The document appears to be a certificate of excess insurance issued by the Insurance Company of North America (INA). It outlines the terms and conditions under which INA provides excess insurance coverage in addition to primary insurance policies. Here is a summary of the key points:

### A. Scope of Primary Insurance
- The primary carriers have issued policies listed in Item 4 (Primary Insurance) of the declarations.
- Renewals or replacements of these policies on the same basis are also considered primary insurance.

### B. Purpose of Excess Insurance
- This certificate is to indemnify the insured in accordance with the applicable insuring agreements, exclusions, and conditions of the primary insurance for excess loss as specified in Item 6 (Description of Excess Insurance).

### C. Coverage Under Excess Insurance
- The insurance afforded by this certificate shall follow that of the primary insurance except:
  - Anything in this certificate or the primary insurance to the contrary notwithstanding, INA shall not be obligated to assume charge of the settlement or defense of any claim or suit brought or proceeding instituted against the insured.
  - However, INA shall have the right and be given the opportunity to associate with the insured in the defense or control of any claim, suit, or proceeding which appears reasonably likely to involve INA.
  - If the amount of excess loss becomes certain either through trial court judgment or agreement among the insured, the claimant, and INA, then the insured may pay the amount of excess loss to the claimant to effect settlement, and upon submission of due proof thereof, INA will indemnify the insured for such payment, or, upon request of the insured, pay such amount to the claimant on behalf of the insured.

### D. Premium and Delivery
- The premium for this certificate is the amount stated in Item 7 of the declarations and payable upon delivery of this certificate.

### E. Notification and Copies
- INA shall be furnished with copies of the primary insurance and all endorsements thereon which in any manner affect this excess insurance as soon as practicable.

### F. Cancellation
- This certificate may be canceled by the insured by surrender thereof to INA or any of its authorized agents, or by mailing to INA written notice stating when thereafter such cancellation shall be effective.
- If the cancellation or termination of the primary insurance occurs during the term of this certificate, it shall cease to apply at the same time without notice to the insured.
- The certificate may also be canceled by INA by mailing to the first named insured at the address shown herein written notice stating when, not less than thirty (30) days thereafter, such cancellation shall be effective.
- The mailing of notice as aforesaid shall be sufficient notice and the effective date of cancellation stated in the notice shall become the end of the term of this certificate.
- Delivery of such written notice either by the insured or by INA shall be equivalent to mailing.

### G. Concurrent Periods
- If the period of the primary insurance is not concurrent with the terms of this certificate, it is agreed that for the purpose of determining INA's liability for loss in excess of the aggregate limits, where applicable, only loss happening during the term of this certificate shall be included.

### Witness
- Insurance Company of North America has caused this certificate to be signed by its President and Secretary-Treasurer at Philadelphia, Pennsylvania and countersigned by a duly authorized agent of the company.

**Counter-signed:**
```
[Signature]
```

**President:**
```
[Signature]
```

**Secretary-Treasurer:**
```
[Signature]
```

**Agent:**
```
[Signature]
```

**LC-1183 12/65 Pd. in U.S.A.**