# EXCLUSION - HEAD TRAUMA INJURY

| Named Insured | Endorsement Number |
|---------------|--------------------|
| Policy Symbol  | Policy Number       |
| Policy Period to | Effective Date of Endorsement |

Issued By (Name of Insurance Company)

Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

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

This endorsement modifies insurance provided under the following:

**NEW YORK COMMERCIAL UMBRELLA LIABILITY POLICY**

The following exclusion is added to the policy:

This insurance does not apply to "bodily injury" or "personal and advertising injury" sustained by any "participant" in any IBM Big Blue American Football Team "sporting event" that arises from or is caused by a "head trauma".

This exclusion applies even if the claims and/or allegations against any "insured" arise from, are directly or indirectly caused by, or in any way relate to the actual or alleged negligence or other wrongdoing in connection with:

1. Making decisions regarding a "participant" playing, returning to play, participating, competing, coaching or officiating in, or trying out or training for any one or more IBM Big Blue American Football Team "sporting events";
2. Supervising, hiring, employing, training or monitoring others;
3. Providing for or ensuring the safety or health of any "participant";
4. Providing a safe environment for any "participant";
5. Educating or warning anyone about the risks of participating in, practicing, training or trying out for any one or more IBM Big Blue American Football Team "sporting events";
6. Providing medical care, diagnosis, treatment or advice;
7. Establishing, promulgating, communicating, distributing, implementing or enforcing rules, regulations, protocols, policies, guidelines or procedures related to a "participant's" health or safety; or
8. Failing to do any of 1. through 7. above.

"Head trauma" means any direct or indirect impact, force, hits, or blows of any kind to, or transmitted to, the head, brain, neck or face.

"Participant" means any player, coach, referee, cheerleader, or any other person playing or competing in, trying out for, training or practicing for, or otherwise involved in any type of IBM Big Blue American Football Team "sporting event". "Participant" does not include any individual traveling to or from an IBM Big Blue American Football Team "sporting event", or any spectator of an IBM Big Blue American Football Team "sporting event".

"Sporting event" or "sporting events" means any and all forms of an IBM Big Blue American Football Team sporting or athletic event, activity, tournament, competition, contest, game, or exhibition, whether casual or organized, amateur or professional, non-profit or for-profit, and any practice or tryout for any of the above.

MS-277833 (04/19)
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