# Forms Schedule

**EFFECTIVE DATE:** 05/21/97

**NAMED INSURED:** INTERNATIONAL BUSINESS MACHINES CORPORATION

**POLICY NO:** 143-85-52

## Common Policy Conditions
- ILO017 (1185) COMMON POLICY CONDITIONS

## General Liability Coverage Form
- CG0001 (0196) COMM GENERAL LIAB COV FORM

## New York Changes - Amended Endorsements
- CG0163 (0196) NY CHANGES-AMENDATORY ENDOT
- CG0212 (1185) CANCELLATION BY US

## Additional Endorsements
- CG2011 (0196) MANAGERS OR LESSORS OF PREMISES
- CG2015 (1188) VENDORS
- CG2026 (1185) DESIG PERSON/ORG (LOCATION)
- CG2028 (1185) LESSOR OF LEASED EQUIPMENT
- CG2147 (1093) EMPL. RELATED PRACTICES EXCL
- CG2275 (1093) PROF LIAB EXCL-COMPUTER SOFTWARE
- CG2621 (1091) NY CHANGES-TRANS OF DUTIES
- CG2623 (1091) FULL INDN AGAINST US
- ILO0021 (1185) NUCLEAR ENERGY LIAB EXCL (BROAD FORM)
- ILO185 (1095) CALCULATION OF PREMIUM
- ILO288 (0995) NEW YORK CHANGES-CANC/NONRENEW
- S45782 (0587) RADIOACTIVE MATTER EXCL
- CG01041093 NY CHANGES - PREMIUM AUDIT
- CG03001185 DEDUCTIBLE LIABILITY
- CG20101185 OWNERS, LESSEES OR CONTR - FORM B