**Endorsement Document**

**Policy No.:** 86-68-700

**Eff. Date of Policy:** [Not specified]
**Eff. Date of End:** [Not specified]
**Agency No.:** [Not specified]
**Add'l Premium:** $ [Not specified]
**Return Premium:** $ [Not specified]

**Named Insured:**

This endorsement is issued by the 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.

**Uninsured Motorists Insurance - Change in Limits of Liability**

It is agreed that if the accident occurs in a state where the limits set forth for uninsured motorists insurance exceed the applicable limits stated in the declarations, the limit of the company's liability for the coverage shall be the applicable limits set forth in such law.

**Zurich Insurance Company**
**American Guarantee and Liability Insurance Company**

**Countersigned:**
[Signature]
[Name]
[Title]
[Date]

**Form 116-G 50M 10-69**

**IBM 062380**