# EXCESS LIABILITY POLICY

**Endorsement Number:** 100001  
**Endorsement Title:** POLLUTION EXCLUSION AMENDMENT  

**PAGE 01 OF 02**

**SECTION IV - EXCLUSIONS, G. POLLUTION is replaced by the following:**

**G. POLLUTION**

1. To any liability arising:
   a. Directly;
   b. Indirectly;
   c. In concurrence, or in any sequence with a cause for which coverage may be afforded by this policy; out of the actual, alleged or threatened existence, discharge, dispersal, seepage, migration, release or escape of Pollutants.

2. To any loss, cost or expense arising out of any:
   a. Request, demand, order or statutory or regulatory requirement that any Insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of Pollutants; or
   b. Claim or suit by or on behalf of a governmental authority for damages because of testing for monitoring, cleaning up, removing, containing, treating, detoxifying, neutralizing, or in any way neutralizing, or in any way responding to, or assessing the effects of, Pollutants.

It is the intent and effect of this exclusion G. to exclude any or all coverage afforded by this policy for any claim, action, judgment, liability, settlement, defense, or expense in any way arising out of the existence, discharge, dispersal, seepage, migration, release or escape of Pollutants.

This Form must be attached to Change Endorsement when issued after the policy is written.
One of the Fireman's Fund Insurance Companies named in the policy

**Secretary:** [Signature]  
**President:** [Signature]