# EXCESS OVERLAYER INDEMNITY POLICY

## SECTION 3. SCHEDULE OF UNDERLYING SELF-INSURANCE AND INSURANCE

(Each listed layer of self-insurance and each policy or group of quota-share policies listed is excess of all policies and self-insurance listed below it.)

| LIMITS OF LIABILITY | AGGREGATE WHERE APPLICABLE |
|---------------------|----------------------------|
| EACH OCCURRENCE      |                            |
| POLICY NUMBER        | INSURER                    | EACH OCCURRENCE | AGGREGATE WHERE APPLICABLE |
| LAYER 1 UMBRELLA LIABILITY | NATIONAL UNION | $25,000,000 | $25,000,000 |

PRIMARY AS PER SCHEDULE OF UNDERLYING INSURANCE SHOWN IN POLICY NO. TBD ISSUED BY NATIONAL UNION

CONTROLLING INSURANCE
TBD NATIONAL UNION UMBRELLA LIABILITY

This schedule applies to the above policies and any renewals or replacements thereof.

XN13203 (11-91)