**Liberty Mutual Insurance**

**Coverage Is Provided In:**
The Ohio Casualty Insurance Company

**Policy Change Endorsement**

**Policy Number:** ECO (16) 54 08 82 46
**Policy Period:** From 05/21/2015 To 05/21/2016
**Endorsement Period:** From 05/21/2015 to 05/21/2016
12:01 am Standard Time at Insured Mailing Location

**Named Insured & Mailing Address**
INTERNATIONAL BUSINESS MACHINES CORPORATION
MAIL DROP 109
1 NEW ORCHARD RD
ARMONK, NY 10504-1722

**Agent Mailing Address & Phone No.**
(212) 441-1000
A ON RISK SERVICES NORTHEAST, INC
199 WATER ST
NEW YORK, NY 10038-3526

**CHANGES TO POLICY - TRANSACTION # 3**

**This Policy Change Endorsement Results In A Change In The Charges As Follows:**
No Change in Premium

**Description of Change(s)**
Coverage Forms and Endorsements Underlying Insurance
1. Amending the policy number on CE 65 27 04 99 FOLLOWING FORM ENDORSEMENT as follows: XOO G2763848A 2. Amend the Schedule of Underlying Policies: Update Policy Number's: Great American Insurance Company of New York EXC 2464956 Endurance Specialty EXC 10000024506 See The Revised Declarations and Declarations Schedule

**Servicing Office and Issue Date** New York - Metro Regional Office 07/21/2015
**Authorized Representative**

**To report a claim, call your Agent or 1-800-362-0000**

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