# GENERAL CHANGE ENDORSEMENT

This endorsement forms a part of and is for attachment to the following designated policy:

- **Affiliated FM Insurance Company**
  - **Policy No:** [Policy Number]
  - **Issued To:** [Insured Party]
  - **Effective Date of This Endorsement:** [Date]

**Completes Binder No.:** [Binder Number]  
**Endorsement No.:** 1  

**Authorized Representative:** [Name]

**All Terms and Conditions remain unchanged except:**

- Additional premium due now $ [Amount]
- Return premium due now $ [Amount]
- Premium subject to audit

It is agreed that the Named Insured is completed to read as follows:

International Business Machines Corporation, I.B.M., World Trade Corporation and any other Subsidiary or Affiliated Corporation provided such other Subsidiary or Affiliated Corporation warrants that it is under the same operative and financial control through the identify of its officers, directors or stockholders and any Employee Associations thereof.

It is also agreed that the Joint Venture known as 425 Market Street Associates is also included but only as respects the interest of International Business Machines Corporation.