# IRON·STARR

## FORMS SCHEDULE

**Named Insured:** International Business Machines Corporation  
**Policy Number:** IS0002343  
**Effective 12:01 A.M.:** May 21, 2015  

| End't No. | Form Name | Form No. | Edition Date |
|-----------|-----------|----------|--------------|
| 1.        | Following Form Excess Liab Dec. | ISEABSF | 08/14         |
| 2.        | Following Form Excess Liab Policy | ISEABSF | 03/14         |
| 3.        | Schedule of Excess Policies | 2011    | 09/13         |
| 4.        | Coverage Territory Endorsement | 2002    | 09/13         |
| 5.        | Premium Payment Condition | 2009    | 09/13         |
| 6.        | Amendment of Condition 3, Cancellation Manuscript | Manuscript |            |

ISEABSF Forms Schedule (03/14)