**The Atlantic Companies**

**Insurance Since 1853**

**Endorsement**

IT IS HEREBY UNDERSTOOD AND AGREED THAT THE PREMIUM BREAKDOWN IS AS FOLLOWS:

| U.S. | 171,395 | U.S. FUNDS |
| --- | --- | --- |
| CANADA | 6,105 | U.S. FUNDS |
| **177,500** |  |  |

All other terms and conditions of this insurance remain unchanged.

**John J. Haddadski**  
President

**C. Monford**  
Authorized Representative

IBM-ZRIND 00081