# Zurich-American Insurance Group Audit Adjustment of Premium

## Policy Information
- **Policy Number:** OGL 3278676-02
- **Policy Period:** 5-21-86 to 5-21-87
- **Insured/Mailing Address:** International Business Machines Corp., Armonk, NY 10504

## Insurance Company
- **Insurance Company:** Zurich Ins. Co.
- **Producer:** Johnson & Higgins

## Classification and Exposure
- **Classification:** General Liability
- **Exposure:** Composite Rated Per $1,000 of Payroll
- **Maximum Excess Loss Premium:** $1,500

## Rates and Premiums
- **Rate:** 0.025%
- **Premium:** $5,025,483

## Additional Details
- **Total Earned Premium:** $5,209,413
- **Deposit Premium:** $5,712,115
- **Additional Due Company:** $502,702
- **Refund Due Insured:** $0

## Agent Copy
- **Agent:** [Agent Name]
- **Date:** July 1987

## Reference
- **MM 009809**