# Commercial General Liability Declarations

**CHUBB**
ACE American Insurance Company
436 Walnut Street
Philadelphia PA

**POLICY NUMBER:** HDO G72490587
**EXPIRING POLICY NUMBER:** HDO G71445653
**RENEWAL**

## ITEM ONE

- **Named Insured:** International Business Machines Corporation
- **Address:** One New Orchard Road, Armonk NY 10504
- **Producer Number:** 384287
- **Producer Name:** AON RISK SERVICES NORTHEAST INC
- **Producer Address:** 1 LIBERTY PLAZA-REGUS, 165 BROADWAY 30TH FL, NEW YORK NY 10006

## Form of Business:
- [X] Corporation
- [ ] Limited Liability Company
- [ ] Other

- **Named Insured's business:** Electronic Computers, Software and Services

## Policy Period:
- Policy covers from 05/21/2021 to 05/21/2022 12:01 am standard time at the named insured's address stated above.

## Audit Period:
- None, unless otherwise stated:
  - [ ] Semi-Annual
  - [ ] Quarterly
  - [ ] _
  
## Total Advance Premium (including surcharges):
- $76,506.00
- Refer to Surcharge Endorsement for surcharge amounts and rates. (Does Not Apply in Puerto Rico)

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**LD-25211 (10/08)**
Copyright, Insurance Services Office, Inc. 2000
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