# HOME OFFICE COPY

This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following designated insurance:

- ☐ COMPREHENSIVE GENERAL LIABILITY INSURANCE
- ☐ COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE

## Coverage

7. $5,000 Deductible where no foreign primary coverage exists

* Excluding Owned Autos which are covered under local Indonesia policies

## Limit of Liability

All Liability Coverage for Subsidiaries Various

Are Written in Each Individual Country

Each Occurrence Not Covered By Above Policies $25,000 Self-Insured

## Additional Information

This endorsement forms a part of and is for attachment to the following described policy issued by the CONTINENTAL NATIONAL AMERICAN GROUP company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy.

| Must Be Completed | Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy |
| --- | --- |
| ENDT. NO. | POLICY NO. |
| 2 | RDX 8893350 |
| ISSUED TO | EFFECTIVE DATE OF THIS ENDORSEMENT |

**CNA CONTINENTAL NATIONAL AMERICAN GROUP**

Page 7

Blank Endorsement G-31821-A

Countersigned by — Licensed Resident Agent