# Notification of Premium Adjustment

**Policy Number:** HDO G24931407  
**Endt.: #10**

## Named Insured
- **International Business Machines Corporation**
- **Endorsement Number:** 10

## Policy Details
- **Policy Symbol:** HDO
- **Policy Number:** G24931407
- **Policy Period:** 05/21/2009 to 05/21/2010
- **Effective Date of Endorsement:**

## Issued By
- **Name of Insurance Company:** ACE American Insurance Company

## Endorsement Information
- **The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.**

## Important Notice
**THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.**

This endorsement modifies insurance provided under the following:

- CONTRACTUAL INDEMNITY COVERAGE PART OCCURRENCE CORRIDOR
- CONTRACTUAL INDEMNITY COVERAGE PART SLIDING ATTACHMENT
- CONTRACTUAL INDEMNITY COVERAGE PART DEDUCTIBLE REIMBURSEMENT
- COMMERCIAL GENERAL LIABILITY COVERAGE PART
- EXCESS COMMERCIAL GENERAL LIABILITY COVERAGE FORM
- BUSINESS AUTO COVERAGE PART
- EXCESS COMMERCIAL AUTOMOBILE COVERAGE PART
- TRUCKERS COVERAGE PART
- EXCESS TRUCKERS COVERAGE PART
- MOTOR CARRIER COVERAGE PART
- GARAGE COVERAGE PART

For the states and lines of business in which regulatory approval has been granted for the NCCI Large Risk Alternative Rating Option, the ISO Large Risk Alternative Rating Option, or the independently filed ACE Large Risk Rating Plan, the premiums for this policy will be adjusted in accordance with the Notice of Election, signed by you.

**Authorized Agent:**