# Starr Excess Liability Insurance International Limited

(Hereinafter referred to as the "Insurer")

29 Richmond Road, Pembroke HM 08, Bermuda  
Telephone: 441-295-7827  
Facsimile: 441-292-8099  
Facsimile: 441-296-3750 (For Claim Matters Only)

## FOLLOWING FORM EXCESS LIABILITY INSURANCE POLICY  
OCCURRENCE FORM  
DECLARATIONS (Contd.)

Policy No: 400000  
New

### ITEM 12. INSURING AGREEMENT:

This policy shall provide the Insured with Excess Insurance coverage in accordance with the same warranties, terms, conditions, exclusions and limitations as are contained in the Followed Policy(ies) set forth in Item 7. above on the inception date of this Policy, subject to the premium, limits of liability, policy period, warranties, exclusions, limitation and any other terms and conditions of this Policy inconsistent with the Followed Policy including any and all endorsements attached hereto. The limits of liability in Item 4. above applies in excess of (i) the sum of applicable per occurrence, claim, loss limits of liability, or, (ii) the sum of applicable remaining aggregate limits of liability, if less than (i), of underlying policies listed in Item 6. for each applicable coverage. The sum of limits under (i) and (ii) above also includes any applicable Self Insured Retention associated with such limits.

**Karen J Radke**  
Authorized Representative

Date of Issuance – January 7, 1999  
SELIC FF0C  
(Ed. 11/98)