# Amendment - Issuance of Follow Form Policy Prior to Receipt of "Controlling Underlying Insurance"

**Policy Number:** CCU3967489  
**Effective Date of Endorsement:** May 21, 2013  
**XS 70 58 09 11**  
**Endorsement No:** 2

## Amendment - Issuance of Follow Form Policy Prior to Receipt of "Controlling Underlying Insurance"

The following is added to **SECTION I – COVERAGE:**

The policy has been issued on the basis that, except where inconsistent with or supplementary to the "controlling underlying insurance", it is following all terms and conditions the "controlling underlying insurance", which policy should reflect coverage in accordance with the terms and conditions as contained in the binder or evidence of affected insurance for the "controlling underlying insurance".

Following the issuance of the "controlling underlying insurance", a copy of such policy shall be forwarded to us as required in **SECTION III - COMMERCIAL EXCESS POLICY CONDITIONS**. Any difference in coverage between the binder or evidence of affected insurance and the "controlling underlying insurance" will not be binding upon us until agreed by us in writing.

Upon our satisfactory review of the "controlling underlying insurance", an endorsement will be issued to the policy deleting this endorsement.

All other terms and conditions of this Policy remain unchanged.