# Non-Premium Endorsement

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

**Policy Number:** HXL-F 26 94 41
**Certificate Number:** 
**Named Insured:** International Business Machine Corp.
**Producer:** Johnson & Higgins
**Producer No.:** OPC 50138-081

**Policy Period:**
- Inception (Month-Day-Year): 05-21-91
- Expiration (Month-Day-Year): 05-21-92
- Effective Date and Time of Endorsement: 05-21-91

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: 96.60% or $60,375.00
- Canada: 3.40% or $2,125.00

Payable in United States Currency

**Signature of Authorized Representative**

**H22300 F (ST) 11/81**
**The Home Insurance Companies**
**INSURED COPY**