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NOTICE: THE POLICY PROVIDES COVERAGE ON A CLAIMS MADE BASIS.

COVERAGE IS LIMITED GENERALLY TO LIABILITY FOR ONLY THOSE

CLAIMS THAT ARE FIRST MADE AGAINST THE INSUREDS AND REPORTED

TO THE INSURER DURING THE POLICY PERIOD. PLEASE READ THE POLICY

CAREFULLY AND DISCUSS THE COVERAGE WITH YOUR INSURANCE

AGENT OR BROKER.

Schedule

Policy Number: DOGZxxxxxx

Item 1.

Item 2.

Item 3.

Item 4.

Item 5.

Policyholder

Address

Policy Period

Limit of Liability

Retention

Premium

xxxxx Co., Ltd

xxx

From xxx

To xxx

(both days inclusive)

XXX

Any one claim and in the annual aggregate for all loss,

arising out of all claims made against all insureds under

all insurance covers combined (including defense costs)

Insurance cover B and indemnifiable loss:

XXX

For any one claim including any judgments, settlements

or final agreements

As specified in 5.4 Retention, only one retention shall

be applied for loss arising from any claim or claims

alleging a single wrongful act.

XXX

Item 6. Continuity Dates (i) Pending & Prior litigation:

(ii) Pollution claims:

XXX

XXXX

Note: Should there be any inconsistency between Chinese1and 

English version, the Chinese version shall prevailItem 7.

Item 8.

New Subsidiary

Cover

Territorial Scope/

XX% of the policyholder’s total assets