# IRON·STARR

## FORMS SCHEDULE

**Named Insured:** International Business Machines Corporation  
**Policy Number:** IS0001796  
**Effective 12:01 A.M.:** May 21, 2014  

| End't No. | Form Name | Form No. | Edition Date |
|-----------|-----------|----------|--------------|
| 1.        | Following Form Excess Liab Dec. | ISEABSF | 03/14        |
| 2.        | Following Form Excess Liab Policy | ISEABSF | 03/14        |
| 1.        | Schedule of Excess Policies | 2011 | 09/13        |
| 2.        | Coverage Territory Endorsement | 2002 | 09/13        |
| 3.        | Premium Payment Condition | 2009 | 09/13        |
| 4.        | Non Followed Endorsement | 2006 | 09/13        |
| 5.        | Amendment of Condition 3, Cancellation Manuscript | | |

**ISEABSF Forms Schedule (03/14)**