# Liberty Agency Underwriters

## Coverage Is Provided In:
The Ohio Casualty Insurance Company

## RESULT OF CANCELLATION
- **Policy Number:** ECO (13) 54 08 82 46
- **Policy Period:** From 05/21/2012 To 05/21/2013 12:01 am Standard Time at Insured Mailing Location

## Named Insured & Mailing Address
- **International Business Machines Corporation**
- **Mail Drop 109**
- **Armonk, NY 10504-1722**

## Agent Mailing Address & Phone No.
- **AON Risk Services Northeast, Inc**
- **199 Water St FL 32**
- **New York, NY 10038-3526**
- **Phone:** (212) 441-1000

## A cancellation effective 05/21/2012 has been processed on this policy. This Cancellation results in a change in the charges as follows:

- **Return Premium:** $97,011.00
- **Total Return Charges:** $97,011.00

## Servicing Office and Issue Date
- **Liberty Agency Underwriters - NY**
- **05/09/12**

## 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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