Johnson & Higgins

It is agreed that the policy premium is amended to read $4,838. in lieu of $4,826.

New Premium: $4,838.
Old Premium: $4,826.
Add'l Premium: $12.

This endorsement is a part of your policy and takes effect on the effective date of your policy, unless another effective date is shown below.

| ENDORSEMENT NO. | POLICY NO. | ISSUED TO | EFFECTIVE DATE OF CHANGE | ADDITIONAL OR | RETURN |
|-----------------|------------|-----------|-------------------------|---------------|--------|
| 12              | RDX 1785610 | International Business Machines Corp. | 5/21/80       | $12          |        |

| SUBSEQUENT ANNIVERSARY DATES | PREVIOUS INSTALLMENT | ADDITIONAL OR | RETURN | NEW INSTALLMENT |
|----------------------------|----------------------|---------------|--------|--------------|
| 2                          | $                    | $             | $      | $            |
| 3                          | $                    | $             | $      | $            |

INSURANCE FROM CNA
5/15/81 ec

G-41332 A

Countersigned by:
Authorized Agent