# Zurich-American

## Endorsement

**SMT:** 47

| Policy No. | Eff. Date of Pol | Exp. Date of Pol | Eff. Date of End | Agency No | Add'l Premium | Return Premium |
|------------|-----------------|-----------------|-----------------|-----------|---------------|----------------|
| CCL32-78-673-03 | 5/21/84 | 5/21/89 | 5/21/87 | 50-515-810 | $ EICL. | $ |

**Named Insured:** INTERNATIONAL BUSINESS MACHINES CORP., ETAL

**Address (including Zip Code):** ARMONK, NEW YORK 10504

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This endorsement is issued by the company designated in the Declarations which is the insurer under the above numbered policy issued to the Named Insured and forms a part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

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**This endorsement changes such insurance as is afforded by provisions of the policy relating to the following:**

**COMPREHENSIVE GENERAL LIABILITY**

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**MAXIMUM EXCESS LOSS PREMIUM ENDORSEMENT**

IT IS AGREED THAT THE MAXIMUM EXCESS LOSS PREMIUM OF $500,000 IS BASED ON A RATE OF .0625 OF THE TOTAL STANDARD PREMIUM OF ALL POLICIES SUBJECT TO THE RETROSPECTIVE RATING PLAN AS OUTLINED IN RETROSPECTIVE PREMIUM AGREEMENT 66017/87 THE TOTAL STANDARD PREMIUM INCLUDED IN THE RETROSPECTIVE RATING PLAN AS OF THE INCEPTION OF THE POLICIES IS $8,000,000. THIS STANDARD PREMIUM IS THE PREMIUM COMPUTED IN ACCORDANCE WITH THE PROVISIONS OF THE POLICIES.

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**Countersigned:**

**Authorized Representative**

**U-GL-113-A (7-81 ed)**