# EXCESS OVERLAYER INDEMNITY POLICY

## SECTION 3. SCHEDULE OF UNDERLYING SELF-INSURANCE AND INSURANCE

(Each listed layer of self-insurance and each policy or group of quota-share policies listed is excess of all policies and self-insurance listed below it.)

| LIMITS OF LIABILITY |
| --- | --- |
| EACH OCCURRENCE | AGGREGATE WHERE APPLICABLE |

| POLICY NUMBER | INSURER | LAYER 3 | EXCESS INDEMNITY | TBD | TWIN CITY FIRE | $10,000,000 | $10,000,000 |
| --- | --- | --- | --- | --- | --- | --- | --- |
| LAYER 2 | EXCESS INDEMNITY | TBD | AETNA C & S | $10,000,000 | $10,000,000 |
| TBD | INTERNATIONAL | $5,000,000 | $5,000,000 |
| TBD | TRAVELERS | $5,000,000 | $5,000,000 |
| TBD | ROYAL | $5,000,000 | $5,000,000 |
| LAYER 1 | UMBRELLA LIABILITY | TBD | AMERICAN HOME ASSURANCE | $25,000,000 | $25,000,000 |
| PRIMARY | AS PER SCHEDULE OF UNDERLYING INSURANCE SHOWN IN POLICY NO. TBD ISSUED BY AMERICAN HOME ASSURANCE |
| CONTROLLING INSURANCE | TBD | AMERICAN HOME ASSURANCE | UMBRELLA LIABILITY |

This schedule applies to the above policies and any renewals or replacements thereof.

XN13203 (11-91)