DPG Umbrella Program 2011 - 2012 Umbrella & Excess Umbrella Claim Reporting Provisions Carrier Layer/Limit Policy # Required Notice Contact Information Great American Insurance Co. * $1,000,000 * $2,000,000 * $3,000,000 * $4,000,000 * $5,000,000 * $10,000,000 Excess U/L Primary Limits UM2388453 or UM2388452 or UM2388455 As soon as practicable of any event which may be reasonably expected to result in a claim under this policy. Incurred Amount - Claim Report Threshold:  $1 mm Distinguished Programs Email: DPGclaims@gaic.com Ironshore Indemnity Co. $5mm / $15mm Excess $10mm 001074200 As soon as practicable… when a payment is made or reserve established by underlying carrier to a level of 25% of aggregate limits of underlying policies. Incurred Amount - Claim Report Threshold: $3.5 mm York Claims Service E-mail: 4068ironshorecasualty@york-claims.com  Navigators Insurance Co. $25mm Excess $25mm NY11FXS731789IV As soon as practicable of any event which may be reasonably expected to result in a claim under this policy. Incurred Amount - Claim Report Threshold:  $26 mm Navigators Management Co. Email: rbclaims@navg.com Ohio casualty Ins. Co $25mm part of $50mm Excess $50mm ECO1254527076 As soon as practicable of any event which may be reasonably expected to result in a claim under this policy. Incurred Amount - Claim Report Threshold:  $51 mm Tri - City Insurance 631-273-7700 or 800-366-6446 Allied World Assurance Co (AWAC) $25mm part of $50mm Excess $50mm 0306-7622 As soon as practicable… when a payment is made or reserve established by underlying carrier to a level of 25% of aggregate limits of underlying policies. Incurred Amount - Claim Report Threshold: $13.5 mm AWAC Fax: 617-856-8060 Lexington Insurance Co. $100mm Excess $100mm 23543127 As soon as practicable… when a payment is made or reserve established by underlying carrier to a level of 25% of aggregate limits of underlying policies. Incurred Amount - Claim Report Threshold: $26 mm Chartis Claims Inc. Email: highexcessclaims@chartisinsurance.com DPG Umbrella Program 2010 - 2011 Umbrella & Excess Umbrella Claim Reporting Provisions Carrier Layer/Limit Policy # Required Notice Contact Information Great American Insurance Co. * $1,000,000 * $2,000,000 * $3,000,000 * $4,000,000 * $5,000,000 * $10,000,000 Excess U/L Primary Limits UM2386961 or UM2386960 As soon as practicable of any event which may be reasonably expected to result in a claim under this policy. Incurred Amount - Claim Report Threshold:  $1 mm Distinguished Programs Email: DPGclaims@gaic.com Ironshore Indemnity Co. $5mm / $15mm Excess $10mm 600623500 As soon as practicable… when a payment is made or reserve established by underlying carrier to a level of 25% of aggregate limits of underlying policies. Incurred Amount - Claim Report Threshold: $3.5 mm York Claims Service E-mail: 4068ironshorecasualty@york-claims.com  Navigators Insurance Co. $25mm Excess $25mm NY10EXC091224NV As soon as practicable of any event which may be reasonably expected to result in a claim under this policy. Incurred Amount - Claim Report Threshold:  $26 mm Navigators Management Co. Email: rbclaims@navg.com Ohio casualty Ins. Co $25mm part of $50mm Excess $50mm EC01154527076 As soon as practicable of any event which may be reasonably expected to result in a claim under this policy. Incurred Amount - Claim Report Threshold:  $51 mm Tri - City Insurance 631-273-7700 or 800-366-6446 Allied World Assurance Co (AWAC) $25mm part of $50mm Excess $50mm 0305-8262 As soon as practicable… when a payment is made or reserve established by underlying carrier to a level of 25% of aggregate limits of underlying policies. Incurred Amount - Claim Report Threshold: $13.5 mm AWAC Fax: 617-856-8060 Lexington Insurance Co. $100mm Excess $100mm 23543066 As soon as practicable… when a payment is made or reserve established by underlying carrier to a level of 25% of aggregate limits of underlying policies. Incurred Amount - Claim Report Threshold: $26 mm Chartis Claims Inc. Email: highexcessclaims@chartisinsurance.com This document is to serve as a reference guide only. Reporting of claims should be done in accordance with the terms and instructions as listed in the policy. While DPG takes a proactive approach in assisting in the claims process, it is the responsibility of the broker/insured to report claims to the appropriate umbrella and excess layers.excess layers. Should you have any questions, please contact your underwriter.