# Allianz Global Corporate & Specialty

**Binder For:** International Business Machines Corporation

**Payment Plan:** Annual. Premium must be received by Allianz Global Risks US within 30 days of the Effective Date of this Policy.

**Commission:** 0.000%

**Notes:**

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

## Option for Certified Terrorism Coverage

The Federal Terrorism Risk Insurance Program has been reauthorized by the Terrorism Risk Insurance Program Reauthorization Act.

Please read the Policyholder Disclosure Notice of Terrorism Insurance Coverage attached to this Quotation. The insured must complete and sign this Notice.

### Important Note:
If Certified Terrorism Coverage is not purchased, the "Cap on Losses from Certified Acts of Terrorism" endorsement will be replaced with the "Exclusion of Certified Acts of Terrorism" endorsement.

The Notice must be returned to us upon binding of this Quotation. A faxed copy of the Notice is acceptable for binding. We will also accept an e-mail copy of the Notice (with an electronic signature) as long as the signature is that of the Named Insured. In all cases, however, the original Notice should be sent to us within 10 days of the policy inception date.

Please note Allianz Global Risks US Insurance Company cannot provide stand-alone coverage for Terrorism. Therefore, such offer is null and void if the remaining portion of the policy is not bound.

In the event of a claim - please report to:

- NewLoss@agcs.allianz.com
- 1-800-558-1606
- Allianz Global Corporate & Specialty
- Attn: FNOL Claims Unit
- One Progress Point Parkway, 2nd Floor
- O'Fallon, MO 63368

Please be advised that the Minimum Premium stated above does not include premium that may be charged if Terrorism coverage is added to the policy.

Thank you again for the order to bind. If you have any questions or need additional information, please do not hesitate to call.

With best regards,

Calista Allen  
Underwriting Specialist

**New York Office**
- 28 Liberty Street
- 37th Floor
- New York, New York 10005
- Phone: 646-472-1500
- Fax: (212) 524-9362

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