# Great American Spirit Ins. Company

**USX 8030 (Ed. 02/18)**

## THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

### MORE THAN ONE FOLLOWED POLICY ENDORSEMENT

This endorsement modifies insurance provided under the following:

- **U.S. SHORT EXCESS FORM**

Item 3.a. of the Declarations is deleted and replaced by the following:

**Item 3. a. Followed Policy(ies):**

- **Insurer:** ACE Property and Casualty Insurance Company
- **Policy Number:** XEU G27983212 007
- **Coverage:** Umbrella Liability
- **Policy Period:** From: 05/21/2022 To: 05/21/2023
- **Limits of Liability:** $25,000,000 Each Occurrence
- **$25,000,000 Aggregate* (Where Applicable)**
- **Excess of Retained Limit**

**Followed Policy(ies):**

- **Insurer:** Chubb Insurance Company of Canada
- **Policy Number:** XBC 326147
- **Coverage:** Umbrella Liability (Canadian)
- **Policy Period:** From: 05/21/2022 To: 05/21/2023
- **Limits of Liability:** $1,000,000 Each Occurrence
- **$1,000,000 Aggregate* (Where Applicable)**
- **Excess of Retained Limit**

**Followed Policy(ies):**

- **Insurer:** 
- **Policy Number:** 
- **Coverage:** 
- **Policy Period:** From: To:
- **Limits of Liability:**

*(As per the Tie in of Limits Endorsement, the total limits under both the US and Canadian Umbrella policies combined is $25,000,000.)*

It is further agreed that the phrase "Followed Policy" shall be replaced where it appears in this Policy by the phrase "Followed Policy(ies)".

The following is added to CONDITIONS, 3. CANCELLATION:

In the event that there is more than one Followed Policy(ies) the cancellation provisions of this Policy will follow the cancellation provisions of the first Followed Policy(ies) shown above.

**USX 8030 (Ed. 02/18)**

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