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UMBRELLA <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> EMPLOYERS LIABILITY - FOLLOWING FORM <br /> This endorsement modifies insurance provided under the following: <br /> COMMERCIAL EXCESS LIABILITY (UMBRELLA) INSURANCE <br /> PROVISIONS: (2) To any obligation to share damages <br /> A. The following exclusion is added to Paragraph with or repay someone else who must <br /> 3. EXCLUSIONS of SECTION I COVER- pay damages because of the injury. <br /> AGES, COVERAGE A. BODILY INJURY AND B. The PROVISION A. exclusion above does not <br /> PROPERTY DAMAGE LIABILITY; and COV- apply if you have a policy of "underlying insur- <br /> ERAGE B. PERSONAL INJURY AND ADVER- ance" listed in the SCHEDULE OF UNDERLY- <br /> TISING INJURY LIABILITY: ING INSURANCE of the DECLARATIONS of <br /> 3. Exclusions this insurance, or any renewal or replacement <br /> thereof, which provides coverage for such dam- <br /> This insurance does not apply to: ages or would provide coverage for such dam- <br /> Employers Liability ages but for the exhaustion of its limits of liabil- <br /> "Bodily injury"to: ity. Coverage provided will follow the same pro- <br /> visions, terms, definitions, exclusions, limita- <br /> (1) An employee of the insured arising out tions and conditions of the policy(ies) of "under- <br /> of and in the course of: lying insurance" listed in the SCHEDULE OF <br /> (a) Employment by the insured; or UNDERLYING INSURANCE of the DECLARA- <br /> (b) Performing duties related to the TIONS of this insurance. <br /> conduct of the insured's business; C. Only as respects the provisions of this en- <br /> or dorsement, SECTION V — DEFINITIONS is <br /> (2) The spouse, child, parent, brother or amended as follows: <br /> sister of that employee as a conse- 1. Parts 3.a.(1), 3.a.(2) and 3.b. of the defini- <br /> quence of Paragraph(1)above. tion of "Applicable underlying limit" are de- <br /> This exclusion applies: leted; and <br /> (1) Whether the insured may be liable as 2. Part 17.b. of the definition of "Underlying <br /> an employer or in any other capacity; insurance" is deleted. <br /> and <br /> UM 03 92 11 03 Copyright, The Travelers Indemnity Company,2003 Page 1 of 1 <br />