# SCHEDULE OF FORMS AND ENDORSEMENTS

| Named Insured | International Business Machines Corporation |
| --- | --- |
| Policy Symbol | HDO |
| Policy Number | G24931407 |
| Policy Period | 05/21/2009 to 05/21/2010 |
| Effective Date of Endorsement | 05/21/2009 |
| Issued By (Name of Insurance Company) | ACE American Insurance Company |

Insert the policy number. The remainder of the information is to be completed only when this endorsement is issued subsequent to the preparation of the policy.

| Endt. No. | Form No. | Description |
| --- | --- | --- |
| 12. | CG02241093 | Earlier Notice Of Cancellation Provided By Us |
| 13. | CG20110196 | Additional Insured - Managers Or Lessors Of Premises |
| 14. | CG20100704 | Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization |
| 15. | CG20100704 | Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization |
| 16. | CG20100704 | Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization |
| 17. | CG20100704 | Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization |
| 18. | CG20100704 | Additional Insured - Owners, Lessees or Contractors - Scheduled Person or Organization |
| 19. | CG20260704 | Additional Insured - Lessor of Leased Equipment |
| 20. | CG20260704 | Additional Insured - Designated Person or Organization |
| 21. | CG20260704 | Additional Insured - Designated Person or Organization |
| 22. | CG21960305 | Silica or Silica-Related Dust Exclusion |
| 23. | CG24041093 | Waiver Of Transfer Of Rights Of Recovery Against Others To Us |
| 24. | CG24171001 | Contractual Liability - Railroads |
| 25. | CG20150704 | Additional Insured - Vendors |
| 26. | CG21471207 | Employment-Related Practices Exclusion |
| 27. | CG22750798 | Professional Liability Exclusion - Computer Software |
| 28. | CG22880798 | Professional Liability Exclusion - Electronic Data Processing Services and Computer Consulting or Programming Services |
| 29. | ALL21101 | Trade or Economic Sanctions Endorsement |
| 30. | IL00230702 | Nuclear Energy Liability Exclusion Endorsement (Broad Form) |
| 31. | CG26080490 | Arkansas Changes - Multi-Year Policies |
| 32. | IL02310907 | Arkansas Changes - Cancellation and Nonrenewal |
| 33. | IL02310908 | Arkansas Changes - Cancellation and Nonrenewal |
| 34. | IL02580908 | Arizona Changes - Cancellation and Nonrenewal |
| 35. | CG32340105 | California Changes |
| 36. | IL02700907 | California Changes - Cancellation and Nonrenewal |
| 37. | IL02280907 | Colorado Changes - Cancellation and Nonrenewal |
| 38. | IL01401105 | Connecticut Changes - Civil Union |
| 39. | IL02600705 | Connecticut Changes - Cancellation and Nonrenewal |
| 40. | IL02780908 | District of Columbia Changes - Cancellation and Nonrenewal |

**Authorized Agent**

CC-IE15 Pid. In U.S.A.