# Transatlantic Reinsurance Company

**Effective Date:** 5/21/81  
**Assured:** INTERNATIONAL BUSINESS MACHINES CORP., ETAL  
**Ceding Company:** NATIONAL UNION FIRE INSURANCE COMPANY  
**Endorsement No.:** 3  
**Certificate No.:** 081-36872  
**Company Policy No.:** 9910600

It is noted and agreed that this Certificate is hereby amended as indicated below. All other terms and conditions remain unchanged.

## EXCLUSION-LIABILITY IMPOSED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 (ERISA)

IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THIS POLICY SHALL NOT APPLY TO LIABILITY IMPOSED UPON ANY INSURED BY THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 OR ANY AMENDMENTS OR ADDITIONS THERETO.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

- Additional Premium Due $  
- Future Installments Unchanged  
- Return Premium Due $  
- Future Installments Revised*  

*Due Date Present Installment Increase Decrease Revised Installment

Date prepared: 7/23/81  
H.E.  
28275 (1/80)  
Frank Morris  
(Authorized Signature)