We may, at our option, make an additional premium charge for any organization that you acquire or form during the Policy Period.

You agree that any organization to which paragraphs 2. and 3. above apply, will be required to be included as an Insured under applicable Scheduled Underlying Insurance. If you fail to comply with this requirement, coverage under this policy will apply as though the organization was included as an Insured, under the highest applicable limit of Scheduled Underlying Insurance.

Paragraph T. Other Insurance is deleted and replaced by the following:

T. Other Insurance means a valid and collectible policy of insurance providing coverage for damages covered in whole or in part by this policy.

However, Other Insurance does not include Scheduled Underlying Insurance, the Self-Insured Retention or any policy of insurance specifically purchased to be excess of this policy affording coverage that this policy also affords.

All other terms, definitions, conditions, and exclusions of this policy remain unchanged.

**NOTICE:** THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK STATE INSURANCE DEPARTMENT. HOWEVER, SUCH FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.

Authorized Representative
or Countersignature (Where Applicable)

© 2004 American International Group, Inc.
Includes copyrighted material of Insurance Services Office, Inc. with its permission.