The provisions of this endorsement do not apply with respect to insurance afforded under Endorsement Form No.

**NUCLEAR ENERGY EXCLUSION ENDORSEMENT (COMBINATION BROAD FORM)**

**POLICY NO:** 8448300  
**EFFECTIVE DATE:**  
**AGENCY NO:**  

**Named Insured**

This endorsement is issued by the ZURICH Insurance Company which is the insurer under the policy designated above issued to the Named Insured and forms a part of the said policy as of the effective date here at the hour stated in the policy Declarations.

It is agreed that the policy does not apply:

I. Under any Liability Coverage to injury, sickness, disease, death or destruction:
(a) with respect to which an insured under the policy is also an insured under a nuclear energy liability policy issued by Nuclear Energy Liability Insurance Association, Mutual Atomic Energy Liability Underwriters or Nuclear Insurance Association of Canada, or would be an insured under any such policy but for its termination upon exhaustion of its limit of liability; or
(b) resulting from the hazardous properties of nuclear material and with respect to which (1) any person or organization required to maintain financial protection pursuant to the Atomic Energy Act of 1954, or any law amendatory thereof, or (2) the insured is, or had this policy not been issued would be, entitled to indemnity from the United States of America, or an agency thereof, under any agreement entered into by the United States of America or any agency thereof, with any person or organization.
II. Under any Medical Payments Coverage, or under any Supplementary Payments provision relating to immediate medical or surgical relief, to expenses incurred with respect to bodily injury, sickness, disease or death resulting from the hazardous properties of nuclear material and arising out of the operation of a nuclear facility by any person or organization.

(Continued on reverse side)

Countersigned:  
Duly authorized agent  
ATTORNEY IN FACT

(For use with policy forms: Zurich-115, 006, 013, 014, 015, 016, 917, 918, 920, 924, 1012, 1020, 1021, 1028 and Am. Guar.-7006, 7012, 7013, 70: 7015, 7016, 7017, 7018, 7020, 7021, 7022, 7041)

Form 4075-1-C.

100 DM

Z 006866