**AMERICAN RE-INSURANCE COMPANY**

(HEREINAFTER CALLED THE COMPANY)
99 JOHN STREET
NEW YORK, N.Y 10038

**Johnson & Higgins**
95 Wall Street
New York, New York 10005

**ATTENTION:** Mr. R. Michel

**Interstate Business Machines Corp.**
(HEREINAFTER CALLED THE INSURED)

80975
M-7117-0002
7 1 70
6
FROM: 7 1 70 TO: 7 1 73
$ NIL
CERTIFICATE NUMBER EFFECTIVE DATE OF ENDORSEMENT
REINSURANCE CERTIFICATE PERIOD
ADDITIONAL RETURN PREMIUM (-) CHANGE IN FUTURE INSTALLMENTS
N1
INCREASE OR DECREASE (-)
N1
DATE OF NEXT INSTALLMENT

IT IS AGREED that the Canadian Premium for this Certificate is $513.60 which will be paid in Canadian funds.

It is further agreed that as respects such Canadian Premium the broker of record is:

Johnson & Higgins, Willis Farber Ltd.
Plaza Victoria, Montreal, Quebec

Except as provided above the terms and conditions of the aforesaid Endorsement remain unchanged.

IN WITNESS WHEREOF the American Re-Insurance Company has caused its Endorsement to be signed by its duly authorized representative in the Company.

**R.G. Linn**
VICE PRESIDENT

**Mary Bingham**
SECRETARY

AMERICAN RE-INSURANCE COMPANY

**August 28, 1970**

Printed in U.S.A.