# Endorsement

## Underlying Insurance Endorsement (continued)

### Underlying Insurance (Item 6)
#### 6b. Other Underlying Insurance
- Company: [Company Name]
- Policy Number: [Policy Number]
- Policy Period:
  - From: [Date]
  - To: [Date]
- Limits of Insurance:
  - Each Occurrence
  - Aggregate (where applicable)

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All other terms and conditions remain unchanged.

**Authorized Representative:** [Signature]

**Date:** June 12, 1997

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**Underlying Insurance Endorsement**

**Form 07-02-0923 (Ed. 9/92) Endorsement**

**Page 4 of 4**