# Lexington Insurance Company

**100 Summer Street**
Boston, Massachusetts 02110

**BROKER**
Johnson & Higgins
95 Wall Street
New York, NY 10005

## NOTICE OF PREMIUM DUE

This premium is due and payable to the company 15 days from the date of this bill or 30 days from inception of the contract, whichever is later. If payment is not received within the time stipulated this policy will be cancelled.

**RETURN REMITTANCE TO:**

Lexington Insurance Company
P.O. Box 93411
Chicago, IL 60673

| POLICY NUMBER | BILLING DATE | EFF. DATE | DATE DUE | PREMIUM DUE |
|---------------|--------------|-----------|----------|-------------|
| 552 8820     | 6/25/86      | 5/21/86   | 7/10/86  | $85,000.    |

**INSURED**
IBM
Armonk, NY

**COVERAGE**
TWC/ja

**UNDERWRITING COPY**

RETURN THIS NOTICE WITH YOUR REMITTANCE. INDICATE ANY CHANGE IN ADDRESS