# Schedule of Forms

| Named Insured | INTERNATIONAL BUSINESS MACHINES CORP., ETAL |
|---------------|--------------------------------------------|
| Policy Number | 7908-98-97                                 |
| Policy Period | 05/21/92 to 05/21/93                       |
| Producer      | JOHNSON & HIGGINS                           |

**Date Issued:** 06/29/92  
**Effective Date:** 05/21/92  
**Producer no.:** 65222-999  

The following is a schedule of forms issued with the policy at inception:

| Form Number | Form Name                                                                 |
|-------------|--------------------------------------------------------------------------|
| 07-02-0575 (REV.11-86) | DECLARATIONS COMMERCIAL EXCESS LIABILITY                                |
| 99-02-02 (REV.08-71)   | MANUSCRIPT ENDORSEMENT - EXCESS LIABILITY                              |
| 99-02-02 (REV.08-71)   | MANUSCRIPT ENDORSEMENT - EXCESS LIABILITY                              |
| 99-02-02 (REV.08-71)   | MANUSCRIPT ENDORSEMENT - EXCESS LIABILITY                              |
| 07-02-0666 (ED.08-89)  | ABSOLUTE POLLUTION EXCLUSION W/HOSTILE FIRE                            |
| 07-02-0643 (ED.04-88)  | ASBESTOS EXCLUSION                                                      |
| 07-02-0574 (REV.11-86)  | COMMERCIAL EXCESS LIABILITY POLICY                                      |
| 07-02-0622 (ED.12-87)  | NEW YORK AMENDATORY ENDORSEMENT                                        |

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Form 07-02-0684 (Ed. 8-89)