# Employee Retirement Income Security Act Liability Exclusion Endorsement

**Policy Number:** 10 HU SG6756

This endorsement forms a part of the policy as numbered above, issued by THE HARTFORD INSURANCE GROUP company designated therein, and takes effect as of the effective date of said policy unless another effective date is stated herein.

**Effective Date:** Effective hour is the same as stated in the Declarations of the policy.
**Endt. No.:** 4

It is agreed that the insurance does not apply with respect to any liability arising out of intentional or unintentional violation of any provision of the Employee Retirement Income Security Act of 1974, Public Law 93-408 (commonly referred to as the Revision Reform Act of 1974), or any amendments to them.

Nothing herein contained shall be held to vary, waive, alter, or extend any of the terms, conditions, agreements or declarations of the policy, other than as herein stated.

This endorsement shall not be binding unless countersigned by a duly authorized agent of the company; provided that if this endorsement takes effect as of the effective date of the policy and, at issue of said policy, forms a part thereof, countersignature on the declarations page of said policy by a duly authorized agent of the company shall constitute valid countersignature of this endorsement.

Form XL-224-0 Printed in U.S.A.