# Pine Top Insurance Company

## Excess Umbrella Liability

### Named Assured
Assured: [Name of the Assured]

### Insuring Agreements

#### I. Coverage
The Company hereby agrees, subject to the limitations, terms and conditions hereinafter mentioned, to indemnify the Assured for:
(a) any sums which the Assured shall be obligated to pay by reason of the liability imposed upon the Assured by law.
(b) any sums which the Assured shall be obligated to pay by reason of any contract or agreement by the Named Assured and/or any officer, director, stockholder, partner or employee of the Named Assured while acting in his capacity as such.

For damages, direct or consequential, and expenses incurred or paid on account of:
(i) Personal Injuries, including death at any time resulting therefrom.
(ii) Property Damage.
(iii) Advertising Liability.

Caused by or arising out of each occurrence happening anywhere in the world, and arising out of the hazard covered by the Underlying Umbrella policies stated in Item 2 of the Declarations and issued by [Underlying Umbrella Insurers].

#### II. Limit of Liability - Underlying Limits
It is expressly agreed that liability shall attach to the Company only after the Underlying Umbrella Insurers have paid or will be liable to pay the full amount of their respective underlying insurance limits as follows:

$ (as stated in Item 3 of the Declarations)
$ (as stated in Item 4 of the Declarations)

In the aggregate for each annual period during the currency of this policy, separately in respect of Personal Injury (fatal or non-fatal) by Occupant and Employee of the Assured.

And that the Company shall not be liable to pay any excess thereof up to a further ultimate net loss from any occurrence, with each occurrence subject to a limit of $ (as stated in Item 5 of the Declarations).

$ (as stated in Item 6 of the Declarations)

In the aggregate for each annual period during the currency of this policy, separately in respect of Personal Injury (fatal or non-fatal) by Occupational Disease sustained by an employee of the Assured.

#### Conditions

1. **Prior Insurance and Non-Cumulation of Liability**
   It is agreed that if any loss covered hereunder is also covered in any other insurance policy issued to the Assured prior to the inception date hereof, the limit of liability hereon as stated shall be reduced by the amount of such loss under such prior insurance.

2. **Maintenance of Underlying Umbrella**
   This policy is subject to the same terms, definitions, exclusions and conditions of this policy in the event that bodily injury, damage and/or death of an occurrence covered hereunder is continuing at the time of termination of the policy. The Company shall be responsible for liability in respect of such personal injury or property damage without payment of additional premium.

3. **Cancellation**
   This policy may be cancelled by the Named Assured or by the Company or its representatives by mailing written notice stating when, how and by whom the cancellation shall be effective. The mailing of notice as aforesaid of or by representatives of the Named Assured at the address shown in this policy shall be sufficient notice of cancellation under this policy. The cancellation shall end on the effective date and no cancellation stated in the notice mailed by the Named Assured or by the Company shall be equivalent to a failing.

If this policy shall be cancelled by the Named Assured, the Company shall retain the customer's share of the proportion of the premium for the period this policy has been in force. Notice of cancellation by the Company shall be effective when mailed to the Assured or the Underlying Umbrella.