# Liberty Mutual Insurance

## Confirmation of Coverage

**May 15, 2024**

**Agency Name:** Aon Risk Services Northeast, Inc.
**Attention:** Tim Neumeyer
**Named Insured:** International Business Machines Corporation

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**NOTICE: THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK STATE INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.**

Thank you for placing coverage with **Commercial Insurance Excess Casualty**. Please accept this as confirmation of coverage for the above referenced account per the terms listed below. Your policy will be issued shortly.

As a reminder, we require a copy of the Lead Umbrella policy within 60 days of the policy effective date. Please forward upon receipt from the Lead Umbrella carrier.

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**Policy Number:** ECO(25)54088246  
**Effective Dates:** 5/21/2024 - 5/21/2025  
**Coverage Form:**  
- CE 85 00 08 18 - Excess Liability Short Form NY FTZ  
- CE 85 01 08 18 - Excess Liability Short Form Declarations NY FTZ  
- CE 85 02 08 18 - Schedule of Excess Policies NY FTZ  
- SNI 04 01 01 23 - Liberty Mutual Group California Privacy Notice  
- CNI 90 11 07 18 - Reporting a Commercial Claim 24 Hours a Day  
- CE 85 05 08 18 - Asbestos Exclusion NY FTZ  
- CE 85 08 08 18 - Economic or Trade Sanctions Condition NY FTZ  
- NP 73 12 02 20 - Terrorism Insurance Premium Disclosure and Opportunity to Reject  
- NP 74 44 09 06 - Treasury Dept OFAC Notice to Policyholders  
- NP 93 98 10 13 - Important Notice Your Action Required  
- MX 85 09 12 21 - Equal Terms As Quota Share Participants NY FTZ

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**Insuring Company:** The Ohio Casualty Insurance Company

Liberty Mutual Insurance member underwriting companies:
- American Fire and Casualty Company
- The Ohio Casualty Insurance Company

(Not all companies may be licensed in all states.)