# Employee Retirement and Income Security Act Exclusion Endorsement

IN CONSIDERATION OF THE PREMIUM CHARGED, SUCH INSURANCE AS IS AFFORDED BY THIS POLICY SHALL NOT APPLY WITH RESPECT TO ANY CLAIM OR CLAIMS BROUGHT ABOUT AS A RESULT OF ANY VIOLATION OF ANY RESPONSIBILITIES, OBLIGATIONS OR DUTIES IMPOSED UPON FIDUCIARIES BY THE EMPLOYEE RETIREMENT AND INCOME SECURITY ACT OF 1974 OR AMENDMENTS THERETO.

THE EFFECTIVE DATE OF THIS ENDORSEMENT IS MAY 21, 1984 AT NEW YORK, NEW YORK
ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.
THIS ENDORSEMENT IS ATTACHED TO AND MADE A PART OF POLICY NUMBER TXS 103585

ISSUED TO INTERNATIONAL BUSINESS MACHINES CORP., ETAL
BROKER/AGENT JOHNSON & HIGGINS
ADDRESS 95 WALL STREET
NEW YORK, NEW YORK 10005
DATE OF ISSUE 5-16-84
BY kc
BSIS-E-3

The company located these documents in its business records. At this time, the company does not certify that these documents constitute a complete and accurate copy of the policy.