# Schedule of Forms and Endorsements

## Ace Group

### Named Insured
- International Business Machines Corporation

### Policy Number
- G27380037

### Policy Period
- 05/21/2014 to 05/21/2015

| Endorsement Number | Form Number - Edition Date | Title |
|--------------------|----------------------------|-------|
| ALL-23445b         | (07/13)                    | Policyholder Notice Commercial Lines Deregulation New York |
| XS-20835           | (08/06)                    | Commercial Umbrella Liability Policy |
| ALL-20887          | (10/06)                    | ACE Producer Compensation Practices & Policies |
| XS-28500a          | (08/13)                    | ACE Group Specialty Claims Loss Notification Form |
| IL P 001           | (01/04)                    | U.S. Treasury Department's Office of Foreign Assets Control ("OFAC") Advisory Notice To Policyholders |
| XS-22552           | (06/07)                    | Catastrophe Management Policyholder Notice |
| 1                  | CC-24180c                  | Signatures |
| 2                  | XS-20745                   | Aircraft Products And Grounding Exclusion |
| 3                  | XS-20756                   | Notice of Occurrence |
| 4                  | XS-20782                   | Cancellation Amendatory Endorsement |
| 5                  | XS-22088                   | Catastrophe Management Coverage Endorsement |
| 6                  | XS-23205                   | New York Changes Endorsement |
| 7                  | XS-23206                   | NYFTZ - New York Changes Transfer of Duties When a Limit of Insurance |
| 8                  | XS-23634                   | Fellow Employee Exclusion Deleted |
| 9                  | XS-28727a                  | Foreign Loss Indemnity Endorsement |
| 10                 | XS-24545                   | Named Insured Endorsement |
| 11                 | XS-23501                   | Unintentional Failure to Disclose |
| 12                 | XS-25254                   | War Exclusion |
| 13                 | TRIA11b                    | Disclosure Pursuant to Terrorism Risk Insurance Act |
| 14                 | XS-23669                   | Cap on Losses From Certified Acts of Terrorism |
| 15                 | ALL-25213                  | New York Changes |
| 16                 | XS-15929a                  | New York Changes-Cancellation, Nonrenewal |
| 17                 | MS-9625                    | Who is an Insured Amendatory Endorsement |
| 18                 | MS-9629                    | Aircraft Exclusion With Exception and Self-Insured Retention for Industrial Aid Aircraft |
| 19                 | MS-9613                    | Employee Benefit Plan Follow Form Endorsement [Claims Made] |
| 20                 | MS-9612                    | Electronic Chat Rooms or Bulletin Boards Exclusion Endorsement |
| 21                 | MS-9614                    | Incidental Medical Malpractice and Good Samaritan Endorsement |

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