**Endorsement No. 1**

**Named Insured**

INTERNATIONAL BUSINESS MACHINES CORPORATION,
I.B.M. WORLD TRADE CORP., THE SERVICE BUREAU CORP.,
AND ANY OTHER SUBSIDIARY OR AFFILIATED CORPORATION
OF EACH PROVIDED SUCH OTHER SUBSIDIARY OR
AFFILIATED CORPORATION WARRANTS THAT IT IS UNDER
THE SAME OPERATIVE AND FINANCIAL CONTROL THROUGH
THE IDENTITY OF ITS OFFICERS, DIRECTORS OR STOCKHOLDERS

On account of the foregoing, the additional premium is $ , the return premium is $
This endorsement shall not be binding upon the company unless countersigned by a duly authorized representative of the company.
This endorsement forms a part of the designated policy and applies, unless otherwise stated herein, as of the effective time and date
of such policy.

Policy No. LA.1.21.75.12 issued to

BY
(Insert Name of Company)

Effective
(Date)
19
(Hour and Minute)
M.

COUNTERSIGNED BY
AUTHORIZED REPRESENTATIVE
BRANCH
OFFICE
GENERAL
AGENT
AGENT OR
BROKER
(ADDRESS)
LIAO. 3087C