# Commercial Excess Liability Policy Declarations - New York

## Berkley National Insurance Company (A Stock Company)
- **Address:** 215 Shuman Boulevard, Suite 200, Naperville, IL 60563

## Policy Details
- **Policy Number:** CEX09600213-05
- **Renewal/Rewrite of:** CEX09600213-04

## Named Insured and Address
- **International Business Machines Corporation**
  - **Address:** One New Orchard Rd Maildrop 109, Armonk, NY 10504

## Producer's Name and Address
- **R-T Specialty, LLC**
  - **Address:** 1345 Avenue Of The Americas, 4th Floor, New York, NY 10019

## Policy Term
- **From:** 05-21-2018
- **To:** 05-21-2019
  - (12:01 a.m. Standard Time on both dates, at the address of the Named Insured noted above.)

## Consideration of Payment
- In consideration of the payment of premium, in reliance upon the statements herein or attached hereto, and subject to all of the terms of this policy, the company agrees with the Named Insured as follows:

## Premium
- **Deposit Premium:** $43,409.00
- **Minimum Annual Premium:** $43,409.00
- **Total:** $43,409.00

## Rating Basis
- (X) Non-Auditable

## Limits of Insurance
- **Each Occurrence:** $25,000,000
- **Aggregate Limit (Where Applicable):** $25,000,000
- **Each Occurrence:** $50,000,000
- **Aggregate Limit (Where Applicable):** $50,000,000

## Underlying Insurance
- See schedule of underlying policies.

## Forms and Endorsements
- Forms and endorsements applicable to all Coverage Forms and made part of this policy at time of issue are listed on the attached Forms and Endorsements Schedule.

## Issued Date and Office
- **Issued Date:** 5/16/2018
- **Issuing Office:** Los Angeles Office, Los Angeles, CA
- **Authorized Representative:** [Signature]

## Berkley National Insurance Company
- **CEX 0001-NY 1014**