# Invoice

**Producer:**
- **Name:** Aon Risk Services Northeast, Inc - New York
- **Address:** 1 Liberty Plaza, 165 Broadway, Suite 3201, New York, NY 10006
- **Email:** info@aon.com

**Insured:**
- **Name:** International Business Machines Corporation
- **Address:** One New Orchard Road, Mail Drop 109, Armonk, NY 10504

**Policy Number:** EXNA2410000645-01
**Policy Type:** Excess Casualty National Accounts
**Policy Period:** 05/21/2024 - 05/21/2025
**Transaction Type:** New
**Invoice Number:** 305113
**Effective Date:** 05/21/2024
**Due Date:** 06/20/2024
**Commission:** 0.00%

**Description:** Excess Casualty National Accounts
- **Gross Premium:** $108,500.00
- **Comm %:** 0.00%
- **Net Due:** $108,500.00
- **Total Amount Due:** $108,500.00

**Payment Instructions:**
- **Please include invoice # in your payment reference.**
- **For any questions, please email receivables@ascotgroup.com**

**We Accept Payment As Follows:**

| ACH or Wire Transfer | Lockbox |
|----------------------|---------|
| **Bank Name**        | Wells Fargo |
| **Account Name**     | Ascot Insurance Company |
| **Account Number**   | 4062522685 |
| **Wire/ACH ABA Number** | 121000248 |
| **Swift Number**     | WFBIUS6S |

**Phone Number:** 646-356-8101
**Invoice Date:** 05/16/2024
**Effective Date:** 05/21/2024
**Due Date:** 06/20/2024
**Total Amount Due:** $108,500.00