# Non-Premium Endorsement

**Issued by:**
- The Home Insurance Company
- City Insurance Company
- The Home Indemnity Company
- The Home Insurance Company of Indiana

**Date Prepared:** 6-28-85
**Endorsement No.:** 1

**Policy Number:** HXL 1 64 01 71
**Certificate Number:** 
**Named Insured:** International Business Machines Corp.
**Producer:** Johnson & Higgins
**Producer No.:** OPC 50138-081

**Policy Period:**
- Inception (Month-Day-Year): 5-21-85
- Expiration (Month-Day-Year): 5-21-86
- Effective Date and Time of Endorsement: 5-21-85

**Item 2. Policy Premium:**
- United States: $7,238 (96.5%)
- Canada: $262. (3.5%)
- Total Premium: $7,500.

**Signature of Authorized Representative:**

**The Home Insurance Companies**
**UND 16254**