| Net West | - | - | - | - | - | 14,221. | - |
| CNA | - | - | - | - | - | 29,564. | - |
| MetLife | - | - | - | - | - | 15,100. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
| MetLife | - | - | - | - | - | 10,400. | - |
|