# GENERAL CHANGE ENDORSEMENT

This endorsement forms a part of and is for attachment to the following designated policy:

- **Affiliated FM Insurance Company**
  - **Policy No.:** XL 96794
  - **Issued To:** [Not specified]
  - **Effective Date:** [Not specified]

- **Appalachian Insurance Company**
  - **Policy No.:** [Not specified]
  - **Issued To:** [Not specified]
  - **Effective Date:** [Not specified]

- **Complete Binder No.:** [Not specified]
- **No Binder:** [Not specified]

All Terms and Conditions remain unchanged except:
- Additional premium due now $ (pro rata of $)
- Return premium due now $ (pro rata of $)
- Premium subject to audit.

It is agreed that the Named Insured is amended to read as follows:

International Business Machines Corp., IBM World Trade Corp.
and any other subsidiary or affiliated corporation 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 and any employee association thereof.