# Endorsement

## Underlying Insurance Endorsement (continued)

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

---

All other terms and conditions remain unchanged.

**Authorized Representative:** [Signature]

**Date:** June 12, 1997

---

**Underlying Insurance Endorsement**

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

**Page 4 of 4**