EX-4.12 6 a2141100zex-4_12.htm EXHIBIT 4.12

Exhibit 4.12

CERTIFICATE OF TRUST
OF
AXIS CAPITAL TRUST I

        This Certificate of Trust of AXIS Capital Trust I (the "Trust"), dated as of ?, 2004, is being duly executed and filed by the undersigned, as trustees, to form a statutory trust pursuant to the Delaware Statutory Trust Act, 12 Del. C. s. 3810, as follows:

            (i)    The name of the Trust is AXIS Capital Trust I.

            (ii)   The name and statutory address of the trustee of the Trust with a principal place of business in the State of Delaware is as follows: The Bank of New York (Delaware), White Clay Center, Route 273, Newark, Delaware 19711.

            (iii)  This Certificate of Trust shall be effective upon filing with the Secretary of State of the State of Delaware.

        IN WITNESS WHEREOF, the undersigned, being the trustees of the Trust, have executed this Certificate of Trust as of the date first-above written.


 

/s/  
ANDREW COOK      
Name: Andrew Cook
as Administrative Trustee

 

/s/  
CLARE E. MORAN      
Name: Clare E. Moran
as Administrative Trustee

 

/s/  
CAROL S. RIVERS      
Name: Carol S. Rivers
as Administrative Trustee

 

THE BANK OF NEW YORK (DELAWARE),
as Delaware Trustee

 

/s/  
KRISTINE K. GULLO      
Name: Kristine K. Gullo
Title: Assistant Vice President

 

THE BANK OF NEW YORK,
as Institutional Trustee

 

/s/  
REMO J. REALE      
Name: Remo J. Reale
Title: Vice President