**POLICY NUMBER:** CEX09600213-03

**COMMERCIAL LIABILITY EXCESS**

**BCIM0300 1113**

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

**POLICY CHANGES**

This endorsement modifies insurance provided under the following:

**COMMERCIAL LIABILITY EXCESS COVERAGE PART**

| Effective Date of Change: | 05/21/2016 |
|--------------------------|-------------|
| Change Endorsement No.:   | 1           |
| Named Insured:            | IBM Corporation |

The following item(s):

- Insured's Name
- Policy Number
- Effective/Expiration Date
- Payment Plan
- Additional Interested Parties:
- Limits/Exposures
- Covered Property/Located Description
- Rates
- Insured's Mailing Address
- Company
- Insured's Legal Status/Business of Insured
- Premium Determination
- Coverage Forms and Endorsements
- Self-Insured Retention
- Classification/Class Codes
- Underlying Insurance

is (are) changed to read {See Additional Page(s)}:

The above amendments result in a change in the premium as follows:

- NO CHANGES
- TO BE ADJUSTED AT AUDIT
- ADDITIONAL PREMIUM $ [Amount]
- RETURN PREMIUM $ [Amount]

**Countersigned By: (Authorized Representative)**

**BCIM0300 1113**
**Berkley National Insurance Company**
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