**ZURICH-AMERICAN INSURANCE GROUP**
231 N. MARTINGALE ROAD
SCHAUMBURG, IL 60196

**POLICY NUMBER:** 07 74 678-05
**POLICY PERIOD FROM:** 5-24-87
**POLICY PERIOD TO:** 5-23-88
**INSURANCE COMPANY:** ZURICH T-SUR-NICE

**THE INSURED/MAILING ADDRESS:**
INTERNATIONAL BUSINESS MACHINES CORP.
ETAR
ARLINGTON HILLS, IL 60504

**PRODUCER:** JOHNSON & HIGGINS
**PRODUCER #:** 30-11-3-4-6
**STATE:** 3034

**ST. CODE:** VRS
**CLASSIFICATION:** COMPOSITE RATED
**EXPOSURE:** PATROLL
**RATE:** 8%
**PREMIUM:** $119,725

**MAXIMUM EXCESS:** 100% PREMIUM
**RISK:** 104519, A E LINES, 689,725
**PAYMENT:** 6/2/88
**RISK:** 104520 X
**PAYMENT:** 6/19/88 STANDARD PREMIUM + 100% AND 100%

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119,725
**DEPOSIT PREMIUM:** $119,725
**ADDITIONAL DUE COMPANY:** $0
**REFUND DUE INSURED:** $0

**DATE:** 6/27/88
**SIGNATURE:** JOHNSON & HIGGINS
**CHECKED BY:** [Signature]
**DATE:** 7/27/88

**TOTAL EARNED PREMIUM:** $119