# Liberty Mutual Insurance

One Battery Park Plaza; 30th Floor, New York, NY 10004  
Phone: 212-719-8602 Email: Christine.Hykel@LibertyMutual.com

## Confirmation of Coverage

**April 28, 2021**

**Agency Name:** Aon New York  
**Attention:** Timothy Neumeyer  
**Named Insured:** International Business Machines Corporation

---

**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.

---

**Policy Number:** ECO(22)54088246  
**Effective Dates:** 5/21/2021 - 5/21/2022  
**Coverage Form:**  
- CE 85 00 08 18 - Excess Liability Short Form  
- CE 85 01 08 18 - Excess Liability Short Form Declarations  
- CE 85 02 08 18 - Schedule of Excess Policies  
- CE 85 06 08 18 - Cap on Losses from Certified Acts of Terrorism  
- NP 73 12 02 20 - Terrorism Insurance Premium Disclosure and Opportunity to Reject  
- NP 93 98 10 13 - Important Notice Your Action Required  
- SNI 04 01 01 20 - Liberty Mutual Group California Privacy Notice  

**Insuring Company:** The Ohio Casualty Insurance Company  
**Commission:** 0%  
**Terms and Conditions:** as quoted  
**Minimum Retained:** NA  
**Payment Terms:** Agency Bill  
**Limits:** $25,000,000 excess of $25,000,000 excess of primary  
**Premium:** $664,691 (TRIA * charge of $6,581 is included in this premium)

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.)