**EFFECTED THROUGH**

**JOHNSON & HIGGINS**

Established 1845

**INSURANCE BROKERS - AVERAGE ADJUSTERS**

**EMPLOYEE BENEFIT PLAN CONSULTANTS**

CABLE ADDRESS "KEROGEN"

95 WALL ST., NEW YORK, N.Y. 10005
TEL. 701-7500 AREA CODE 212

**International Business Machines Corp.**
Att: Mr. Richard Faron, Ins. Dept.
Armonk, New York 10504

September 19, 1984

The following changes in the policies listed below are hereby bound

**EFFECTIVE:** 5/21/84

Cancel and rewrite Comprehensive General Liability Policy GA8067806 and Business Automobile Liability Policy BA8150781. New policies to be written under a Paid Loss Retro for the period 5/21/84 to 5/21/89. Components of the new Plan are:

SEE ATTACHED PAGE 2

**Name of Insured:** International Business Machines Corp., Etal

**Policy Numbers:** GA8067806 and BA8150781
5/21/82-85
5/21/82-85

**UNDERWRITERS:** Zurich Ins. Co.
Anita Di Giulio

Accepted by:
(Date) Sept 19, 1984
(Hour) 4:20
(A.M.) P.M.

Accepted by:
(Date)
(Hour)
(A.M.)
P.M.

jm
Richard T. Michel

**FORM No. 2640B-3**

**ENDORSEMENTS**

Page 1 of 2 Pages

MM 009661