# Liberty Mutual Insurance Excess Liability Policy Declarations

## Coverage Provided by:
The Ohio Casualty Insurance Company

## Policy Number:
ECO (16) 54 08 82 46

## Basis of Occurrence

### Item 1: Named Insured & Mailing Address
- **International Business Machines Corporation**
  - **Mail Drop:** 109
  - **Address:** 1 New Orchard Rd, Armonk, NY 10504-1722

### Item 2: Agent Mailing Address & Phone No.
- **AON Risk Services Northeast, Inc.**
  - **Address:** 199 Water St, New York, NY 10038-3526
  - **Phone:** (212) 441-1000

### Item 3: Policy Period
- **From:** 05/21/2015
- **To:** 05/21/2016 12:01 AM Standard Time at Insured Mailing Location

### Item 4: Premium Charges
- **Excess Liability:** $87,491.00
- **Certified Acts of Terrorism Coverage:** Included ($866.00)
- **Total Advance Charges:** $87,491.00
- **Basis of Premium:** Non-Auditable (X)

### Item 5: Limits of Insurance
- **Each Occurrence:** $25,000,000
- **Aggregate (Where Applicable):** $25,000,000

## Notes:
- This is not a bill.

## Servicing Office and Issue Date
- **New York - Metro Regional Office**
- **Issue Date:** 05/08/15

## Authorized Representative

## Contact Information
- **To report a claim:** Call your Agent or 1-800-362-0000

## Document Details
- **Document ID:** DS 70 22 01 08
- **Policy Number:** 54088246
- **Page:** 9 of 32