# NOTICE OF ELECTION

**Insured's Name:** INTERNATIONAL BUSINESS MACHINES CORPORATION  
**Insured's Address:** One New Orchard Road, Armonk, New York 10504

## A) SCHEDULE OF POLICIES

| Line of Business | Policy Number | Effective Date | Expiration Date | Issuing Company |
|------------------|---------------|---------------|----------------|-----------------|
| Automobile Liability | ISA H09042854 | 05/21/2016 | 05/21/2017 | ACE American Insurance Company |
| General Liability | HDO G27852105 | 05/21/2016 | 05/21/2017 | ACE American Insurance Company |
| General Liability (Canada) | CGL 325142 | 05/21/2016 | 05/21/2017 | ACE INA Insurance |

* And any other protective liability policies we issue at your request. We will prepare a final listing of all such policies and send you a copy of the list.

INTERNAT_05212016  
05/16/2016  
Notice of Election Page 1 of 17