**Document No:** [Blank]
**Additional Premium:** [Blank]
**Return Premium:** [Blank]

**Insured:** INTERNATIONAL BUSINESS MACHINES CORP., ETAL

**ENDORSEMENTS ERRORS & OMISSIONS**

**This policy does not apply to any liability of the insured for negligent act, error or omission of the insured or for records of others in the insured's business process.**

**The policy contained in this endorsement vary, alter, waive or change any of the terms, limits or conditions as herein set forth.**

**Effective:** [Date]
**Issuing Company:** [Company Name]
**For the Company:** [Signature]