**RESIDENT AGENT COUNTERSIGNATURE ENDORSEMENT**

**Name of Insured:** INTERNATIONAL BUSINESS MACHINES CORPORATION, ETAL

**Policy No:** 3506175

This endorsement is issued by that company named below which is the insurer under the policy designated above issued to the insured named above and forms a part of said policy as of DEC. 31, 1965.

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

The premium for such state is $ [amount not specified].

ZURICH INSURANCE COMPANY
AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY

Countersigned:

Duly authorized agent: [Signature]

Form 3262 A. 504 1038

United States Manager (Zurich)
President (American Guarantee)

Secretary (American Guarantee)

Z 006915