# Liberty Agency Underwriters

## Coverage Is Provided In:
The Ohio Casualty Insurance Company

## RESULT OF CANCELLATION
- **Policy Number:** ECO (13) 54 08 82 46
- **Policy Period:** From 05/21/2012 To 05/21/2013 12:01 am Standard Time at Insured Mailing Location

## Named Insured & Mailing Address
- **International Business Machines Corporation**
  - **Mail Drop:** 109
  - **Address:** Armonk, NY 10504-1722
  - **Phone No.:** (212) 441-1000

## Agent Mailing Address & Phone No.
- **Aon Risk Services Northeast, Inc.**
  - **Address:** 199 Water St FL 32
  - **City:** New York
  - **State:** NY
  - **Zip Code:** 10038-3526
  - **Phone No.:** (212) 441-1000

## Cancellation Details
- **Effective Date:** 05/21/2012
- **Total Return Charges:** $97,011.00

## Reporting a Claim
- **Contact Information:**
  - **Fax:** 1-(800)293-4269
  - **Email:** umbrellaexcessclaims@libertyau.com

## Document Information
- **Servicing Office and Issue Date:** Liberty Agency Underwriters - NY
- **Issue Date:** 05/09/12
- **Document ID:** DS 70 25 01 08