# Non-Premium Endorsement

**Date Prepared:** 05/21/92 sb  
**Endorsement No.:** 1  

**Issued by:**
- The Home Insurance Company (checked)
- City Insurance Company (unchecked)
- The Home Indemnity Company (unchecked)
- The Home Insurance Company of Indiana (unchecked)

**Policy Number:** HXL-F 86 48 37  
**Certificate Number:**  
**Named Insured:** International Business Machine Corp.

**Producer:** Johnson & Higgins of New York Inc.  
**Producer No - OPC:** 50138-081

**Policy Period:**
- **Inception (Month-Day-Year):** 05-21-92  
- **Expiration (Month-Day-Year):** 05-21-93  
- **Effective Date and Time of Endorsement:** 05-21-92

It is agreed that this policy is hereby amended as indicated. All other terms and conditions of this policy remain unchanged.

**Item 2 - Policy Period**

- United States: 96.84% or $48,420.
- Canada: 3.16% or $1,580.

**Payable in United States Currency**

**Signature of Authorized Representative:**

**H22300 F (ST) 11/81**  
**The Home Insurance Companies**