# Berkshire Hathaway Specialty Insurance

## Forms Schedule

**Named Insured:** International Business Machines Corp.

**Policy No.:** 47-XSF-100238-10

| Form Number | Title |
|-------------|-------|
| FF-XS-USF-POL-05/2018 | U.S. Short Excess Policy |
| CLP-UN-016-07/2013 | Forms Schedule |
| FF-XS-USF-001-05/2018 | Schedule of Excess Policy(ies) |
| CL-UN-083-04/2020 | Act of Terrorism Self-Insured Retention Endorsement |
| FF-XS-041-07/2017 | Economic or Trade Sanctions Exclusion |
| NYP-UN-001-11/2013 | NYFTZ -Cancellation, Nonrenewal and Conditional Renewal (New York Free Trade Zone) |
| CL-UN-075-04/2020 | Cap on Losses From Certified Acts of Terrorism |

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