Letter of Credit Insurance Policies covered by Substitute Collateral Facility (each a "Policy” and Amount and Related together, the "Policies”) Information $3,653,933 ("AIG Increase”) AIG / Lexington Insurance Company • GL Policy No. 688-22-77 $5,044,275 ("AIG Renewal”) • AL Policy No. 976-74-81 • AL Policy No. 976-74-72 • WC Policy No. 035-90-1815 • WC Policy No. 035-90-1816 • WC Policy No. 035-90-1817 AXA XL ("AXA XL Policies”) • AL Policy No. CAD740910108 $[] • WC Policy No. CWD740909809 • WC Policy No. CWR740909909 • GL Policy No. CGO740910009 TOTAL: $[] First Amendment Effective Date Fee (inclusive of interest and all costs): A. Due on First Amendment Effective Date $496,652 based on (i) three-month SOFR, plus (ii) 7.00% of $3,653,933 (for the AIG Increase for the 13-month period commencing on the First Amendment Effective Date and terminating on September 29, 2024) B. Due 09/15/2023 $[] based on (i) three-month SOFR, plus (ii) 7.00% of (a) $5,044,275 (for the AIG Renewal) plus (b) [] (for the renewal of the AXA XL Policies) (for the 2 12-month period terminating on September 29, 2024) Payment Instructions: Customer agrees to remit the entirety of the Fee via wire transfer to Company as follows: First Republic Bank: 111 Pine Street, San Francisco, CA 94111 Account Name: 1970 Group Inc. 100 Jericho Quadrangle Suite 300, Jericho, New York 11753 ABA Routing Number 321 081 669 SWIFT Code: FRBUS6S Account Number – Telephone Verification Required. 2 NTD: Renewal amount for the AIG Renewal and the full amount of the AXA XL Policies to be calculated on or before 09/15/2023 as updated collateral requirement is available.
Form 10-K Page 86 Page 88