# EXCESS LIABILITY POLICY DECLARATIONS

| Policy Number: | CEX09600213-00 |
|---------------|----------------|
| Previous Policy No.: | N/A |

**Producer:** R-T Specialty-New York<br>
**Address:** 40 Fulton Street, 8th Floor<br>
New York, NY 10038

**Coverage:** Excess Liability (CX 00 01 04 13)<br>
**Issuing Company:** Berkley National Insurance Company (Admitted, Best Rated A+ XV)

**Named Insured:** International Business Machines Corporation<br>
**Address:** (Per Underlying Insurance) One New Orchard Road Mail Drop 109 Armonk, NY 10504

**Form of Business:** Corporation<br>
**Business Description:**

**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:**

**Policy Term:** May 21, 2013 to May 21, 2014 (12:01 a.m. Standard Time on both dates, at the address of the Named Insured noted above)

| Limits: | $25,000,000 Each Occurrence<br>$25,000,000 Aggregate Limit (where applicable)<br>$50,000,000 Part of<br>$50,000,000 Each Occurrence<br>$50,000,000 Aggregate Limit (where applicable) |
|---------|--------------------------------------------------|

**Premium:** $51,250 Deposit Premium<br>$ Minimum Annual Premium<br>$ New Jersey Surcharge<br>$ MVLE Fee<br>$51,250 Total Premium

**Rating Basis:** Auditable ☐ Non-Auditable ☑

**Underlying Insurance:** See schedule of controlling underlying policies.

**Applicable Forms:** See schedule of forms and endorsements, applicable to all Coverage Forms and made part of this policy at time of issue.

**THESE DECLARATIONS, TOGETHER WITH THE COMMON POLICY CONDITIONS AND COVERAGES FORM(S) AND ANY ENDORSEMENT(S), COMPLETE THE ABOVE NUMBERED POLICY.**

**Date:** 06/20/2013<br>
**Issuing Office:** Los Angeles, CA

**Authorized Representative**

Berkley National Insurance Company CEX0002 0413