# CHANGE ENDORSEMENT

**TYPE OF COVERAGE:** ☑️ SUPERCOVER-UMBRELLA AND EXCESS LIABILITY
☐ CAPE - Commercial and Personal Excess

**ENDORSEMENT NO.:** 100002
**ENDORSEMENT TITLE:** AMEND SCHEDULE OF QUOTA SHARE INSURANCE

**IF THE FOLLOWING INFORMATION IS NOT COMPLETE, REFER TO THE APPROPRIATE DECLARATIONS.**

| INSURED | INTERNATIONAL BUSINESS MACHINES CORPORATION |
|---------|--------------------------------------------|
| POLICY NUMBER | 0-80 XOM 9521-3203 |
| PRODUCER | JOHNSON & HIGGINS |
| EFFECTIVE DATE | 5/21/94 |

**THE PREMIUM FOR THIS AMENDMENT IS INCLUDED IN THE PREMIUM SHOWN ON THE APPROPRIATE DECLARATIONS UNLESS A SPECIFIC AMOUNT IS SHOWN HERE:**

☐ ADDITIONAL PREMIUM $ _________
☐ RETURN PREMIUM $ _________

**AMENDMENT**

THE SCHEDULE OF OTHER QUOTA SHARE INSURANCE IS AMENDED AS RESPECTS TO THE POLICY AS FOLLOWS:

COMPANY: HOME INSURANCE COMPANY
POLICY NO: HXLC113692

COMPANY: TRANSAMERICA INSURANCE COMPANY
POLICY NO.: XLX 9151523

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.

8-29-94 IA

COUNTERSIGNATURE OF AUTHORIZED AGENT

STOCK NO. 175125—9-82