Common use of OTHER EXCLUDED CLASS Clause in Contracts

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR COVERAGE(S): Sub-section 8.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 MAXIMUM LIMITS OF LIABILITY/SUMS INSURED: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(S): Sub-section 13.1 Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 11.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 13.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 Sub-section 16.1 MAXIMUM LIMITS OF LIABILITY/SUMS INSUREDDEDUCTIONS ALLOWABLE FOR INSURANCES BOUND: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF 16.2 THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(SCONSORTIUM MANAGER’S COMMISSION(S) OR FEE(S): Sub-section 13.1 16.3 PROFIT COMMISSION(S): Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.2 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 , WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: Sub-section 20.1 PROCEDURE FOR THE HANDLING AND SETTLEMENT OF CLAIMS AND PURSUING RECOVERIES: Sub-section 22.1.2 RISKS WRITTEN REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF RISKS WRITTEN BORDEREAU(X): { } days Sub-section 22.2.1 BASIS OF MONITORING AGGREGATE EXPOSURES: Sub-section 22.2.2 AGGREGATE REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF AGGREGATE EXPOSURES: { } days Sub-section 22.2.3 Sub-section 22.3 MAXIMUM TOTAL AGGREGATE LIMIT(S): STATISTICAL INFORMATION REQUIRED BY THE FOLLOWING UNDERWRITERS: REPORTING INTERVAL(S): *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS: { } days Sub-section 23.2 Sub-section 23.3 PAID PREMIUM REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) CLAIMS BORDEREAUX/REPORTING (PAID AND OUTSTANDING) TO BE PRODUCED/PROVIDED BY THE CONSORTIUM MANAGER: *Yes / No CLAIMS REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) Sub-section 23.4 MAXIMUM PERIOD FOR REPORTING/SUBMISSION OF BORDEREAUX: { } days Sub-section 23.6 FEE(S) AND CHARGES TO BE DEDUCTED BY THE CONSORTIUM MANAGER: Sub-section 33.1 NUMBER OF DAYS NOTICE OF TERMINATION: { } days LMA3145A 2 March 2018 Table of Security

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 11.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 13.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 Sub-section 16.1 MAXIMUM LIMITS OF LIABILITY/SUMS INSUREDDEDUCTIONS ALLOWABLE FOR INSURANCES BOUND: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF 16.2 THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(SCONSORTIUM MANAGER’S COMMISSION(S) OR FEE(S): Sub-section 13.1 16.3 PROFIT COMMISSION(S): Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.2 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 , WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: Sub-section 20.1 PROCEDURE FOR THE HANDLING AND SETTLEMENT OF CLAIMS AND PURSUING RECOVERIES: Sub-section 22.1.2 RISKS WRITTEN REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF RISKS WRITTEN BORDEREAU(X): { } days Sub-section 22.2.1 BASIS OF MONITORING AGGREGATE EXPOSURES: Sub-section 22.2.2 AGGREGATE REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF AGGREGATE EXPOSURES: { } days Sub-section 22.2.3 Sub-section 22.3 MAXIMUM TOTAL AGGREGATE LIMIT(S): STATISTICAL INFORMATION REQUIRED BY THE FOLLOWING UNDERWRITERS: REPORTING INTERVAL(S): *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS: { } days Sub-section 23.2 Sub-section 23.3 PAID PREMIUM REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) CLAIMS BORDEREAUX/REPORTING (PAID AND OUTSTANDING) TO BE PRODUCED/PROVIDED BY THE CONSORTIUM MANAGER: *Yes / No CLAIMS REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) Sub-section 23.4 MAXIMUM PERIOD FOR REPORTING/SUBMISSION OF BORDEREAUX: { } days Sub-section 23.6 FEE(S) AND CHARGES TO BE DEDUCTED BY THE CONSORTIUM MANAGER: Sub-section 33.1 NUMBER OF DAYS NOTICE OF TERMINATION: { } days LMA3145 16 June 2017 LMA3145A 2 March 2018 Table of Security CONSORTIUM MANAGER - MANAGING AGENT OF THE LEAD UNDERWRITERS ADDRESS AND EMAIL ADDRESS PERCENTAGE % LEAD UNDERWRITERS - STAMP, REFERENCE, SIGNATURE AND DATE MANAGING AGENT OF THE LEAD UNDERWRITERS: VARIABLE REFERENCE REQUIRED: (Y/N) Delete as applicable

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 11.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 13.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 MAXIMUM LIMITS Sub-section 15.2 PREMIUM PAYMENT PLAN APPLICABLE: *Yes / No (*Delete as applicable) IF APPLICABLE, CLASS(ES) OF LIABILITY/SUMS INSUREDBUSINESS TO WHICH THE PREMIUM PAYMENT PLAN APPLIES: [List classes] Sub-section 16.1 THE COVERHOLDER’S COMMISSION: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(S16.2 PROFIT COMMISSION(S): Sub-section 13.1 Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.1 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: 20.1 Sub-section 21.1 20.5 Sub-section 20.6.9 Sub-section 20.6.10 WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: FORMAT OF CONTRACT DOCUMENTATION: SEVERAL LIABILITY NOTICE/CLAUSE: *LSW1001 / LMA5096 / LMA5190 *(Delete as applicable) THE NAME AND ADDRESS TO WHOM THE INSURED SHOULD DIRECT ALL CLAIMS: Sub-section 20.8 SUBSCRIPTION POLICIES : CAN THE COVERHOLDER BIND INSURANCES ON BEHALF OF THE UNDERWRITERS UNDER A ‘SUBSCRIPTION POLICY’ IN A LEAD OR FOLLOWING CAPACITY: *No / Yes (*Delete as applicable) (and subject always to the provisions of Sub-section 20.8)

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 11.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 13.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 Sub-section 16.1 MAXIMUM LIMITS OF LIABILITY/SUMS INSUREDDEDUCTIONS ALLOWABLE FOR INSURANCES BOUND: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF 16.2 THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(SCONSORTIUM MANAGER’S COMMISSION(S) OR FEE(S): Sub-section 13.1 16.3 PROFIT COMMISSION(S): Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.2 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 , WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: Sub-section 20.1 PROCEDURE FOR THE HANDLING AND SETTLEMENT OF CLAIMS AND PURSUING RECOVERIES: Sub-section 22.1.2 RISKS WRITTEN REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF RISKS WRITTEN BORDEREAU(X): { } days Sub-section 22.2.1 BASIS OF MONITORING AGGREGATE EXPOSURES: Sub-section 22.2.2 AGGREGATE REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF AGGREGATE EXPOSURES: { } days Sub-section 22.2.3 Sub-section 22.3 MAXIMUM TOTAL AGGREGATE LIMIT(S): STATISTICAL INFORMATION REQUIRED BY THE FOLLOWING UNDERWRITERS: REPORTING INTERVAL(S): *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS: { } days Sub-section 23.2 Sub-section 23.3 PAID PREMIUM REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) CLAIMS BORDEREAUX/REPORTING (PAID AND OUTSTANDING) TO BE PRODUCED/PROVIDED BY THE CONSORTIUM MANAGER: *Yes / No CLAIMS REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) Sub-section 23.4 MAXIMUM PERIOD FOR REPORTING/SUBMISSION OF BORDEREAUX: { } days Sub-section 23.6 FEE(S) AND CHARGES TO BE DEDUCTED BY THE CONSORTIUM MANAGER: Sub-section 33.1 NUMBER OF DAYS NOTICE OF TERMINATION: { } days LMA3145 16 June 2017 Table of Security

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR COVERAGE(S): (and subject always to the provisions of the US General Cover Conditions) Sub-section 8.1 Sub-section 8.3 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 MAXIMUM LIMITS OF LIABILITY/SUMS INSURED: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(S): Sub-section 13.1 Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 13.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR AND/OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS OR PROPOSAL FORMS: FORMS:‌ Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 Sub-section 21.4 WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: SEVERAL LIABILITY NOTICE: Section 24 PROCEDURE FOR THE HANDLING AND SETTLEMENT OF CLAIMS: Sub-section 25.2 Sub-section 25.3 Sub-section 25.5 PREMIUM BORDEREAUX INTERVAL: *monthly / quarterly CLAIMS BORDEREAUX (PAID AND OUTSTANDING) TO BE PRODUCED BY THE COVERHOLDER: *Yes / No CLAIMS BORDEREAUX INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM PERIOD FOR SUBMISSION OF BORDEREAUX AND SUMMARY ACCOUNTS: { } days Sub-section 25.7 MAXIMUM PERIOD FOR REMITTANCE OF SETTLEMENTS: { } days Sub-section 25.8 FEES AND CHARGES TO BE DEDUCTED BY THE COVERHOLDER: Sub-section 26.1 THE COVERHOLDER’S COMMISSION: Sub-section 26.2 CONTINGENT OR PROFIT COMMISSION: Sub-section 34.2 STATISTICAL INFORMATION REQUIRED BY THE UNDERWRITERS: REPORTING INTERVAL(S): *(Delete as applicable) *monthly / quarterly MAXIMUM NUMBER OF DAYS: { } days Section 39 JURISDICTION AND GOVERNING LAW STATE: Agreement Number: Unique Market Reference Number: SIGNATURE OF THE COVERHOLDER In accordance with Section 1 of LMA3018, the agreement is signed on behalf of the Coverholder as acceptance of the terms and conditions of the Agreement inclusive of any attachments identified in the Schedule. Signed and accepted on behalf of the Coverholder Name and Position of Signatory Date of Signature ACKNOWLEDGEMENT OF THE UNDERWRITERS Signed and accepted on behalf of the Underwriters Date of acknowledgement

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 11.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 13.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 Sub-section 16.1 MAXIMUM LIMITS OF LIABILITY/SUMS INSUREDDEDUCTIONS ALLOWABLE FOR INSURANCES BOUND: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF 16.2 THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(SCONSORTIUM MANAGER’S COMMISSION(S) OR FEE(S): Sub-section 13.1 16.3 PROFIT COMMISSION(S): Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.2 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 , WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: Sub-section 20.1 PROCEDURE FOR THE HANDLING AND SETTLEMENT OF CLAIMS AND PURSUING RECOVERIES: Sub-section 22.1.2 RISKS WRITTEN REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF RISKS WRITTEN BORDEREAU(X): { } days Sub-section 22.2.1 BASIS OF MONITORING AGGREGATE EXPOSURES: Sub-section 22.2.2 AGGREGATE REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF AGGREGATE EXPOSURES: { } days Sub-section 22.2.3 Sub-section 22.3 MAXIMUM TOTAL AGGREGATE LIMIT(S): STATISTICAL INFORMATION REQUIRED BY THE FOLLOWING UNDERWRITERS: REPORTING INTERVAL(S): *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS: { } days Sub-section 23.2 Sub-section 23.3 PAID PREMIUM REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) claims bordereaux/reporting (paid and outstanding) to be produced/provided by the Consortium manager: *Yes / No CLAIMS REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) Sub-section 23.4 MAXIMUM PERIOD FOR REPORTING/SUBMISSION OF BORDEREAUX: { } days Sub-section 23.6 FEE(S) AND CHARGES TO BE DEDUCTED BY THE CONSORTIUM MANAGER: Sub-section 33.1 NUMBER OF DAYS NOTICE OF TERMINATION: { } days LMA3145 16 June 2017 Table of Security

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 Sub-section 11.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 Sub-section 13.3 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 Sub-section 16.1 MAXIMUM LIMITS OF LIABILITY/SUMS INSUREDDEDUCTIONS ALLOWABLE FOR INSURANCES BOUND: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF 16.2 THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(SCONSORTIUM MANAGER’S COMMISSION(S) OR FEE(S): Sub-section 13.1 16.3 PROFIT COMMISSION(S): Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.2 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: Sub-section 21.1 , WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: Sub-section 20.1 PROCEDURE FOR THE HANDLING AND SETTLEMENT OF CLAIMS AND PURSUING RECOVERIES: Sub-section 22.1.2 RISKS WRITTEN REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF RISKS WRITTEN BORDEREAU(X): { } days Sub-section 22.2.1 BASIS OF MONITORING AGGREGATE EXPOSURES: Sub-section 22.2.2 AGGREGATE REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS FOR REPORTING/SUBMISSION OF AGGREGATE EXPOSURES: { } days Sub-section 22.2.3 MAXIMUM TOTAL AGGREGATE LIMIT(S): Sub-section 22.3 STATISTICAL INFORMATION REQUIRED BY THE SERVICE COMPANIES: REPORTING INTERVAL(S): *monthly / quarterly *(Delete as applicable) MAXIMUM NUMBER OF DAYS: { } days Sub-section 23.2 PAID PREMIUM REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) Sub-section 23.3 CLAIMS BORDEREAUX/REPORTING (PAID AND OUTSTANDING) TO BE PRODUCED/PROVIDED BY THE CONSORTIUM MANAGER: *Yes / No CLAIMS REPORTING INTERVAL: *monthly / quarterly *(Delete as applicable) Sub-section 23.4 MAXIMUM PERIOD FOR REPORTING/SUBMISSION OF BORDEREAUX: { } days Sub-section 23.6 FEE(S) AND CHARGES TO BE DEDUCTED BY THE CONSORTIUM MANAGER: Sub-section 33.1 NUMBER OF DAYS NOTICE OF TERMINATION: { } days LMA3174 4 July 2023 Table of Security CONSORTIUM MANAGER - ADDRESS AND EMAIL PERCENTAGE LEAD UNDERWRITERS - STAMP, REFERENCE, SIGNATURE AND DATE SERVICE COMPANY OF THE LEAD ADDRESS % UNDERWRITERS

OTHER EXCLUDED CLASS. (ES) OF BUSINESS OR AND COVERAGE(S): Sub-section 8.1 9.1 Sub-section 9.2 Sub-section 9.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 10.1 MAXIMUM LIMITS OF LIABILITY OR SUMS INSURED: Sub-section 11.1 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: Sub-section 11.2 DEDUCTIBLES AND/OR EXCESSES: Sub-section 12.1 Sub-section 12.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 13.1 PERIOD OF INSURANCES BOUND: { } months MAXIMUM PERIOD OF INSURANCES BOUND: { } months including odd time Sub-section 8.3 13.3 MAXIMUM ADVANCE PERIOD FOR INCEPTION DATES: { } days Section 9 MAXIMUM LIMITS Sub-section 15.2 PREMIUM PAYMENT PLAN APPLICABLE: *Yes / No (*Delete as applicable) IF APPLICABLE, CLASS(ES) OF LIABILITY/SUMS INSUREDBUSINESS TO WHICH THE PREMIUM PAYMENT PLAN APPLIES: [List classes] Sub-section 16.1 THE COVERHOLDER’S COMMISSION: Sub-section 10.1 Sub-section 10.2 GROSS PREMIUM INCOME LIMIT: NOTIFIABLE PERCENTAGE OF THE LIMIT NOT TO EXCEED: Sub-section 11.1 Sub-section 11.2 Sub-section 11.3 RISKS LOCATED IN: INSUREDS DOMICILED IN: TERRITORIAL LIMITS: Sub-section 12.1 Sub-section 12.2 Sub-section 12.3 BASIS OF MONITORING AGGREGATE EXPOSURES: REPORTING INTERVALS: MAXIMUM TOTAL AGGREGATE LIMIT(S16.2 PROFIT COMMISSION(S): Sub-section 13.1 Sub-section 13.2 BASIS FOR THE CALCULATION OF GROSS PREMIUMS: DEDUCTIBLES AND/OR EXCESSES: Sub-section 14.1 Sub-section 14.2 OTHER CONDITIONS AND /OR REQUIREMENTS RELATING TO THE OPERATION OF THE AGREEMENT: AMENDMENTS: Sub-section 16.1.1 NUMBER OF DAYS NOTICE OF CANCELLATION: { } days Section 18 APPLICATIONS 19.1 APPLICATION OR PROPOSAL FORMS: Sub-section 19.6 VARIATIONS TO THE STATED PROCEDURE IN RELATION TO COPY DOCUMENTS: Section 20 FORMAT OF CERTIFICATES: 20.1 Sub-section 21.1 20.5 Sub-section 20.6.9 Sub-section 20.6.10 WORDINGS, CONDITIONS, CLAUSES, ENDORSEMENTS, WARRANTIES AND EXCLUSIONS APPLICABLE TO INSURANCES BOUND:: FORMAT OF CONTRACT DOCUMENTATION: SEVERAL LIABILITY NOTICE/CLAUSE: *LSW1001 / LMA5096 *(Delete as applicable) THE NAME AND ADDRESS TO WHOM THE INSURED SHOULD DIRECT ALL CLAIMS: Sub-section 20.8 SUBSCRIPTION POLICIES : CAN THE COVERHOLDER BIND INSURANCES ON BEHALF OF THE UNDERWRITERS UNDER A ‘SUBSCRIPTION POLICY’ IN A LEAD OR FOLLOWING CAPACITY: *No / Yes (*Delete as applicable) (and subject always to the provisions of Sub-section 20.8)