# Commercial Excess Liability Declarations

**QBE Insurance Corporation**

**Wall Street Plaza**
88 Pine Street
New York, New York 10005

## ITEM1

| POLICY NUMBER | POLICY PERIOD | COVERAGE IS PROVIDED IN THE |
|---------------|---------------|------------------------------|
| CCU3967489    | From: May 21, 2012 To: May 21, 2013 | QBE Insurance Corporation |

| NAMED INSURED AND ADDRESS | AGENT OR BROKER |
|---------------------------|-----------------|
| International Business Machines Corporation<br>One New Orchard Road, Mail Drop 109<br>Armonk, NY 10504 | Aon Risk Solutions<br>199 Water Street<br>New York, NY 10038 |

**POLICY PERIOD:** The policy period will begin and end at 12:01 AM standard time at the address of the first named insured.

**THIS POLICY CONSISTS OF THESE DECLARATIONS, THE COMMERCIAL EXCESS LIABILITY COVERAGE FORM, AND ANY ENDORSEMENTS INDICATED AS APPLICABLE IN THESE DECLARATIONS.**

## ITEM2

### A. LIMITS OF INSURANCE:
- EACH OCCURRENCE LIMIT: $25,000,000
- GENERAL AGGREGATE LIMIT: $25,000,000
- PRODUCTS AND COMPLETED OPERATIONS AGGREGATE LIMIT: $25,000,000

### QUOTA SHARE PART OF:
- EACH OCCURRENCE LIMIT: $50,000,000
- GENERAL AGGREGATE LIMIT: $50,000,000
- PRODUCTS AND COMPLETED OPERATIONS AGGREGATE LIMIT: $50,000,000

### B. LIMITS OF UNDERLYING INSURANCE:
- EACH OCCURRENCE LIMIT: $400,000,000
- GENERAL AGGREGATE LIMIT: $400,000,000
- PRODUCTS AND COMPLETED OPERATIONS AGGREGATE LIMIT: $400,000,000

## ITEM3

- COMMERCIAL EXCESS LIABILITY PREMIUM: $69,125
- MINIMUM EARNED PREMIUM: Not Applicable

## NOTICE:
These policy forms and the applicable rates are exempt from the filing requirements of the New York State Insurance Department. However, such forms and rates must meet the minimum standards of the New York Insurance Law and Regulations.

**NYFTZ Class Code:** 2-13000  
**XS 70 05 09 11**  
**Date of Issuance:** 05-31-2012