**COMMONWEALTH ASSOCIATES**

**REINSURANCE**
67 BROAD STREET 1ST FLOOR
BOSTON MA, 02109
(617) 439-0244

**LEXINGTON INSURANCE CO.**
100 SUMNER STREET
BOSTON, MA 02110
ATTN: ACCOUNTING DEPT.
CC: T. CIARDELLO

**Date:** 06/25/86
**Expires:** 05/21/87

| EFFECTIVE | CERT. # | COMPANY | DESCRIPTION | PREMIUM |
|-----------|---------|---------|-------------|----------|
| 05/21/86 | A5131986A | RISK TRANSFE | I.B.M. EXCESS UMBRELLA LIAB | $3,293.75 |
|          |         |         | Policy Number: 5528820 | TOTAL DUE $3,293.75 |
|          |         |         | PAYMENT DUE WITHIN SIXTY (60) DAYS OF EFFECTIVE DATE |

We take pleasure in enclosing the documents itemized above. Thank you. We appreciate your business and hope you are pleased.