# Liberty Mutual Insurance Confirmation of Coverage

**May 27, 2020**

**Agency Name:** Aon Risk Services Northeast, Inc  
**Attention:** Tim Neumeyer and Derek Aurori  
**Named Insured:** International Business Machines Corporation

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**NOTICE: THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK STATE INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.**

Thank you for placing coverage with **Commercial Insurance Excess Casualty**. Please accept this as confirmation of coverage for the above referenced account per the terms listed below. Your policy will be issued shortly.

As a reminder, we require a copy of the Lead Umbrella policy within 60 days of the policy effective date. Please forward upon receipt from the Lead Umbrella carrier.

**Policy Number:** ECO(21)54088246  
**Effective Dates:** 5/21/2020 - 5/21/2021  
**Coverage Form:**  
- CE 85 00 08 18 - NYFTZ Excess Liability Short Form  
- CE 85 01 08 18 - NYFTZ Excess Liability Short Form Declarations  
- CE 85 06 08 18 - NYFTZ Cap on Losses from Certified Acts of Terrorism  
- NP 73 12 02 20 - Terrorism Insurance Premium Disclosure and Opportunity to Reject  
- NP 93 98 10 13 - Important Notice Your Action Required  
- CE 85 02 08 18 - Schedule of Excess Policy(ies)

**Insuring Company:** The Ohio Casualty Insurance Company  
**Commission:** 0%  
**Terms and Conditions:** Per Quote dated 5/6/2020  
**Minimum Retained:** N/A  
**Payment Terms:** Agency Bill  
**Limits:** $25,000,000 excess of $25,000,000 excess of primary  
**Premium:** $475,806 (TRIA* charge of $4,711 is included in this premium)  
**Subjectivity:** None

*Please note that all policies will be issued with Certified Acts of Terrorism (TRIA) coverage and upon receipt of the signed and completed rejection form will be removed by endorsement effective policy inception*

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Liberty Mutual Insurance member underwriting companies:
- American Fire and Casualty Company
- The Ohio Casualty Insurance Company

(Not all companies may be licensed in all states.)