CO 04 35 07 05

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

LOSS ASSESSMENT COVERAGE

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1. Increased Limit - Residence Premises

For an additional premium, the limit of liability for Section I Additional Coverage 7 and Section II Additional Coverage 4, Loss Assessment, is increased to:

Increase in Limit of Liability* $

Total Limit of Liability* $

SPECIAL LIMIT - We will not pay more than $1,000 of your assessment that results from a deductible in the policy of insurance purchased by a corporation or association of property owners.

2. Additional Locations

For an additional premium, we agree to pay, up to the limit of liability listed below, your share of covered loss assessments as described in Section I additional Coverage 7 and Section II Additional Coverage 4 of the policy, arising out of the premises listed below.

Location of Unit*

Limit of Liability*

SPECIAL LIMIT - We will not pay more than $1,000 of your assessment per unit that results from a deductible in the policy of insurance purchased by a corporation or association of property owners.

Section II - Coverage E - Personal Liability Exclusion 2.a(1) does not apply to this coverage.

*Entries may be left blank if shown elsewhere in this policy for this coverage.

All other provisions of this policy apply.

Includes copyrighted material of Insurance
Services Office, Inc., with its permission.
Copyright, Insurance Services Office, Inc. 1990

CO 04 35 07 05