# 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:** CEX09600213-03
- **Renewal/Rewrite of:** CEX09600213-02

## Named Insured and Address
- **IBM 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:** 05-21-2016
- **To:** 05-21-2017

## Premium
- **Deposit Premium:** $43,975.00
- **Minimum Annual Premium:** $43,975.00
- **Total:** $43,975.00

## Rating Basis
- **Auditable**

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

## Underlying Insurance
- See schedule of underlying policies.

## 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: 6/8/2016
- **Issuing Office:** Los Angeles Office, Los Angeles, CA
- **Authorized Representative:** [Signature]

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