# EXCESS OVERLAYER INDEMNITY POLICY

**(AMENDMENT OF DISCRIMINATION COVERAGE)**

It is agreed that such insurance as is afforded by the personal injury liability coverage does not apply to injuries sustained by any person as a result of discrimination directly or indirectly related to the employment of such person by the insured.

**This endorsement issued by one of the below named companies, forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein.**

(The information below is required only when this endorsement is issued subsequent to preparation of policy)

| Endorsement effective | Policy No. | Endorsement No. |
|-----------------------|------------|-----------------|
| Named Insured          |            |                 |
| Additional Premium $   | Return Premium $ | 31 20           |
|                        | In Advance $ | $              |
|                        | 1st Anniv. $ | $              |
|                        | 2nd Anniv. $ | $              |

The Aetna Casualty and Surety Company
The Standard Fire Insurance Company
Hartford, Connecticut

XN-13106-6
Countersigned by (Authorized Representative)