# Berkshire Hathaway Specialty Insurance

## U.S. Short Excess Form
Binder of Insurance

**Date:** 04/21/2021
**Broker To:** Aon Risk Services Northeast, Inc.
One Liberty Plaza, 165 Broadway, Suite 3201
New York, NY 10006

**Company Underwriter From:** Stefano Cassar
Berkshire Hathaway Specialty Insurance
85 Broad Street, 7th Floor
New York, NY 10004
stefano.cassar@bhspecialty.com

**Named Insured:**
International Business Machines Corp.

**Mailing Address:**
One New Orchard Road Mail Drop 109
Armonk, NY 10504

**Policy Period:**
Effective From 05/21/2021 to 05/21/2022;
Both days at 12:01 am local standard time at the mailing address of the Named Insured.

**Form Number:** FF-XS-USF-POL-05/2018

### a. FOLLOWED POLICY:
- **Policy Number:** TBD
- **Insurer:** ACE Property & Casualty Insurance Co
- **Type of Insurance:** Excess Liability
- **Policy Period:** From: 05/21/2021 To: 05/21/2022
- **Limit of Liability:**

### b. UNDERLYING POLICY(IES):
As per Endorsement - Schedule of Excess Policy(ies)
Section II – Schedule of Underlying Policy(ies)

### c. QUOTA SHARE POLICY(IES):
As per Endorsement - Schedule of Excess Policy(ies)
Section II – Schedule of Underlying Policy(ies)

### LIMITS OF LIABILITY (Insuring Agreement 2):
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 Code 2 2-13000

Page 1 | FF-XS-USF-BNDR-06/2018