**RESIDENT AGENT COUNTERSIGNATURE ENDORSEMENT**

**POLICY NO:** 8506175  
**EFFECTIVE DATE:** DEC. 31, 1965

**Named Insured:** INTERNATIONAL BUSINESS MACHINES CORPORATION, ETAL

This endorsement is issued by that company named below which is the insurer under the policy designated above 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.

It is agreed that countersignature of this endorsement shall constitute countersignature of the policy for the state of GA.

The premium for such state is $  
which X is subject to audit: ____ is not subject to audit

**ZURICH INSURANCE COMPANY**  
**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**

**Counter-signed:**  
[Signature]  
[Authorized Agent]

**United States Manager / General President - American Guarantees**  
[Signature]  
[Title]

**Secretary - American Guarantees**

**Form No.: 2 A 30M 11/61**  
**100 EPM**  
**Z 006907**