This endorsement, effective [date], forms part of Policy No. E16-8134-009.

**EFFECTIVE FROM INCEPTION DATE OF POLICY**

Issued to [insured party]

By the insurance company indicated below by an "X".

- THE EMPLOYERS' LIABILITY INSURANCE COMPANY OF AMERICA (X)
- COMMERCIAL UNION INSURANCE COMPANY OF AMERICA
- AMERICAN EMPLOYERS' INSURANCE COMPANY
- THE NORTHERN ASSURANCE COMPANY OF AMERICA
- THE PENNSYLVANIA INSURANCE COMPANY

It is agreed that Item 1, Insured, shall read as follows:

International Business Machines Corporation,
I.B.M., World Trade Corp., The Service Bureau Corp.
and any other subsidiary or affiliated corporation
of each provided such other subsidiary or affiliated
Corporation warrants that it is under the same
operative and financial control through the identity
of its officers, directors or stockholders.

Countersigned: [Authorized Representative]
End. #1

G8010-3 Part 1