**Endorsement #31**

**Policy No.:** 88 26 230  
**Eff Date:** 1-1-76  
**Eff Date of End:** 1-1-78  
**Agency No.:** 50 515  
**Add'l Premium:** $  
**Return Premium:** $  

**Named Insured:** INTERNATIONAL BUSINESS MACHINE CORPORATION

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

**IT IS AGREED THAT ENDORSEMENT #3 IS AMENDED TO INCLUDE THE FOLLOWING WORDING:**

FOR THE PURPOSES OF THIS INSURANCE ONLY, PHYSICIANS AND NURSES EMPLOYED BY THE NAMED INSURED ON A FULL TIME BASIS SHALL BE CONSIDERED TO BE ACTING WITHIN THE SCOPE OF THEIR EMPLOYMENT WHILE SUCH PHYSICIANS OR NURSES ARE ENGAGED IN ACTIVITIES GENERALLY REFERRED TO AS "GOOD SAMARITAN"

**JOHNSON & HIGGINS**  
**TIME: 6-28-78**

**ZURICH INSURANCE COMPANY**
**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**

**[Signature]**