# Great American Assurance Company

**Administrative Offices**
301 E 4th Street
Cincinnati OH 45202-4201
913 389 5000 ph

**EXU 4011 (Ed. 05/16)**

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

## PARTICIPATION ENDORSEMENT

This endorsement modifies insurance provided under the following:

### EXCESS LIABILITY INSURANCE POLICY

It is agreed that the total Limits of Liability for all contributing insurance (insured or self-insured) is $200,000,000. Our percentage of participation under this policy is 12.5% or $25,000,000 part of $200,000,000 and our liability is limited to the same proportion, namely 12.5% (being $25,000,000 part of $200,000,000 of any loss hereunder).

The coverage provided by this Policy will follow form and be in accordance with the limitations, exclusions, or restrictions of coverage of the participating policy(s) listed below to the extent coverage is further limited or restricted by said policy or endorsement.

| Policy # | Insurance Company |
|----------|-------------------|
| C020117/001 | Allied World Assurance Company, AG |
| ECA51JJ16A0A | Aspen Bermuda Limited |
| CCU3967489 | QBE Insurance Corporation |
| BM00029768L116A | XL Insurance (Bermuda) Ltd. |
| WE1600387 | Argo Re |

In no event will this Policy provide broader coverage in any respect than would be provided by any participating policy listed above.

It is a condition of this insurance that the insured maintain in full force and effect during the currency of this Policy insurance coverage for Limits of Liability of 87.5% part of 100% (being $175,000,000 part of $200,000,000). However, the failure of the insured to comply with the foregoing shall not invalidate this insurance, but in the event of such failure, we shall only be liable to the same extent we would have been had you complied with the said condition.

All other Policy terms and conditions remain unchanged.

**EXU 4011 (Ed. 05/16)**

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