# Document

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.

## Additional Insured

IT IS AGREED THAT THE FOLLOWING IS ADDED AS AN ADDITIONAL INSURED:

- COUNTY OF MONMOUTH
- STATE OF NEW JERSEY HALL OF RECORDS
- FREEHOLD, N.J., 07728

IT IS FURTHER AGREED THAT THE INSURANCE AFFORDED BY THE POLICY APPLIES AS RESPECTS THE ADDITIONAL INTEREST OF THE COUNTY OF MONMOUTH INCLUDING ALL ELECTED OR APPOINTED OFFICIALS AND/OR OFFICERS AND EMPLOYEES AND/OR VOLUNTEER WORKERS AND/OR MEMBERS OF BOARDS AND COMMISSIONS AS ARE CREATED, CONSTITUTED OR RECONSTITUTED BY CHARTER, STATUTE OR ORDINANCE WHILE ACTING WITHIN THE SCOPE OF THEIR DUTIES AS SUCH, SOLELY WITH RESPECT TO THE AGREEMENT BETWEEN IBM AND THE COUNTY OF MONMOUTH FOR RENTAL OF DP EQUIPMENT.

## Insurance Company

CASUALTY DEPT.
JOHNSON & HIGGINS
DRM/TME/8-21-81

ZURICH INSURANCE COMPANY
AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY

## Signatures

Countersigned: [Signature]
Authorized Agent: [Signature]

U-GU-116-Q REV. 11-78