# EXCESS OVERLAYER INDEMNITY POLICY

## SECTION 3. SCHEDULE OF UNDERLYING SELF-INSURANCE AND INSURANCE

(Each listed layer of self-insurance and each policy or group of quota-share policies listed is excess of all policies and self-insurance listed below it.)

| LIMITS OF LIABILITY |
| --- | --- |
| EACH OCCURRENCE | AGGREGATE WHERE APPLICABLE |

| POLICY NUMBER | INSURER | LAYER 1 UMBRELLA LIABILITY |
| --- | --- | --- |
| TBD | NATIONAL UNION | $25,000,000 | $25,000,000 |

**PRIMARY**

AS PER SCHEDULE OF UNDERLYING INSURANCE SHOWN IN POLICY NO. TBD ISSUED BY NATIONAL UNION

**CONTROLLING INSURANCE**

TBD | NATIONAL UNION | UMBRELLA LIABILITY

This schedule applies to the above policies and any renewals or replacements thereof.

XN13203 (11-91)