# Excess Overlay Indemnity Policy

## Assignment of Discrimination Coverage

It is agreed that such insurance as is afforded by the personal injury liability coverage does not apply to injuries sustained by any person as a result of discrimination directly or indirectly related to the employment of such person by the insured.

This endorsement, issued by one of the herein named companies, forms a part of the policy to which attached, effective on the acceptance date of the policy unless otherwise stated herein.

(The information below is required only when this endorsement is issued subsequent to preparation of policy)

Endorsement effective: [Date]
Named Insured:
Additional Premium $:
Renewal Premium $:
In Advance $:
1st Advance $:
2nd Advance $:

The Aetna Casualty and Surety Company
The Standard Fire Insurance Company
Hartford, Connecticut

[Signature]
(Authorized Representative)
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This document outlines an agreement regarding the exclusion of certain types of discrimination-related injuries from the personal injury liability coverage provided under an excess overlay indemnity policy. It also includes sections for additional details about the endorsement, though these fields appear to be left blank in the provided image.