# Liberty Mutual Insurance Policy Change Endorsement

## General Information
- **Coverage Provided by:** The Ohio Casualty Insurance Company
- **Policy Number:** ECO (18) 54 08 82 46
- **Policy Period:** From 05/21/2017 to 05/21/2018
- **Endorsement Period:** From 05/21/2017 to 05/21/2018 at 12:01 am Standard Time at Insured Mailing Location

## Named Insured & Mailing Address
- **International Business Machines Corporation**
  - **Mail Drop:** 109
  - **Address:** 1 New Orchard Rd, Armonk, NY 10504-1722

## Agent Mailing Address & Phone No.
- **Aon Risk Services Northeast, Inc.**
  - **Address:** 199 Water St, New York, NY 10038-3526
  - **Phone:** (212) 441-1000

## Changes to Policy - Transaction #3
- **No Change in Premium**

## Description of Change(s)
- **Coverage Forms and Endorsements**
  - Amend CE 88 99 05 16 Following Form Endorsement
  - Add policy number: XOO G27983212 002
  - See the Revised Declarations and Declarations Schedule

## Servicing Office and Issue Date
- **New York - Metro Regional Office**
  - **Date:** 06/12/2017

## Authorized Representative

## To Report a Claim
- Call your Agent or 1-800-362-0000

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