# Excess Liability Short Form Declarations

## Item 1. a.
**Named Insured:** INTERNATIONAL BUSINESS MACHINES CORPORATION

## b. Address of Named Insured:
MAIL DROP 109  
1 NEW ORCHARD RD  
ARMONK, NY 10504

## Item 2. Policy Period:
- From: 05/21/2022 at 12:01 a.m. Standard Time at the address of the Named Insured.
- To: 05/21/2023 at 12:01 a.m. Standard Time at the address of the Named Insured.

## Item 3. a. Followed Policy:
- **Insurer:** ACE Property and Casualty Insurance Company
- **Policy Number:** XEU G27983212 007
- **Coverage:** Lead Umbrella
- **Policy Period:** From: 05/21/2022 To: 05/21/2023
- **Limits of Liability:** 
  - Each Occurrence: $25,000,000
  - Aggregate, where Applicable: $25,000,000

## b. Underlying Policy(ies)
As per Endorsement No. 1 Schedule of Excess Policy(ies) Section II – Schedule of Underlying Policy(ies)

## c. Quota Share Policy(ies)
As per Endorsement No. 1 Schedule of Excess Policy(ies) Section I – Schedule of Quota Share Policy(ies)

## Item 4. Limits of Liability (Insuring Agreements 2. Limits of Liability)
a) USD $25,000,000 each Occurrence
b) USD $25,000,000 Aggregate, where Applicable

## Item 5. Underlying Limits (Insuring Agreements 2. Limits of Liability)
a) USD $25,000,000 each Occurrence
b) USD $25,000,000 Aggregate, where Applicable

Which in turn is excess of various insurances and/or retentions as more fully set forth in the Followed Policy

**Policy Number:** ECO (23) 54088246

**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.

**CE 85 01 08 18**
© 2018 Liberty Mutual Insurance
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