# EXCESS UMBRELLA LIABILITY

## FOLLOWING FORM ENDORSEMENT

SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS PURSUANT TO AND IN EXCESS OF CERTAINHILL INS. CO. POLICY 146242584, HEREINAFTER CALLED "UNDERLYING POLICY". THIS POLICY IS VARIATIONAL TO THE 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 |
| --- |
| ENDT. NO. | POLICY NO. |
| 4 | FDY 009 616567 |

| Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy |
| --- |
| ISSUED TO | EFFECTIVE DATE OF THIS ENDORSEMENT |

**CNA**

G-39543-A