# Royal Insurance

## ERISA EXCLUSION

In consideration of the premium charged, it is agreed that coverage afforded by this policy shall not apply as respects to any obligations incurred or imposed upon an insured (or which is imputed to an insured) under the "Employee Retirement Income Security Act of 1974" Public Law 93-406 and any law amendatory thereof.

All other terms, conditions and warranties remaining unchanged.

Attached to and forming part of the Policy No. _______________________

Issued to ____________________________

If this endorsement is listed in the policy declarations, it is in effect from the time coverage under this policy commences. Otherwise, the effective date of this endorsement is as shown below at the same time or hour of the day as the policy became effective.

Effective Date: ___________________________ Endorsement No. _______________

Countersigned By:

Authorized Representative ___________________________ Date ___________________________