**Document Title:**

This document appears to be an insurance endorsement form, specifically related to International Business Machine Corp. (IBM). The form includes details such as the named insured, policy dates, and additional terms regarding the coverage.

**Content:**

- **Date of Policy:** 1/1/76
- **Effective Date of Endorsement:** 1/1/78
- **Agency No.:** 50-515
- **Additional Premium:** $0
- **Return Premium:** $0

**Named Insured:**
International Business Machine Corp.

**Endorsement Details:**
This endorsement is issued by the company named below, which is the insurer under the policy designated above. It forms part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

**Additional Agreement:**
It is further agreed that Part-time doctors, nurses, and consultants on a retainer fee, hourly, or other financial arrangement basis shall be considered employees of IBM while engaged in on-site IBM directed professional activities.

**Signatures:**
The document is signed by Johnson & Higgins on June 21, 1978.

**Insurance Companies:**
- Zurich Insurance Company
- American Guarantee and Liability Insurance Company

**Note:**
The document seems to be a legal agreement between the insurer and the named insured, with specific terms regarding the coverage and the status of certain personnel.