**POLICY NO**

3355700

**LIFE/TIVE DATE**

**WAVY NO**

**ADD'L PREMIUM**

**RETURN PREMIUM**

**Named Insured**

This endorsement is issued by that company named below which is the insurer under the policy designated above issued to the Named Insured and forms a part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

**SPORTS OR SOCIAL ACTIVITIES**

SUCH INSURANCE AS IS AFFORDED BY THE POLICY APPLIES WITHOUT ADDITIONAL PREMIUM CHARGE WITH RESPECT TO THE PARTICIPATION OF THE INSURED'S EMPLOYEES IN ATHLETIC ACTIVITIES, SPORTS OR SOCIAL EVENTS UNDER THE SPONSORSHIP, SUPERVISION OR CONTROL OF THE INSURED, UNDER THE INSURED'S NAME AND WITH THE INSURED'S CONSENT WHEREVER SUCH ACTIVITIES MAY TAKE PLACE.

**ZURICH INSURANCE COMPANY**

**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**

**Countersigned:**

**Form 116-G**

**Z 006820**