# CANCELLATION FOR NON-PAYMENT OF PREMIUM

IT IS AGREED THAT IRRESPECTIVE OF ANY OTHER TERMS OR CONDITIONS IN THIS POLICY OR ENDORSEMENTS ATTACHED THERETO, THIS POLICY MAY BE CANCELLED BY THE COMPANY, OR BY BACCALA & SHOOP, INC., IN THEIR BEHALF, FOR NON-PAYMENT OF ANY UNPAID PORTION OF THE PREMIUM BY DELIVERING TO THE INSURED OR BY SENDING TO THE INSURED, BY MAIL, REGISTERED OR UNREGISTERED, AT THE INSURED'S ADDRESS AS SHOWN HEREIN, NOT LESS THAN TEN DAYS WRITTEN NOTICE STATING WHEN THE CANCELLATION SHALL BE EFFECTIVE.

**EFFECTIVE DATE OF THIS ENDORSEMENT:** MAY 21, 1980
**AT:** NEW YORK, NEW YORK
**ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED.**
**HIS ENDORSEMENT IS ATTACHED TO AND MADE A PART OF:** POLICY # MLP 10 13 62

**ISSUED TO:** INTERNATIONAL BUSINESS MACHINES CORPORATION, ETAL
**ROKER/AGENT:** JOHNSON & HIGGINS
**ADDRESS:** 95 WALL STREET
**NEW YORK, NEW YORK 10005**

**DATE OF ISSUE:** 4/29/80
**BY:** cp
**END. NO:** 3
**BY:** Jack Shoop