# Excess Liability Policy Declarations

## Basis: Occurrence

### (ITEM 1) NAMED INSURED & MAILING ADDRESS
- **INTERNATIONAL BUSINESS MACHINES CORPORATION**
  - **MAIL DROP 109**
  - **ARMONK, NY 10504-1722**
  - **(212) 441-1000**

### (AGENT MAILING ADDRESS & PHONE NO.)
- **AON RISK SERVICES NORTHEAST, INC**
  - **199 WATER ST FL 32**
  - **NEW YORK, NY 10038-3526**

### Named Insured Is:
- **CORPORATION**

### Named Insured Business Is:
- **COMPUTER PROD & SERVICES**

### (ITEM 2) POLICY PERIOD
- From 05/21/2012 TO 05/21/2013 12:01 AM Standard Time at Insured Mailing Location

### (ITEM 3) PREMIUM CHARGES

| Explanation of Charges | DESCRIPTION | PREMIUM |
|------------------------|-------------|---------|
| Excess Liability        |             | $97,011.00 |
| Certified Acts of Terrorism Coverage | $961.00 | (Included) |
| Total Advance Charges   |             | $97,011.00 |
| Note: This is not a bill |

### BASIS OF PREMIUM:
- NON-AUDITABLE (X)

### (ITEM 4) LIMITS OF INSURANCE

| DESCRIPTION | LIMIT |
|-------------|-------|
| EACH OCCURRENCE | $25,000,000 |
| AGGREGATE (WHERE APPLICABLE) | $25,000,000 |

**THESE LIMITS OF INSURANCE APPLY IN EXCESS OF THE UNDERLYING LIMITS OF INSURANCE INDICATED IN (ITEM 5) OF THE DECLARATIONS.**

### Servicing Office and Issue Date
- **Liberty Agency Underwriters - NY**
- **05/09/2012**

### Authorized Representative

## To report a claim, call your Agent or send info to Fax: 1-(800)293-4269 or email: 'umbrellaexcessclaims@libertyau.com'

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