# Schedule of Forms and Endorsements

**ace group**

| NAMED INSURED | POLICY NUMBER | POLICY PERIOD |
|---------------|---------------|---------------|
| International Business Machines Corporation | XOO G27983212 001 | 05/21/2016 to 05/21/2017 |

| Endorsement Number | Form Number - Edition Date | Title |
|--------------------|----------------------------|-------|
| ALL-23445b (07/13) | Policyholder Notice - Commercial Lines Deregulation New York (NY FTZ) |
| XS-22695b (01/15) | Declarations ACE Umbrella Plus Commercial Umbrella Liability Policy |
| XS-9U57c (01/15) | Schedule of Underlying Insurance |
| XS-20835 (08/06) | Commercial Umbrella Liability Policy |
| ALL-20887 (10/06) | ACE Producer Compensation Practices and 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 Notice |
| 001 | CC-24180c (03/14) | Signatures |
| 002 | XS-20745 (08/06) | Aircraft Products and Grounding Exclusion |
| 003 | XS-20782 (08/06) | Cancellation Amendatory Endorsement |
| 004 | XS-23669b (01/15) | Cap on Losses From Certified Acts of Terrorism |
| 005 | XS-22088 (04/07) | Catastrophe Management Coverage Endorsement |
| 006 | XS-35558 (05/13) | Difference In Conditions / Difference In Limits Endorsement |
| 007 | TRIA 11c (01/15) | Disclosure Pursuant To Terrorism Risk Insurance Act |
| 008 | XS-23634 (01/08) | Fellow Employee Exclusion Deleted |
| 009 | XS-28727a (01/11) | Foreign Loss Indemnity Endorsement |
| 010 | XS-24545 (03/08) | Named Insured Endorsement |
| 011 | ALL-25213 (10/08) | New York Changes |
| 012 | XS-23205 (01/08) | New York Changes Endorsement |

XS-27991 (08/09)
© 2009
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