**POLICY NO:** 8826230  
**EFF. DATE OF POL:** 1-1-76  
**SPF DATE OF END:** 1-1-76  
**AGENCY NO.:**  
**ADD'L PREMIUM:** $  
**RETURN PREMIUM:** $  

**Named Insured**

This endorsement is issued by that company named below which is the insurer under the policy designated above and forms a part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

**WHEN USED AS A PREMIUM BASIS:**

THE WORD "RECEIPTS" MEAN THE GROSS AMOUNT OF MONEY CHARGED BY THE NAMED INSURED FOR SUCH OPERATIONS BY THE NAMED INSURED OR BY OTHERS DURING THE ENDORSEMENT PERIOD AS ARE RATED ON A RECEIPTS BASIS OTHER THAN RECEIPTS FROM TELECASTING, BROADCASTING ON MOTION PICTURES, AND INCLUDES TAXES OTHER THAN TAXES WHICH THE NAMED INSURED COLLECTS AS A SEPARATE ITEM AND REMITS DIRECTLY TO A GOVERNMENTAL DIVISION.

THE NAMED INSURED SHALL MAINTAIN RECORDS OF THE INFORMATION NECESSARY FOR PREMIUM COMPUTATION ON THE BASIS STATED IN THE DECLARATIONS, AND SHALL SEND COPIES OF SUCH RECORDS TO THE COMPANY AT THE END OF THE ENDORSEMENT PERIOD AND AT SUCH TIMES DURING THE ENDORSEMENT PERIOD AS THE COMPANY MAY DIRECT.

**2. INSPECTION AND AUDIT:** THE COMPANY SHALL BE PERMITTED TO INSPECT THE INSURED'S PREMISES, OPERATIONS AND TO EXAMINE AND AUDIT THE INSURED'S BOOKS AND RECORDS AT ANY TIME DURING THE ENDORSEMENT PERIOD AND ANY EXTENSION THEREOF AND WITHIN THREE YEARS AFTER THE FINAL TERMINATION OF THIS ENDORSEMENT, AS FAR AS THEY RELATE TO THE PREMIUM BASES OR THE SUBJECT MATTER OF THIS INSURANCE.

**IT IS FURTHER AGREED THAT THE ENDORSEMENT DOES NOT APPLY TO SERVICES PERFORMED BY THE NAMED INSURED FOR INTERNATIONAL BUSINESS MACHINES CORPORATION AND ANY OTHER SUBSIDIARY OR AFFILIATED CORPORATION PROVIDED SUCH OTHER SUBSIDIARY OR AFFILIATED CORPORATION WARRANTS THAT IT IS UNDER THE SAME OPERATIVE AND FINANCIAL CONTROL THROUGH THE IDENTITY OF ITS OFFICERS, DIRECTORS OR STOCKHOLDERS, AND ANY EMPLOYEE ASSOCIATIONS THEREOF.**

**IT IS FURTHER AGREED THAT THE DEFINITION OF "RECEIPTS" SHALL NOT INCLUDE "RECEIPTS" FOR SERVICES PERFORMED FOR THE AFOREMENTIONED CORPORATIONS.**

**ZURICH INSURANCE COMPANY**  
**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**  
**Authorized agent:**  
**Form 1046 REV. 1-75**