# EXCESS OVERLAYER INDEMNITY POLICY
(PAY ON BEHALF OF)

IT IS AGREED THAT THE FIRST PARAGRAPH OF SECTION 2. INDEMNITY AGREEMENT IS AMENDED AS FOLLOWS:

AETNA CASUALTY WILL PAY ON BEHALF OF THE INSURED EXCESS NET LOSS ARISING OUT OF AN ACCIDENT OR OCCURRENCE DURING THE POLICY PERIOD, SUBJECT TO THE LIMITS OF LIABILITY STATED IN SECTION 1. AND TO ALL OF THE TERMS OF THIS POLICY.

This endorsement, issued by one of the below named companies, forms a part of the policy to which attached, effective on the inception date of the policy unless otherwise stated herein.

The information below is required only when this endorsement is used subsequent to preparation of policy.

| Endorsement effective | Policy No. | Endorsement No. | 7 |
|----------------------|------------|-----------------|---|
| Named Insured         |            |                 |   |
| Additional Premium $  | Return Premium $ | BI | PD |
| SPECIAL NO. 7        | In Advance $ | $              | $ |
|                       | 1st Anniv.$ | $              | $ |
|                       | 2nd Anniv.$ | $              | $ |

The Aetna Casualty and Surety Company<br>
The Standard Fire Insurance Company<br>
Hartford, Connecticut

Countersigned by <br>
(Authorized Representative)