# Transamerica Insurance Group

## Occupational Disease Amendatory Endorsement Excess

It is agreed that "ITEM B" of "SECTION II - WHAT IS NOT COVERED" is amended to read as follows:

B. Any obligation of the insured under a workers compensation, unemployment compensation, disability benefits law, or any similar law.

All Other Terms and Conditions of this Policy remain unchanged.

This endorsement forms a part of Policy Number _________.

Issued to __________ by ___________, and is effective from ___________ to ___________ (12:01 A.M. Standard Time).

(The attaching clause need be completed only if this endorsement has been attached after the policy has been issued.)

EL19332
12/92