**Item 4: POLICY PERIOD:**
From 12:01 A.M.* on the 21ST day of May, 1996.
("Inception Date").
To 12:01 A.M.* on the 21ST day of May, 1997.
("Expiration Date").

**Item 5: RETROACTIVE DATE:**
12:01 A.M.* on the 21ST day of May, 1986.

**Item 6: Flat Premium for the POLICY PERIOD:**
$150,000.00

**Item 7: Representative of COMPANY:**
Farmington Management, Inc.
RiverBend Executive Park
77 Hartland Street
East Hartford, CT 06108
Attention: The President

**Item 8: Representative of NAMED INSURED:**
JOHNSON & HIGGINS
125 BROAD STREET
NEW YORK, NY 10004-2424
ATTN: CASUALTY DEPARTMENT
STEVEN LUONGO, VICE PRESIDENT

**Item 9: Endorsements attached at POLICY issuance:**
1. Liability of Insurers Endorsement, AEIA-2
2. New York Mandatory Endorsement, AEIA-S-6
3. Amendment of I Coverage, AEIA-SP-1
4. Pollution Exclusion Revision Endorsement, AEIA-SP-2
5. Property Damage to Insured’s Products or Operations,
Exclusion Revision Endorsement, AEIA-SP-3
6. Aircraft Exclusion Amendment for Owned and Non-Owned
Aircraft Liability, AEIA-SP-4
7. War Exclusion Amendment, AEIA-SP-5
8. Advertising Offense Exclusion Amendment, AEIA-SP-6
9. Amendment to Definition (j) Insured, AEIA-SP-7
10. Designated Products Endorsement, AEIA-5
11. Maintenance of Underlying Insurance Endorsement, AEIA-9
12. Insurance Company Errors & Omissions Exclusion, AEIA-20

**AMERICAN EXCESS INSURANCE ASSOCIATION**

Countersigned by _______________
(Authorized Representative)

*Standard Time at the address of the NAMED INSURED as stated herein.

AEIA 1-NY REV. A
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