**ZURICH INSURANCE COMPANY**
- **AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**
- **ZURICH OF ILLINOIS**

**AUDIT ADJUSTMENT OF PREMIUM**
- **DATE:** 10/14/81

**POLICY NO:** 83-06-923
**AGENCY NO:** 50-515-810
**AGENCY NAME:** JOHNSON & HIGGINS

**NAME AND ADDRESS OF INSURED:**
- **INTERNATIONAL BUSINESS MACHINES CORP.**
- **APPAHNY, NY**

**PERIOD OF AUDIT:** 5/21/80 - 5/21/81
**EXPIRATION DATE:** 5/21/82
**DATE (IF CANCELLED):** 

**CLASSIFICATION OF OPERATION:**
- **STATE:** VAR
- **COMPOSITE RATE:** S
- **PAYROLL SALES OR OTHER:** PAYROLL
- **RATE:** .18961
- **PREMIUM:** 1,073,306.

**TOTAL:** 1,755,521.
- **LESS DEPOSIT OR OTHER CREDIT:** 1,240,914.
- **ADDITIONAL PREMIUM:** 514,607.
- **REVISION PREMIUM:** 

**GASSMANN/CB-LARGE LINES**

**MM 009648**