# Endorsement No. 2

IT IS AGREED THAT THE POLICY PREMIUM CONTAINS A PREMIUM CHARGE OF $29.49 PAYABLE IN CANADIAN CURRENCY WITH RESPECT TO OPERATIONS CARRIED ON IN THE DOMINION OF CANADA AND THAT CLAIMS ARISING OUT OF OPERATIONS IN CANADA SHALL ALSO BE PAID IN CANADIAN CURRENCY.

On account of the foregoing, the additional premium is $ , the return premium is $.

This endorsement shall not be binding upon the company unless countersigned by a duly authorized representative of the company.

This endorsement forms a part of the designated policy and applies, unless otherwise stated herein, as of the effective time and date of such policy.

Policy No. LX.1634 issued to INTERNATIONAL BUSINESS MACHINE CORP., E.T. AL.

BY THE FIDELITY AND CASUALTY COMPANY OF NEW YORK

Effective MAY 21, 1961 at 12:01 AM.

COUNTERSIGNED BY M. W. Westworth President

BRANCH OFFICE GENERAL AGENT

AGENCY OR BROKER (ADDRESS)

SOURCE TRANS. CO. CODE ACCT. LINE REINS. CO. PAY CODE

PREMIUM CURRENT DEFERRED RATE OF COMI CANCE EXPOSURE RETURN PREMIUM ORIGINAL PREMIUM RETURN PREMIUM DEFERRED TAX TOWN DREINS CO. 75-78 79 80

LIAB. 8131C PRINTED IN U.S.A.