# Named Insured Endorsement

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

Issued By (Name of Insurance Company)

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

This endorsement modifies insurance provided under the following:

- EXCESS LIABILITY CATASTROPHE POLICY
- EXCESS LIABILITY POLICY
- COMMERCIAL UMBRELLA LIABILITY POLICY

It is hereby understood and agreed that the following persons and organizations are added to the Declarations as Named Insureds:

JOHN J. LUPICA, President  
Authorized Agent

XS-24545 (03/08)  
Page 1 of 1