**PREMIUM DISCOUNT ENDORSEMENT - VIRGINIA**

**(General Liability Insurance)**

| POLICY NO. | EFFECTIVE DATE |
|------------|----------------|
| 8359700    | DEC. 31, 1962   |

**Named Insured:**
INTERNATIONAL BUSINESS MACHINES CORPORATION, ETAL

This endorsement is issued by that company named below which is the insurer under the policy designated above issued to the Named Insured and forms a part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

It is agreed that the premium pertaining to Virginia for General Liability and Medical Payments insurance is subject to discount in accordance with the following procedure:

1. **Virginia General Liability Standard Premium:** Such premium pertaining to Virginia computed in accordance with the provisions of the policies designated in paragraph 3 hereof, other than this endorsement and exclusive of the application of any retrospective rating plan, shall be known as the Virginia General Liability Standard Premium.

2. **Total Standard Premium for All States:** The General Liability and Medical Payments premium computed in accordance with the provisions of the policies designated in paragraph 3 hereof, other than this endorsement and exclusive of the application of any retrospective rating plan, any Automatic Premium Adjustment Endorsement, any Premium Return Plan Endorsement, or other Premium Discount Endorsement, shall be known as the Total Standard Premium.

3. **Policy Numbers** | **Estimated Standard Premium**
|-------------------|----------------------|
| 8359700           | 149,559.53           |

**Total** | **149,559.53** |

4. **Premium Discount - Virginia**
- (a) The initial premium discount percentage to be applied to Virginia General Liability Standard Premium is: **24.5%**
- The final premium discount percentage to be applied to Virginia General Liability Standard Premium shall be determined in accordance with paragraphs (b), (c) and (d) following.
- (b) For policy periods of one year or less — The Virginia General Liability Standard Premium shall be subject to the applicable discount percentages for the Total Standard Premium obtained from the Table of Virginia Premium Discounts (General Liability).

(Continued on reverse side)

**ZURICH INSURANCE COMPANY**
**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**

JOHNSON & HIGGINS
GS:AD

Countersigned:
Duly authorized agent by: [Signature]
ATTORNEY IN FACT

Form 4026-D (Va. General Liability) SM 7.59

100 copy

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Z 006837