# FORMS SCHEDULE

**EFFECTIVE DATE:** 05/21/98

**NAMED INSURED:** INTERNATIONAL BUSINESS MACHINE

**POLICY NO:** 113-59-83

## Common Policy Conditions and General Liability Coverage Form

| Code | Description |
|------|-------------|
| IL0017 (1185) | COMMON POLICY CONDITIONS |
| CG0001 (0196) | COMM GENERAL LIAB COV FORM |
| CG0104 (0497) | NEW YORK CHANGES-PREMIUM AUDIT |
| CG0153 (0196) | NY CHANGES-AMENDATORY ENDT |
| CG0212 (1185) | CANCELLATION BY US |
| CG0300 (0196) | DEDUCTIBLE LIABILITY INSURANCE |
| CG2147 (1093) | EMPL. RELATED PRACTICES EXCL. |
| CG2275 (1093) | PROF LIAB EXCL-COMPUTER SOFTWARE |
| CG2621 (1091) | NY CHANGES-TRANS OF DUTIES |
| CG2824 (0892) | LEGAL ACTION AGAINST US |
| IL0023 (0498) | NUCLEAR ENERGY LIAB EXCL (BROAD FORM) |
| IL0185 (0498) | CALCULATION OF PREMIUM |
| IL0268 (0395) | NEW YORK CHANGES-CANC/NONRENEW |
| S45782 (0587) | RADIOACTIVE MATTER EXCL |

## Additional Codes

- CG2010 (1185)
- CG2011 (0196)
- CG2015 (1188)
- CG2026 (1185)
- CG2028 (1185)