# Non-Premium Endorsement

**Date Prepared:** 05/21/92
**Endorsement No.:** 1

**Issued by:**
- The Home Insurance Company (X)
- City Insurance Company
- The Home Indemnity Company
- The Home Insurance Company of Indiana

**Policy Number:** HXL-F 86 48 40
**Certificate Number:** 
**Named Insured:** International Business Machine Corp.

**Producer:** Johnson & Higgins of New York Inc.
**Producer No.:** OPC 50138-081

**Policy Period:**
- **Inception (Month-Day-Year):** 05-21-92
- **Expiration (Month-Day-Year):** 05-21-93
- **Effective Date and Time of Endorsement:** 05-21-92

It is agreed that this policy is hereby amended as indicated. All other terms and conditions of this policy remain unchanged.

## Item 2 - Policy Period

- United States: 96.84% or $24,210.
- Canada: 3.16% or $790.

**Payable in United States Currency**

**Signature of Authorized Representative:**

**H22300 F (ST) 11/81**

**The Home Insurance Companies**
**INSURED COPY**