This endorsement modifies such insurance as is afforded by the provisions of the policy relating to the following designated insurance:

- WRAP AROUND EXCESS

IT IS HEREBY AGREED THAT THE CANCELLATION CLAUSE AS INCLUDED IN THE MANUSCRIPT FORM, PAGE 2, IS IN FULL FORCE AND EFFECT EXCEPT FOR TEN (10) DAYS MAXIMUM FOR NON-PAYMENT OF PREMIUM.

ALL OTHER TERMS AND CONDITIONS REMAIN THE SAME.

This endorsement, which forms a part of and is for attachment to the following described policy issued by the company designated therein, takes effect on the effective date of said policy, unless another effective date is shown below, at the hour stated in said policy and expires concurrently with said policy.

| Must Be Completed | Complete Only When This Endorsement Is Not Prepared with the Policy Or Is Not to be Effective with the Policy |
| --- | --- |
| ENDT. NO. | POLICY NO. | ISSUED TO | EFFECTIVE DATE OF THIS ENDORSEMENT |
| 1 | TSC 513 6962 | INTERNATIONAL BUSINESS MACHINES | 1-1-80 |

Columbia Casualty Company

Blank Endorsement 3-10-80 TF
C-17013-A

Countersigned by [Signature] Authorized Agent

COLUMBIA CASUALTY COPY