# Forms Schedule

**EFFECTIVE DATE:** 05/21/96

**NAMED INSURED:** INTERNATIONAL BUSINESS MACHINES CORPORATION

**POLICY NO:** 017-90-97

| **IL00171185** | **COMMON POLICY CONDITIONS** |
|----------------|-------------------------------|
| **IL0031185**   | **COMM GENERAL LIAB COV FORM** |
| **CG00011093**  | **COMM GENERAL LIAB COV FORM** |
| **S45724093**    | **RADIOACTIVE MATTER EXCL.**   |
| **CG2171093**    | **EMPL. RELATED PRACTICES EXCL.** |
| **IL02680985**   | **NEW YORK CHANGES-CANC/NONRENEW** |
| **CG01631093**   | **NY CHANGES-AMENDATORY ENDT**  |
| **CG28211091**   | **NY CHANGES-TRANS OF DUTIES**  |
| **CG28240892**   | **LEGAL ACTION AGAINST US**    |
| **CG01041093**   | **NEW YORK CHANGES-PREMIUM AUDIT** |
| **CG02121185**   | **CANCELLATION BY**            |
| **CG22011093**   | **PROJ. LIAB EXCL-COMPUTER SOFTWARE** |
| **IL00211185**   | **NUCLEAR ENERGY LIAB EXCL (BROAD** |
| **CG20101185**   | **OWNERS, LESSEES, CONT (FORM B)** |
| **CG20211185**   | **VOLUNTEERS**                 |
| **CG20151185**   | **VENDORS**                    |
| **CG20111185**   | **MANAGERS OR LESSORS OF PREMISES** |
| **CG20261185**   | **DESIG PERSON/ORG (LOCATION)** |
| **CG20281185**   | **LESSOR OF LEASED EQUIPMENT**  |