**CLAIM ABSTRACT**

**PAGE:** 1

**COMPANY NAME:** NATIONAL UNION
**DATE:** 10/02/95
**SOURCE:** JBR
**POLICY:** 03

**INSURED:** IBM* PURCHASE ST
**PRODUCER:** VELL, VASF, VPRE, VPOL, EPR
**CLASS DATE:** 09/26/94
**POLICY:** 0981600

**LOCATION:** PURCHASE NY
**CC:** 616755
**POLICY:** 10572
**POLICY:** 09/21/92
**POLICY:** 09/21/92
**POLICY:** 09/21/92

**PRODUCER:** JUMBOSO, K, HIGGINS
**TIME:** 09/21/92
**ADJUSTER:** 09/21/92
**ADJUSTER:** 09/21/92
**ADJUSTER:** 09/21/92

**NATURE OF BUSINESS:** LOSS PAYEES/MORTGAGEE
**OTHER INDEP:** 1220 MORTGAGEE

**COVERAGES:** 8000000
**DEDUCT:** EO 2000000
**ENDORSE:** 0001

**BASIC:** 399
**PROXIMATE:** 531
**LOSS:** 3999
**RISK ANALYSIS:** NO
**INSURED DIVISION:** LOCATION
**AUTHORITY CODE:** B
**SYM:** CLAUSUAL/LOSE PAYEE
**APT DT:** 162182
**OCCUPATION:** SJC
**INJ:** ANATOLY STATUS
**572** **0199** **198** **C**

**0001** **UNKNOWN**
**0001** **UNKNOWN**
**0001** **UNKNOWN**

**SUBJECT:** 102
**INDEMNITY:** MEDICAL
**DATE:** 09/21/92
**STATUS:** NOT PD
**RESERVE:** 0
**DATE:** 09/21/92
**AMOUNT:** 0.00
**SECTION:** 0
**DRAFT:** 0
**STATUS:** NOT PD
**PROFIT UNIT:** 013
**RESERVE:** 0
**AMOUNT:** 0.00
**CMP:** 0
**PROD BC:** 01
**CEILING:** 0
**FLOOR:** 1.0000
**PART:** 0
**REINS:** AC
**INNER CERTIFICATE:** 05000000
**NUMBER:** 005000000
**CO.:** 9999