# PUBLIC ENTITY ADDITIONAL INSURED ENDORSEMENT

| Named Insured | International Business Machines Corporation |
|---------------|-------------------------------------------|
| Endorsement Number | 30 |

| Policy Symbol | HDO |
|---------------|-----|
| Policy Number | G71237606 |
| Policy Period | 05/21/2019 to 05/21/2020 |
| Effective Date of Endorsement | |

Issued By (Name of Insurance Company) | ACE American Insurance Company |

Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

**THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.**

This endorsement modifies insurance provided under the following:

- COMMERCIAL GENERAL LIABILITY COVERAGE FORM
- EXCESS COMMERCIAL GENERAL LIABILITY POLICY
- BUSINESS AUTO COVERAGE FORM

**SCHEDULE**

(name and address of additional insured)
Los Angeles Department of Water and Power
Risk Management Section
P.O. Box 51111, Rm 465
Los Angeles, California 90051-0100

**ADDITIONAL INSURED**

It is agreed that the entity shown in the Schedule, its Officers, Employees, and Agents are named as Additional Insureds with respect to the operations and activities of the Named Insured.

**PRIMARY INSURANCE**

Insurance provided by this policy shall be primary insurance and no other insurance or self-insured retention carried or held by the Scheduled Entity shall be called upon to contribute to a loss covered by insurance for the named insured.

**CANCELLATION CLAUSE**

Thirty (30) days written notice shall be given to the Scheduled Entity in the event of cancellation and/or reduction in limits or coverage.

**SEVERABILITY OF INTEREST**

This insurance shall apply separately to each insured against whom claim is made or suit is brought except with respect to the limits of liability of the insuring company.

Except as stated above and not in conflict with this endorsement, nothing contained herein shall be held to waive, alter or extend any of the limits, agreements, or exclusions of the policy(ies) to which this endorsement applies.

All other terms and conditions of this policy remain the same.

Authorized Agent

ALL-22422 (05/07)

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