# THE CHUBB COMMERCIAL EXCESS

## Schedule of Forms

| Policy Period | MAY 21, 1997 to MAY 21, 1998 |
|---------------|--------------------------------|
| Effective Date | May 21, 1997                   |
| Policy Number | (98) 7966-56-84 CAS            |
| Insured       | INTERNATIONAL BUSINESS MACHINES CORP., ETAL (AS PER CONTROLLING U/L INSURANCE) |
| Name of Company | VIGILANT INSURANCE COMPANY     |
| Date Issued   | June 5, 1997                   |

## Form number

As of the effective date printed above, this is the Schedule of Forms applicable to this policy:

| '92 EXCESS DECLARATIONS - VIGILANT INSURANCE | 07-02-0915 (09/92) |
|---------------------------------------------|-------------------|
| THE CHUBB COMMERCIAL EXCESS - NEW YORK      | 07-02-1022 (05/94) |
| POLLUTION EXCLUSION - HOSTILE FIRE          | 07-02-0931 (06/94) |
| LIMITS OF INSURANCE AMENDMENT               | 07-02-0917 (09/92) |
| MANUSCRIPT ENDORSEMENT                      | 99-02-02 (09/92)  |

Form 07-02-0975 (Rev. 5/95) Schedule of Forms
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