# CANCELLATION FOR NON-PAYMENT OF PREMIUM

IT IS AGREED THAT IRRESPECTIVE OF ANY OTHER TERMS OR CONDITIONS CONTAINED IN THIS POLICY OR ENDORSEMENTS ATTACHED THERETO, THIS POLICY MAY BE CANCELLED BY THE COMPANY, OR BY BACCALA & SHOOP INSURANCE SERVICES, IN THEIR BEHALF, FOR NON-PAYMENT OF ANY UNPAID PORTION OF THE PREMIUM BY DELIVERING TO THE INSURED OR BY SENDING TO THE INSURED BY MAIL, REGISTERED OR UNREGISTERED, AT THE INSURED'S ADDRESS AS SHOWN HEREIN, NOT LESS THAN TEN DAYS WRITTEN NOTICE STATING WHEN THE CANCELLATION SHALL BE EFFECTIVE.

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
BSIS-C-2
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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.