# ENDORSEMENT NO. 21 (Continued)

and 2 above.

**NOTICE:** THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK STATE INSURANCE. All other terms, conditions and exclusions of the policy remain unchanged. MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS. 2 - 13000

Authorized Representative or countersignature (where required by law)