**Endorsement No. 1**

**Named Insured**

- **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**

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**On account of the foregoing, the additional premium is $ , the return premium is $**

This endorsement shall not be binding upon the company unless countersigned by a duly authorized representative of the company.

This endorsement forms a part of the designated policy and applies, unless otherwise stated herein, as of the effective time and date of such policy.

Policy No. L1.21.75.13 Issued to

**BY:**

(Insert Name of Company)

**Effective:** (Date) 19 at (Hour and Minute) M.

COUNTERSIGNED BY: (Signature)

AUTHORIZED REPRESENTATIVE

BRANCH OFFICE: AGENT OR [ADDRESS]

GENERAL AGENT: BROKER