# BOUND Chubb Global Casualty Program Proposal

**Proposal for:**

INTERNATIONAL BUSINESS MACHINES CORPORATION

**Producer:**

AON RISK SERVICES NORTHEAST INC

**Prepared by:**

Chubb Global Casualty
1133 Ave of the Americas
New York, NY 10036
William Overby
05/09/2023

**Effective Date:** 05/21/2023

The following is applicable to any policy other than a Workers Compensation and Employers Liability contained in the attached proposal. These policies will also be issued with this notice.

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

**Class 2**
**Class Code 2-14057**

**NYFTZ Policy Information**

| Class 2 | ISA H25579070 |
|---------|---------------|
| Class Code 2-14057 | HDO G7296360A |