# ZurichAmerican

## Endorsement

| Policy No. | Eff. Date of Pol. | Exp. Date of Pol. | Eff. Date of End | Agency No. | Add'l Premium | Return Premium |
|-----------|------------------|------------------|-----------------|------------|---------------|----------------|
| 32-78-678-04 | 5/21/84 | 5/21/89 | 5/21/88 | 50-515-810 | $ | $ |

**Named Insured:** INTERNATIONAL BUSINESS MACHINES CORP., ETAL  
**Address (including Zip Code):** ARMONK, NEW YORK 10504

This endorsement is issued by the company designated in the Declarations which is the insurer under the above numbered policy 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.

This endorsement changes such insurance as is afforded by provisions of the policy relating to the following:

**COMPREHENSIVE GENERAL LIABILITY**

IT IS AGREED THAT THE MAXIMUM EXCESS LOSS PREMIUM, ESTIMATED AT $250,000 AT INCEPTION AND SUBJECT TO ADJUSTMENT AT AUDIT, IS DEVELOPED AT .0313 OF THE TOTAL STANDARD PREMIUM FOR ALL POLICIES SUBJECT TO THE RETROSPECTIVE RATING PLAN OUTLINED IN RETROSPECTIVE RATING AGREEMENT 66017-82 OR AT A RATE OF .0229 PER $1000 OF PAY-ROLL, WHICHEVER IS HIGHER. THE TOTAL STANDARD PREMIUM INCLUDED IN THE RETROSPECTIVE RATING PLAN AT THE INCEPTION OF COVERAGE IS ESTIMATED AT $6,000,000 AND IS DEVELOPED UNDER POLICIES 32-73-673-04, MA 34-29-755-04 AND TAP 34-29-543-03. THE TOTAL ESTIMATED HC PAYROLL AT INCEPTION IS $10,900,000,000.

Countersigned:  
Authorized Representative  
U-GL-113-A (7-81 ed)

MM 009762