# Schedule of Forms and Endorsements

**Re:** IBM CORPORATION

**Coverage:** U.S. Short Excess Form Excess Liability

**Policy Number:** AFX 0953286-00

The following schedule contains a general description of the coverages provided. For a detailed description of the terms, conditions, exclusions, and limitations of this insurance, you must refer to the applicable policy forms and endorsements identified.

| Title * | Form Number |
|---------|-------------|
| U.S. Short Excess Form | U-AXF-100-A CW 11/17 |
| U.S. Short Excess Form Declarations | U-AXF-D-100-A NY 11/17 |
| In Witness Notice Clause | U-GU-319-F 01/09 |
| Disclosure of Important Information Relating to Terrorism Risk Insurance Act | U-GU-630-E 01/20 |
| Certified Act of Terrorism Retained Amount Provisions | U-AXF-203-A CW 11/17 |
| Casualty Business Crisis Expense Excess Coverage | U-AXF-205-A NY 03/19 |
| Sanctions Exclusion Endorsement | U-GU-1191-A CW 03/15 |
| Cap On Losses From Certified Acts Of Terrorism | U-GU-767-B 01/15 |
| Non Follow Form – Uninsured or Underinsured Motorists | U-AXF-204-A CW 11/17 |
| Amended Cancellation Endorsement | U-AXF-201-A CW 11/17 |
| New York Changes | U-AXF-304-A NY 11/18 |
| Schedule of Forms and Endorsements | U-EXS-215-A CW 04/99 |
| Important Notice – Service of Suit and In Witness Clause | STF-GU-199-B 01/09 |
| Disclosure Statement | U-GU-873-A 06/11 |
| Notice of Disclosure For Agent & Broker Compensation | U-GU-874-A 06/11 |

* The titles of these endorsements are provided for convenience only. Coverage provided pursuant to these endorsements shall be interpreted and applied without regard to such titles.