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CONTRACT NO.

QNG01185A21
1230 AMW

RISK DETAILS

UNIQUE MARKET
REFERENCE (UMR): B1230QNG01185A21.

ATTACHING TO
LINE SLIP NUMBER: FN01629A20 - Section 1 (A).

TYPE: Operators Extra Expense.

INSURED: AMERICAN AIR LIQUIDE HOLDINGS INC. and their associated, affiliated,
interrelated and subsidiary companies and corporations and other companies
owned, operated, managed or controlled by the aforementioned company(ies) as
now are or may hereafter be created and constituted for their respective rights and
interests, hereinafter known as the Insured.

Address: 9811 Katy Freeway, Suite 100, Houston, Texas 77024, USA.

INSURER(S): The subscribing Insurance and/or Reinsurance Companies and/or Underwriting


Members of Lloyd’s (hereinafter referred to as the Insurer(s)), for a participation as
stated in the Signing Pages attached hereto.

PERIOD: From: 25th June, 2021.


To: 25th June, 2022.
Both days at 12:01 AM Local Standard Time at the address of the Insured.

SITUATION: United States of America and as more fully defined in the Policy Wording.

INTEREST: Operators Extra Expense and as more fully defined in the Policy Wording.

LIMIT (100%): USD 20,000,000 Combined Single Limit any one Occurrence.
USD 1,000,000 any one Occurrence Separate Limit in respect of Care, Custody and
Control.

EXCESS (100%): USD 150,000 Combined Single Retention any one Occurrence.
USD 50,000 any one Occurrence in respect of Care, Custody and Control.

CONDITIONS: AGR Operators Extra Expense Wording as attached, but subject to Limited Redrilling
Endorsement as attached.

Including the following Endorsements: -


Care, Custody and Control (Including Unsound Location);
Evacuation Expenses Endorsement;
Underground Control of Well Endorsement;
Making Wells Safe Endorsement;
Contingent Joint Venture Endorsement;
Turnkey Wells – Drilling Contractor / Turnkey Operator;
Farm Out Wells Endorsement;

AGR CHECKED
CONTRACT NO. QNG01185A21
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CONDITIONS
(Continued): Deliberate Well Firing Endorsement;
Priority of Payments Endorsement;
Extended Pollution Endorsement;
Resultant Plugging and Abandonment Expenses Endorsement;
Mud out Clause;
Margin Clause;
10 Days Cancellation for non-payment of Premium;
Directors and Officers as Additional Insureds Endorsement;
Additional Insured Clause;
Waiver of Subrogation Clause;
Semi-Annual Reporting Endorsement;
Unintentional Errors and Omissions Endorsement;
Well Reporting Requirements – Coverage Extension;
Casing Failure Endorsement – Sub-limit USD 2,000,000 any one occurrence;
Workovers - No additional premium if 100% AFE is less than USD 50,000;
Area Definition Amendment Endorsement – All land Wells less than 10,000’ are rated
Area I;
Turnkey Wells Endorsement.

Any Additional Wells to those declared at Inception to be agreed by Slip Leader and
Lloyd’s Syndicate AML 2001 prior to coverage being provided hereunder.

CL370 (10/11/03) Institute Radioactive Contamination, Chemical,


Biological, Bio-Chemical and Electromagnetic Weapons Exclusion Clause.
USCAN B (29/01/04) Endorsement for the Institute Radioactive Contamination,
Chemical, Biological, Bio-Chemical and Electromagnetic Weapons Exclusion
Clause.
JR2019-013 (12/11/2019) Energy Cyber Affirmation and Limited Exclusion Clause.
NMA2918 (08/10/01) War and Terrorism Exclusion Endorsement.
JR2010/013 (15/09/10) Sanction Limitation and Exclusion Clause.
JR2020-016 (17/04/20) Communicable Disease Endorsement.
LSW553 (01/93) Brokers Cancellation Clause, as attached.
LMA5389 (09/01/20) US Terrorism Risk Insurance Act of 2002 As Amended New &
Renewal Business Endorsement at additional premium of 5%, or if coverage not
purchased,
LMA5390 (09/01/20) US Terrorism Risk Insurance Act of 2002 as amended Not
Purchased Clause.
IUA 09-054 Foreign Account Tax Compliance Act Clause.
LMA9107 (29/04/15) Lloyd’s Compliance with the US Foreign Account Tax
Compliance Act.

Notification of claims to:-


Lawrence Tonner
Amwins Global Risks.
The Brewery Quarter, Unit C, High Street, Cheltenham GL50 3FF.
E-Mail: EnergyClaims@amwinsglobalrisks.com

NOTICES: LMA9079 (01/09/13) Texas Surplus Lines Notice.


LMA 9080D (06/01/20) Texas Complaints Notice.

EXPRESS
WARRANTIES: None other than any which may be included in the Wordings and Clauses applicable
to this Contract. Please read this Contract carefully. Breach of a Warranty could result
in termination of this Contract.
CONTRACT NO. QNG01185A21
1230 AMW

CONDITIONS
PRECEDENT: None other than any which may be included in the Wording(s) and Clauses applicable
to this Contract. Please read this Contract carefully. Breach of a “condition precedent
to liability” may entitle Insurers to reduce indemnity for or even reject a claim. Breach
of a “condition precedent to contract” entitles an Insurer to avoid the contract entirely.

SUBJECTIVITIES: None other than any which may be included in the Wording(s) and Clauses applicable
to this Contract.

CHOICE OF LAW
AND JURISDICTION: A. Choice of Law – This Policy shall be governed by and construed in accordance
with the laws of: Texas, USA
B. Jurisdiction – Any disputes between the Insured and Insurers over the terms of
this Policy shall be subject to the provisions of CL355A Institute Service of Suit
Clause (USA) (12/11/19).

PREMIUM: Premium Worksheet as attached.

PREMIUM
PAYMENT TERMS: Premium payable to Insurers within 90 Days of Inception Date.

TAX(ES) PAYABLE
BY THE INSURED AND
ADMINISTERED BY
INSURER(S): None.

TAX(ES) PAYABLE
BY INSURER(S) BUT
ADMINISTERED BY
THE INSURED OR
THEIR AGENT: None.

RECORDING,
TRANSMITTING &
STORING
INFORMATION: Where Amwins Global Risks maintains risk and claim data / information / documents,
Amwins Global Risks may hold such data / information / documents electronically.

INSURER CONTRACT
DOCUMENTATION: Contract document will be a copy of the Market Reform Contract.

This document details the Contract terms entered into by the Insurer(s) and
constitutes the Contract Document.
No further Contract Documentation will be issued other than endorsements to note
additions, deletions and amendments.
Any further documentation changing this contract, which has been appropriately
agreed by insurer(s) hereon, shall form the evidence of such change(s) and will be
deemed to form an integral part of the original contract.

This Contract is subject to US state surplus lines requirements. It is the responsibility


of the surplus lines broker to affix a surplus lines notice to the Contract Document
before it is provided to the Insured. In the event that the surplus lines notice is not
affixed to the Contract Document, the Insured should contact the surplus lines broker.
CONTRACT NO. QNG01185A21
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INFORMATION

Well Schedule and Application seen by Insurers hereon.

No Losses 5 Years.
CONTRACT NO. QNG01185A21
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SECURITY DETAILS

INSURERS’ LIABILITY: (Re)Insurers’ Liability Clause (LMA3333)

(Re)Insurers’ liability several not joint

The liability of a (Re)Insurer under this Contract is several and not joint with other
(Re)Insurers party to this Contract. A (Re)Insurer is liable only for the proportion of
liability it has underwritten. A (Re)Insurer is not jointly liable for the proportion of
liability underwritten by any other (Re)Insurer. Nor is a (Re)Insurer otherwise
responsible for any liability of any other (Re)Insurer that may underwrite this Contract.

The proportion of liability under this Contract underwritten by a (Re)Insurer (or, in the
case of a Lloyd’s syndicate, the total of the proportions underwritten by all the
members of the syndicate taken together) is shown next to its stamp. This is subject
always to the provision concerning “signing” below.

In the case of a Lloyd’s syndicate, each member of the syndicate (rather than the
syndicate itself) is a (Re)Insurer. Each member has underwritten a proportion of the
total shown for the syndicate (that total itself being the total of the proportions
underwritten by all the members of the syndicate taken together). The liability of each
member of the syndicate is several and not joint with other members. A member is
liable only for that member’s proportion. A member is not jointly liable for any other
member’s proportion. Nor is any member otherwise responsible for any liability of any
other (Re)Insurer that may underwrite this Contract. The business address of each
member is Lloyd’s, One Lime Street, London EC3M 7HA. The identity of each
member of a Lloyd’s syndicate and their respective proportion may be obtained by
writing to Market Services, Lloyd’s, at the above address.

Proportion of liability

Unless there is “signing” (see below), the proportion of liability under this Contract
underwritten by each (Re)Insurer (or, in the case of a Lloyd’s syndicate, the total of
the proportions underwritten by all the members of the syndicate taken together) is
shown next to its stamp and is referred to as its “written line”.

Where this Contract permits, written lines, or certain written lines, may be adjusted
(“signed”). In that case a schedule is to be appended to this contract to show the
definitive proportion of liability under this Contract underwritten by each (Re)Insurer
(or, in the case of a Lloyd’s syndicate, the total of the proportions underwritten by all
the members of the syndicate taken together). A definitive proportion (or, in the case
of a Lloyd’s syndicate, the total of the proportions underwritten by all the members of
a Lloyd’s syndicate taken together) is referred to as a “signed line”. The signed lines
shown in the schedule will prevail over the written lines unless a proven error in
calculation has occurred.

Although reference is made at various points in this Clause to “this Contract” in the
singular, where the circumstances so require this should be read as a reference to
Contracts in the plural.

21/6/07
LMA3333
CONTRACT NO. QNG01185A21
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ORDER HEREON: 100% of 100%.

BASIS OF
WRITTEN LINES: Percentage of Whole.

BASIS OF
SIGNED LINES: Percentage of Whole.

SIGNING
PROVISIONS: In the event that the written lines hereon exceed 100% of the order, any lines written
“To Stand” will be allocated in full and all other lines will be signed down in equal
proportions so that the aggregate signed lines are equal to 100% of the order without
further agreement of any of the Insurers.

However:

a) In the event that the placement of the order is not completed by the
commencement date of the Contract then all lines written by that date will be
signed in full:

b) The Insured may elect for the disproportionate signing of Insurers lines, without
further specific agreement of Insurers, providing that any such variation is made
prior to the commencement date of the Contract, and that lines written “To Stand”
may not be varied without the documented agreement of those Insurers.

c) The signed lines resulting from the application of the above provisions can be
varied, before or after the commencement date of the period of insurance, by the
documented agreement of the Insured and all Insurers whose lines are to be
varied. The variation to the Contract will take effect only when all such Insurers
have agreed, with the resulting variation in signed lines commencing from the date
set out in that agreement.

The signed line will be entered on the Signing Pages against the respective Insurer
by Amwins Global Risks and shall be notified to the Insurer.

SIGNING PAGES: This Contract incorporates the following:

Signing Page(s), stamping or signature of which binds the Insurer and the Insured to
the terms and conditions of this Contract.

Where an Insurer provides acceptance of a share by alternative correspondence, this


shall constitute their formal stamping or signature until and if required, superseded by
the stamped or signed Signing Page.

For the purposes of the application of the (Re)Insurers’ Liability Clause (LMA3333),
each Insurer signed line is recorded on the Signing Pages and not in a separate
schedule appended to this Contract.

WRITTEN LINES: In a co-insurance placement, following (Re)Insurers may, but are not obliged to, follow
the premium charged by the Lead (Re)Insurer.

(Re)Insurers may not seek to guarantee for themselves terms as favourable as those
which others subsequently achieve during the placement.
CONTRACT NO. QNG01185A21
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SIGNING PAGE

AGR ENERGY – NON-BULKING LINESLIP – FN01629A20

LINESLIP PERIOD: 1ST JUNE 2020 TO 15TH JULY 2021 @ 00.01 LST

SECTION 1 – COMBINED SINGLE LIMIT/SUM INSURED UP TO USD/CAD 75,000,000

SECURITY (A) – WORLDWIDE EXCLUDING CANADA DECLARATIONS

“as per LPSO FDO Signing Numbers and Dates below establishing the year of account for declaration and
related entries”.

RISK CODE “EF” - ENERGY ONSHORE PROPERTY – 61778*20/07/2020


RISK CODE “EN” - ENERGY OFFSHORE PROPERTY - 51333*20/07/2020
RISK CODE "EZ" - ENERGY OPERATORS EXTRA EXPENSE - 51334*20/07/2020
RISK CODE “3E” – TRIA ENERGY ONSHORE PROPERTY – 61775*20/07/2020
RISK CODE “1E” – TRIA ENERGY OFFSHORE PROPERTY - 51335*20/07/2020

-----------------------------------------------------------------------------------------------

INSURERS / WRITTEN LINES / SIGNED LINES:

As shown below, and where placed electronically either wholly or in part via Placing Platform Limited (PPL), in
the PPL SECURITY DETAILS attached hereto.
CONTRACT NO. QNG01185A21
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Contract Administration and Advisory Sections:

THIS PAGE IS INTENTIONALLY LEFT BLANK


CONTRACT NO. QNG01185A21
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SUBSCRIPTION AGREEMENT

SLIP LEADER: Lloyd’s Syndicate AUL 1274.

BASIS OF
AGREEMENT TO
CONTRACT CHANGES: Additions, deletions or amendments to this Contract can only be made by an
endorsement produced by Amwins Global Risks and shall be binding upon both
parties on the same basis as stated under the Signing Pages section of Security
Details.

The agreement process is as follows:

1) Insurers whose participation is subject to the General Underwriters Agreement


(GUA (Version 2.0) February 2014) and Non-Marine Schedule (October 2001).
Part 1 changes to be agreed Slip Leader only on behalf of all other Insurers
within the GUA.
Part 2 changes to be agreed by the Slip Leader and Agreement Parties only on
behalf of all Insurers within the GUA.
Part 3 changes to be agreed by all Insurers within the GUA.

2) Insurers whose participation is not subject to the General Underwriters


Agreement (GUA) (Version 2.0 February 2014).

Each such Insurer to agree all amendments and alterations.

Insurers hereon agree that any pages within the Risk Details and Information sections
of this Market Reform Contract that contain handwritten amendments made by
Insurers may be re-typed and agreed by the Slip Leader only for the purposes of
issuing evidence of cover in the form of a copy of this Market Reform Contract. Pages
containing handwritten amendments to be retained on file by Amwins Global Risks.

When details of agreed endorsements are required to be provided to following


Insurers, a Broker visit, e-mail or other electronic means, facsimile or letter will be
used by Amwins Global Risks.

At the request of the Slip Leader, all signed lines will be advised to each participating
Underwriter prior to inception, failing which all signed lines will be advised to each
participating Underwriter within 30 days of inception.

Where the signed line has not been formally entered on the Market Reform Contract
by the Underwriter, Underwriters agree to accept advice of signed line by electronic
mail. Alternatively, Amwins Global Risks (AMW 1230) may submit de-linked accounts
to Xchanging Ins-sure Services within 30 days of inception, which will be deemed as
advice of signed line to Underwriters.

OTHER AGREEMENT
PARTIES FOR
CONTRACT CHANGES,
FOR PART 2 GUA
CHANGES ONLY: Where no Other Agreement Parties are so specified, Part 2 changes will be agreed
by the Slip Leader only.
CONTRACT NO. QNG01185A21
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AGREEMENT
PARTIES FOR
CONTRACT CHANGES,
FOR THEIR
PROPORTION
ONLY: None.

BASIS OF CLAIMS
AGREEMENT: Claims to be managed in accordance with

i) The Lloyd's Claims Scheme (Combined), or as amended or any successor thereto


ii) IUA Claims Agreement Practices
iii) The practices of any company(ies) electing to agree claims in respect of their own
participation.

CLAIMS AGREEMENT
PARTIES: i) For Lloyd’s syndicates:

The leading Lloyd’s syndicate and, where required, by the applicable Lloyd’s
Claims Scheme, the second Lloyd’s syndicate and/or the Scheme Service
Provider.

The second Lloyd’s syndicate is: MKL 3000.

ii) Those companies acting in accordance with the IUA claims agreement practices,
expecting those that may have opted out via iii) below.

iii) Those companies that have specifically elected to agree claims in respect of their
own participation.

iv) All other subscribing insurers that are not party to the Lloyd’s/IUA claims
agreement practices, each in respect of their own participation.

CLAIMS
ADMINISTRATION: Amwins Global Risks (AMW 1230) and Bureaux (Re)Insurers agree that any claims
hereunder (including any claims related costs/fees) will be notified and administered
via the Electronic Claims File (ECF) with any payment(s) processed via CLASS,
unless both parties agree to do otherwise.

First Advice of a loss or claim (or of circumstances which could give rise to a loss or
claim) being made by the (Re)Insured to Amwins Global Risks (AMW 1230) shall be
accepted by (Re)Insurers as notice to (Re)Insurers.

RULES AND EXTENT


OF ANY OTHER
DELEGATED CLAIMS
AUTHORITY: None unless otherwise specified here by any of the Claims Agreement Parties shown
above.

EXPERT(S) FEES
COLLECTION: Amwins Global Risks (AMW 1230) to collect fees, where applicable.

SETTLEMENT DUE
DATE: 25th September 2021.
CONTRACT NO. QNG01185A21
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ADJUSTMENT
PREMIUM
PERIOD OF CREDIT: 90 Days after expiry date.

BUREAUX
ARRANGEMENTS: Where possible and as presented, Amwins Global Risks (AMW 1230) will submit De-
linked accounts to Xchanging Ins-sure Services.

Xchanging Ins-Sure Services is authorised to take down claims, additional premiums,


return premiums, refunds and other adjustments on original or copy Market Reform
Contracts or policies (if applicable) and are authorised to sign as presented, or to
accept renewal receipts, all without production of policy or expiring Market Reform
Contract, as required.

Premium payment requirements deemed met by presentation of premium/accounts


to Xchanging Ins-sure Services or Company Underwriters hereon as applicable on or
before the Settlement Due Date(s) (“SDD”) which deemed to be in compliance with
SDD and will therefore not be recorded as a late signing or payment.

Where SDD or any Premium Payment Warranty (PPW) or Premium Payment


Condition (PPC) or Prompt Payment Discount (PPD) or similar ‘payment due date’
falls on a weekend or public holiday (at either originating/intermediate source of
payment or United Kingdom), presentation to Xchanging Ins-sure Services or
Underwriters hereon as applicable on the next/additional working day will be deemed
in compliance with SDD, PPW, PPC or PPD.

Xchanging Ins-sure Services is authorised to take down premiums as presented by


Amwins Global Risks (AMW 1230).

In respect of convertible currencies only, it is agreed to accept premium and


settlement of claims in USD or GBP as required and as presented by Amwins Global
Risks (AMW 1230).

SPECIAL
ARRANGEMENTS: Each participating Insurer’s signed line has been determined by the Broker in line
with the SPECIAL ARRANGEMENTS agreed within the Line Slip under which this
Declaration is bound.

NOTICE OF
CANCELLATION
PROVISIONS Where (Re)Insurers have the right to give notice of cancellation, in accordance with
the provisions of the contract, then:-

To the extent provided by the contract, the Slip Leader is authorised to issue such
notice on behalf of all participating (Re)Insurers;
The notice shall be provided to the broker by an e-mail to
Energy@amwinsglobalrisks.com
Failure to comply with this delivery requirement will make the notice null and void;
Satisfactory delivery of the notice will cause it to be effective irrespective of whether
the broker has acknowledged receipt.
CONTRACT NO. QNG01185A21
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FISCAL AND REGULATORY

TAX PAYABLE BY
INSURER(S): None.

COUNTRY OF
ORIGIN: USA.

OVERSEAS
BROKER: AmWINS Program Underwriters, Inc.
5910 North Central Expressway, Suite 500, Dallas, Texas 75206, USA.

SURPLUS LINES
BROKER: AmWINS Program Underwriters, Inc.
5910 North Central Expressway, Suite 500, Dallas, Texas 75206, USA.
Surplus Lines Broker License Number: 18715.

STATE OF FILING: Texas.

US
CLASSIFICATION: US Surplus Lines.

ALLOCATION OF
PREMIUM TO
CODING: EZ – Operators Extra Expense.
3E - TRIA (if elected)

REGULATORY
CLIENT
CLASSIFICATION: Large Risk.
CONTRACT NO. QNG01185A21
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BROKER REMUNERATION AND DEDUCTIONS

FEE PAYABLE BY
CLIENT: No.

TOTAL
BROKERAGE: 15%.

OTHER
DEDUCTIONS
FROM PREMIUM: None.
CONTRACT NO. QNG01185A21
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LIMITED REDRILLING ENDORSEMENT

Underwriters agree, subject to the Combined Single Limit of Liability, terms and conditions of this policy, to
reimburse the Assured for actual costs and/or expenses reasonably incurred to restore or redrill a well insured
hereunder, or any part thereof, which has been lost or otherwise damaged as a result of an occurrence giving
rise to a claim which would be recoverable under Section A of this policy if the Assured's Retention applicable
to Section A were nil, subject to the following:-

In respect of producing, shut-in or workover wells, Underwriters' liability hereunder shall in no event exceed
130% of the cost incurred to drill the original well, plus 10% per annum compound thereof from the date of
spudding of the original drilling of the well until the date of the occurrence giving rise to the aforesaid claim which
would have been recoverable under Section A of this policy if the Assured's Retention applicable to Section A
were nil, subject to a maximum of 250% of the original cost.
CONTRACT NO. QNG01185A21
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INSTITUTE RADIOACTIVE CONTAMINATION, CHEMICAL, BIOLOGICAL, BIO-CHEMICAL AND


ELECTROMAGNETIC WEAPONS EXCLUSION CLAUSE

This clause shall be paramount and shall override anything contained in this insurance inconsistent
therewith

1. In no case shall this insurance cover loss damage liability or expense directly or indirectly caused by or
contributed to by or arising from

1.1 ionising radiations from or contamination by radioactivity from any nuclear fuel or from any nuclear
waste or from the combustion of nuclear fuel

1.2 the radioactive, toxic, explosive or other hazardous or contaminating properties of any nuclear
installation, reactor or other nuclear assembly or nuclear component thereof

1.3 any weapon or device employing atomic or nuclear fission and/or fusion or other like reaction or
radioactive force or matter

1.4 the radioactive, toxic, explosive or other hazardous or contaminating properties of any radioactive
matter. The exclusion in this sub-clause does not extend to radioactive isotopes, other than nuclear
fuel, when such isotopes are being prepared, carried, stored, or used for commercial, agricultural,
medical, scientific or other similar peaceful purposes

1.5 any chemical, biological, bio-chemical, or electromagnetic weapon.

10/11/03
CL370

U.S.A. & CANADA ENDORSEMENT FOR THE


INSTITUTE RADIOACTIVE CONTAMINATION, CHEMICAL, BIOLOGICAL, BIO-CHEMICAL AND
ELECTROMAGNETIC WEAPONS EXCLUSION CLAUSE 10/11/03

This policy is subject to the Institute Radioactive Contamination, Chemical, Biological, Bio-Chemical And
Electromagnetic Weapons Exclusion Clause 10/11/03 (RACCBE). The inclusion of RACCBE in this policy is
material to underwriters' willingness to provide coverage at the quoted terms, conditions and rates.

It is the intent of the parties to give maximum effect to RACCBE as permitted by law.

In the event that any portion of RACCBE may be found to be unenforceable in whole or in part under the law of
any state, territory, district, commonwealth or possession of the U.S.A., or any province or territory of Canada,
the remainder shall remain in full force and effect under the laws of that state, territory, district, commonwealth
or possession, province or territory. Further, any such finding shall not alter the enforceability of RACCBE under
the laws of any other state, territory, district, commonwealth or possession of the U.S.A., or any province or
territory of Canada, to the fullest extent permitted by applicable law.

29/01/04
USCAN B
CONTRACT NO. QNG01185A21
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ENERGY CYBER AFFIRMATION AND LIMITED EXCLUSION

1 Subject only to paragraph 3 below, in no case shall this insurance cover loss, damage, liability or expense
directly or indirectly caused by or contributed to by or arising from the use or operation, as a means for
inflicting harm, of any computer, computer system, computer software programme, malicious code,
computer virus, computer process or any other electronic system.
2 Subject to the conditions, limitations and exclusions of the policy to which this clause attaches, the
indemnity otherwise recoverable hereunder shall not be prejudiced by the use or operation of any
computer, computer system, computer software programme, computer process or any other electronic
system, if such use or operation is not as a means for inflicting harm.
3 Where this clause is endorsed on policies covering risks of war, civil war, revolution, rebellion,
insurrection, or civil strife arising therefrom, or any hostile act by or against a belligerent power, or
terrorism or any person acting from a political motive, paragraph 1 shall not operate to exclude losses
(which would otherwise be covered) arising from the use of any computer, computer system or computer
software programme or any other electronic system in the launch and/or guidance system and/or firing
mechanism of any weapon or missile.

JR2019-013
12 November 2019

WAR AND TERRORISM EXCLUSION ENDORSEMENT

Notwithstanding any provision to the contrary within this insurance or any endorsement thereto it is agreed that
this insurance excludes loss, damage, cost or expense of whatsoever nature directly or indirectly caused by,
resulting from or in connection with any of the following regardless of any other cause or event contributing
concurrently or in any other sequence to the loss;

1. war, invasion, acts of foreign enemies, hostilities or warlike operations (whether war be declared or not),
civil war, rebellion, revolution, insurrection, civil commotion assuming the proportions of or amounting to an
uprising, military or usurped power; or

2. any act of terrorism.

For the purpose of this endorsement an act of terrorism means an act, including but not limited to the use
of force or violence and/or the threat thereof, of any person or group(s) of persons, whether acting alone or
on behalf of or in connection with any organisation(s) or government(s), committed for political, religious,
ideological or similar purposes including the intention to influence any government and/or to put the public,
or any section of the public, in fear.

This endorsement also excludes loss, damage, cost or expense of whatsoever nature directly or indirectly
caused by, resulting from or in connection with any action taken in controlling, preventing, suppressing or in any
way relating to 1 and/or 2 above.

If the Underwriters allege that by reason of this exclusion, any loss, damage, cost or expense is not covered by
this insurance the burden of proving the contrary shall be upon the Assured.

In the event any portion of this endorsement is found to be invalid or unenforceable, the remainder shall remain
in full force and effect.

08/10/01
NMA2918
CONTRACT NO. QNG01185A21
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SANCTION LIMITATION AND EXCLUSION CLAUSE

No (re)insurer shall be deemed to provide cover and no (re)insurer shall be liable to pay any claim or provide
any benefit hereunder to the extent that the provision of such cover, payment of such claim or provision of such
benefit would expose that (re)insurer to any sanction, prohibition or restriction under United Nations resolutions
or the trade or economic sanctions, laws or regulations of the European Union, United Kingdom or United States
of America.

15/09/10
JR2010/012

JRC COMMUNICABLE DISEASE ENDORSEMENT

1. Notwithstanding any provision to the contrary within this insurance, this insurance does not insure any loss,
damage, liability, claim, cost, expense or other sum caused by a Communicable Disease or the fear or
threat (whether actual or perceived) of a Communicable Disease.

2. For the purposes of this endorsement, loss, damage, liability, claim, cost, expense or other sum, includes,
but is not limited to, any cost to clean-up, detoxify, remove, monitor or test:

2.1. for a Communicable Disease, or

2.2. any property insured hereunder that is affected by such Communicable Disease.

3. As used herein, a Communicable Disease means any disease which can be transmitted by means of any
substance or agent from any organism to another organism where:

3.1. the substance or agent includes, but is not limited to, a virus, bacterium, parasite or other
organism or any variation thereof, whether deemed living or not, and

3.2. the method of transmission, whether direct or indirect, includes, but is not limited to, airborne
transmission, bodily fluid transmission, transmission from or to any surface or object, solid, liquid or
gas or between organisms.

4. This endorsement applies to all coverage extensions, additional coverages, exceptions to any exclusion
and other coverage grant(s).

All other terms, conditions and exclusions of the policy remain the same.

JR2020-016
17 April 2020.
CONTRACT NO. QNG01185A21
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BROKERS CANCELLATION

Notwithstanding anything in this Policy to the contrary it is hereby agreed by the Underwriters that in the event
of the Assured, or their Agents on whose instruction this Insurance may have been effected, failing to pay the
Lloyd's Broker the premium or any instalment thereof on the due date, this Insurance may be forthwith cancelled
by the Lloyd's Broker giving to the Underwriters and Assured and/or Agent notice in writing and effective from
the due date, and the Underwriters will thereupon return to the Lloyd's Brokers through whom this Policy is
effected, pro rata of any premium paid from the date of notice or from such date as cancellation maybe required
in the said notice.

Definition: Due Date is the date premium is due to be paid to the Lloyd's Broker, such date being {As per
Premium Payment Terms contained herein}.

01/93
LSW553
CONTRACT NO. QNG01185A21
1230 AMW

U.S. TERRORISM RISK INSURANCE ACT OF 2002 AS AMENDED


NEW & RENEWAL BUSINESS ENDORSEMENT

This Endorsement is issued in accordance with the terms and conditions of the "U.S. Terrorism Risk Insurance
Act of 2002" as amended, as summarized in the disclosure notice.

In consideration of an additional premium of USD………………………………………… paid, it is hereby noted


and agreed with effect from inception that the Terrorism exclusion to which this Insurance is subject, shall not
apply to any “insured loss” directly resulting from any "act of terrorism" as defined in the "U.S. Terrorism Risk
Insurance Act of 2002", as amended ("TRIA").

The coverage afforded by this Endorsement is only in respect of any “insured loss” of the type insured by this
Insurance directly resulting from an "act of terrorism" as defined in TRIA. The coverage provided by this
Endorsement shall expire at 12:00 midnight December 31, 2027, the date on which the TRIA Program is
scheduled to terminate, or the expiry date of the policy whichever occurs first, and shall not cover any losses or
events which arise after the earlier of these dates. The Terrorism exclusion, to which this Insurance is subject,
applies in full force and effect to any other losses and any act or events that are not included in said definition
of "act of terrorism".

This Endorsement only affects the Terrorism exclusion to which this Insurance is subject. All other terms,
conditions, insured coverage and exclusions of this Insurance including applicable limits and deductibles remain
unchanged and apply in full force and effect to the coverage provided by this Insurance.

Furthermore the Underwriter(s) will not be liable for any amounts for which they are not responsible under the
terms of TRIA (including subsequent action of Congress pursuant to the Act) due to the application of any clause
which results in a cap on the Underwriter’s liability for payment for terrorism losses.

LMA5389
09 January 2020

U.S. TERRORISM RISK INSURANCE ACT OF 2002 AS AMENDED


NOT PURCHASED CLAUSE

This Clause is issued in accordance with the terms and conditions of the "U.S. Terrorism Risk Insurance Act of
2002" as amended as summarized in the disclosure notice.

It is hereby noted that the Underwriters have made available coverage for “insured losses” directly resulting
from an "act of terrorism" as defined in the "U.S. Terrorism Risk Insurance Act of 2002", as amended (“TRIA”)
and the Insured has declined or not confirmed to purchase this coverage.

This Insurance therefore affords no coverage for losses directly resulting from any "act of terrorism" as defined
in TRIA except to the extent, if any, otherwise provided by this policy.

All other terms, conditions, insured coverage and exclusions of this Insurance including applicable limits and
deductibles remain unchanged and apply in full force and effect to the coverage provided by this Insurance.

LMA5390
09 January 2020
CONTRACT NO. QNG01185A21
1230 AMW

FOREIGN ACCOUNT TAX COMPLIANCE ACT ("FATCA")

Each (Re)lnsurer hereby acknowledges the requirements of Sections 1471-1474 US Internal Revenue Code
of 1986, as amended, and the Treasury regulations and other guidance issued from time to time thereunder
("FATCA") and the obligation of each of them to provide to the Broker a valid Internal Revenue Service ("IRS")
Form W-8BEN-E, W-9 or other documentation meeting the requirements of the FATCA regulations to establish
they are not subject to any withholding requirement pursuant to FATCA (the "Required Documentation").
Furthermore:
a) If a (Re)Insurer becomes non-compliant with FATCA during the contract period or has not provided the
Broker with the Required Documentation 14 days prior to any premium due date, the Withholding Agent (as
defined in U.S. Treasury Regulation Section 1.1471-1 (b)(147)) shall withhold 30% of the premium (to the extent
all or a portion of that premium is subject to withholding pursuant to FATCA) due to that (Re)lnsurer under this
contract on that premium due date and shall promptly notify that (Re)lnsurer via the Broker.
b) The withholding of premium by virtue of (a) above shall not be, and shall not be treated by the (Re)lnsurer as
a breach of any premium payment condition, warranty or other clause whether or not entitling the (Re)lnsurer
to cancel, terminate or restrict this contract, refuse, restrict or delay payment of any claim or invoke an y interest,
penalty or other late payment provision. The (Re)lnsurer shall be liable under this contract as if no such
withholding had been made.
c) The (Re)lnsurer shall not recoup sums withheld under (a) above by deducting equivalent sums from any
payments due to the (Re)lnsured or by set off against any other sums owed by the (Re)lnsurer and any general
or contractual right of set-off enjoyed by the (Re)lnsurer is hereby varied and qualified to that extent.
d) Where premium is withheld in error, has not yet been paid to the IRS and the underwriter has been paid only
the net premium following such withholding, the broker will cooperate with the (re)insurer to process the
requisite refund.

IUA 09-054

LLOYD’S COMPLIANCE WITH THE US FOREIGN ACCOUNT TAX COMPLIANCE ACT

Information regarding Lloyd’s Syndicates compliance with the Foreign Account Tax Compliance Act (“FATCA”)
is available from the Lloyd’s broker whose contact details are shown elsewhere in this contract.

It is understood and agreed that the provision of this information is sufficient for the purposes of any obligation
in this (re)insurance for Lloyd’s syndicates to provide FATCA required documentation.

LMA9107
29 April 2015.
CONTRACT NO. QNG01185A21
1230 AMW

TEXAS SURPLUS LINES NOTICE

This insurance contract is with an insurer not licensed to transact insurance in this state and is issued and
delivered as surplus line coverage under the Texas insurance statutes. The Texas Department of Insurance
does not audit the finances or review the solvency of the surplus lines insurer providing this coverage, and the
insurer is not a member of the property and casualty insurance guaranty association created under Chapter
462, Insurance Code. Chapter 225, Insurance Code, requires payment of a (insert appropriate tax rate) percent
tax on gross premium.

LMA9079
01 September 2013
CONTRACT NO. QNG01185A21
1230 AMW

TEXAS COMPLAINTS NOTICE

Have a complaint or need help?

If you have a problem with a claim or your premium, call your insurance company or HMO first. If you can’t
work out the issue, the Texas Department of Insurance may be able to help.

Even if you file a complaint with the Texas Department of Insurance, you should also file a complaint or
appeal through your insurance company or HMO. If you don’t, you may lose your right to appeal.

To get information or file a complaint with your insurance company or HMO, please contact your Broker by:

Phone: (214) 561 9373


Online: www.amwins.com/apu
Email: dylan.brightman@amwins.com
Mail: 5910 North Central Expressway, Suite 500, Dallas, Texas 75206, USA.

The Texas Department of Insurance

To get help with an insurance question or file a complaint with the state:

Call with a question: 1-800-252-3439


File a complaint: www.tdi.texas.gov
Email: ConsumerProtection@tdi.texas.gov
Mail: MC 111-1A, P.O. Box 149091, Austin, TX 78714-9091

¿Tiene una queja o necesita ayuda?

Si tiene un problema con una reclamación o con su prima de seguro, llame primero a su compañía de
seguros o HMO. Si no puede resolver el problema, es posible que el Departamento de Seguros de Texas
(Texas Department of Insurance, por su nombre en inglés) pueda ayudar.

Aun si usted presenta una queja ante el Departamento de Seguros de Texas, también debe presentar una
queja a través del proceso de quejas o de apelaciones de su compañía de seguras o HMO. Si no lo hace,
podría perder su derecho para apelar.

LMA9080D
06 January 2020
CONTRACT NO. QNG01185A21
1230 AMW

INSTITUTE SERVICE OF SUIT CLAUSE (U.S.A.)

It is agreed that in the event of the failure of the Underwriters severally subscribing this insurance (the
Underwriters) to pay any amount claimed to be due hereunder, the Underwriters, at the request of the Assured,
will submit to the jurisdiction of a court of competent jurisdiction within the United States of America.

Notwithstanding any provision elsewhere in this insurance relating to jurisdiction, it is agreed that the
Underwriters have the right to commence an action in any court of competent jurisdiction in the United States
of America, and nothing in this clause constitutes or should be understood to constitute a waiver of the
Underwriters' rights to remove an action to a United States Federal District Court or to seek remand therefrom
or to seek a transfer of any suit to any other court of competent jurisdiction as permitted by the laws of the
United States of America or any state therein.

Subject to the Underwriters' rights set forth above:

(a) It is further agreed that the Assured may serve process upon:

Lloyd’s America, Inc


Attention: Legal Department
280 Park Avenue, East Tower, 25th Floor
New York, NY 10017

and that in any suit instituted against any one of them upon this contract the Underwriters will abide by
the final decision of the Court or of any Appellate Court in the event of an appeal.

(b) The above-named are authorized and directed to accept service of process on behalf of Underwriters
in any such suit and/or upon the request of the Assured to give a written undertaking to the Assured
that they will enter a general appearance upon the Underwriters' behalf in the event such a suit shall be
instituted.

(c) The right of the Assured to bring suit as provided herein shall be limited to a suit brought in its own
name and for its own account. For the purpose of suit as herein provided the word Assured includes
any mortgagee under a ship mortgage which is specifically named as a loss payee in this insurance
and any person succeeding to the rights of any such mortgagee.

(d) Further, pursuant to any statute of any state, territory or district of the United States of America which
makes provision therefor, Underwriters hereby designate the Superintendent, Commissioner or Director
of Insurance or other officer specified for that purpose in the statute, or his successor or successors in
office (the Officer), as their true and lawful attorney upon whom may be served any lawful process in
any action, suit or proceeding instituted by or on behalf of the Assured or any beneficiary hereunder
arising out of this contract of insurance, and hereby designate the above-named as the person to whom
the Officer is authorized to mail such process or a true copy thereof.

If this clause is attached to a contract of reinsurance the terms insurance and Assured shall mean
reinsurance and Reassured respectively.

CL355A
12 November 2019

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