**Policy Number:** NEA 0109021

**Insured:** International Business Machines Corporation

**By:** Planet Insurance Company

**SCHEDULE OF FORMS AND ENDORSEMENTS**

Manuscript policy consisting of pages 1-9; Endorsement Number 1 and Form Numbers:

* ILBP-8301-PL
* CAN(EX):RG-12/91
* CLC:RG-12/91
* UUL:RG-12/91
* POE(HF):RG-11/92

**INSURED COPY**