# Endorsement

**Effective (At the time stated in the policy)**, this endorsement forms a part of Policy No.

**Issued to**

**Insurance Company**

**By**

(The information provided for above is required to be completed only when this endorsement is issued for attachment to the policy subsequent to its effective date.)

**IT IS HEREBY UNDERSTOOD AND AGREED THAT THE FOLLOWING EXCLUSIONS APPLY TO THIS POLICY:**

- AIRCRAFT PRODUCTS
- DATA PROCESSORS E & O
- CONTAMINATION AND POLLUTION (EXCEPT WHERE SUDDEN AND ACCIDENTAL)

All other terms and conditions of this insurance remain unchanged.

**President:** ___________________________
**Authorized Representative:** ___________________________