**Keefer's Umbrella Liability**

**FOLLOWING FORM ENDORSEMENT**

SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS FOLLOWING FORM AND EXCESS OF CENTENNIAL INS. CO. POLICY #462023954, HEREINAFTER CALLED "UNDERLYING POLICY". THIS POLICY IS WARRANTED TO THE EXACT TERMS AND CONDITIONS OF THE UNDERLYING POLICY, EXCEPT WITH RESPECT TO LIMITS OF LIABILITY AND PREMIUM AND ALL PREPRINTED TERMS AND CONDITIONS HEREIN ARE DELETED TO THE EXTENT THAT THEY VARY OR ARE INCONSISTENT WITH THE TERMS AND CONDITIONS OF THE UNDERLYING POLICY.

This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below.

| Must Be Completed | Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy |
| --- | --- |
| ENDT. NO. | ISSUED TO |
| 4 | EFFECTIVE DATE OF THIS ENDORSEMENT |
| RDX 009 61 66 98 | |

**INSURANCE FROM CNA**

G-39543 A

Countersigned by ———— Authorized Representative