# COMMON POLICY DECLARATIONS

**POLICY NO:** RM GL 612-27-08  
**RENEWAL OF:** 1135983  
**PRODUCER NO:** 08042  
**MEMBERS OF THE AMERICAN INTERNATIONAL GROUP INC EXECUTIVE OFFICES:** 70 PINE STREET NEW YORK, NY  
**J&H MARSH & MCLENNAN INC 1166 AVE OF THE AMERICAS NEW YORK NY 10036-2771**

**1. NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA**  
**2. AMERICAN HOME ASSURANCE COMPANY**  
**3. THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA**

**NAMED INSURED:** INTERNATIONAL BUSINESS MACHINE  
**MAILING ADDRESS:** NEW ORCHARD RD ARMONK NY 10504-0000

**POLICY PERIOD:** From 05/21/99 To 05/21/00 At 12:01 A.M. Standard Time at your mailing address shown above

**BUSINESS DESCRIPTION:** BUSINESS MACHINES

**IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.**

**THIS POLICY CONSISTS OF THE FOLLOWING COVERAGE PARTS FOR WHICH A PREMIUM IS INDICATED. THIS PREMIUM MAY BE SUBJECT TO ADJUSTMENT**

| Coverage Part | Premium |
|---------------|---------|
| Boiler and Machinery Coverage Part | $ NOT COVERED |
| Commercial Auto Coverage Part | $ NOT COVERED |
| Commercial Crime Coverage Part | $ NOT COVERED |
| Commercial General Liability Coverage Part | $ 50,000 |
| Commercial Inland Marine Coverage Part | $ NOT COVERED |
| Commercial Property Coverage Part | $ NOT COVERED |
| Farm Coverage Part | $ NOT COVERED |

**TOTAL:** $ 50,000

**Premium shown is payable:** $ 50,000 at inception.

**Forms applicable to all Coverage Parts:** SEE ATTACHED SCHEDULE. (Show numbers)

**COUNTERSIGNED:** BY (Date) (Authorized Signature)

In Witness Whereof, we have caused this policy to be executed and attested, and, if required by state law, this policy shall not be valid unless countersigned by our authorized representative.

**Elizabeth M. Tuck**  
Secretary  
National Union Fire Insurance Company of Pittsburgh, PA  
American Home Assurance Company  
The Insurance Company of The State Of Pennsylvania  

**Randy J. Hall**  
President  
American Home Assurance Company