# Wisconsin Underinsured Vehicle Coverage Policy Disclosure Statement

**Policy Number:** G24895944  
**Policy Effective Date:** 05/21/2009  

**Company:** ACE Property And Casualty Insurance Company  
**Producer:** AON RISK SERVICES NORTHEASTINC  

**Applicant/Named Insured:** International Business Machines Corporation  

- [X] Underinsured motorist coverage may not be purchased under this policy.
- [] Underinsured motorist coverage may be purchased under this policy. You should contact us or your agent if you have any questions regarding underinsured motorist coverage and your options with respect to this coverage.

**IL N 151 08 07**  
**CLASS CODE 2-13000**  
**© ISO Properties, Inc., 2007**  
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**NOTICE: THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK STATE INSURANCE DEPARTMENT, HOWEVER SUCH FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.**