# Zurich-American Insurance Companies

## Remittance Address Change Notice

**PLEASE NOTE CHANGE IN REMITTANCE ADDRESS**

**MANHATTAN SPECIAL RISK REGION**
44 WALL STREET
NEW YORK, NY, 10005
(212) 635-9150

**REMIT TO: ZURICH AMERICAN INS. CO.**
P.O. BOX 95520
CHICAGO, IL 60693

**MAY 29 1987**

**ATTN:** DICK MICHEL
**50-515-810**

| Policy No. | Date | Name of Insured | Kind | Amount | Commission | Net |
|------------|------|-----------------|------|--------|------------|------|
| CGL32-78-678-03 | 5/30/87 | I.B.M. CORP. | GL S) | 59,381 | 40.2% | 35,509.84 |
|             |       | MAX. EXC. | E)   | 41,674 | 0%    | 41,674.00 |
| BAP32-78-679-03 | 5/30/87 | AL S) | 10,099 | 40.2% | 6,039.20 |
| MA 34-29-706-03 | 5/30/87 | AL S) | 129 | 40.2% | 77.14 |
| GA 34-29-543-02 | 5/30/87 | AL S) | 11,385 | 40.2% | 6,808.23 |

**PAYMENT DUE UPON RECEIPT**

**S2:10088-B**

**MM 009849**