# Berkshire Hathaway Specialty Insurance

## U.S. Short Excess Form
**Binder of Insurance**

**Date:** 05/13/2019
**Broker To:** Aon
**Address:** 165 Broadway, New York, NY 10006

**Company Underwriter From:** Stefano Cassar
**Address:** Berkshire Hathaway Specialty Insurance, 85 Broad Street, 7th Floor, New York, NY 10004
**Email:** stefano.cassar@bhspecialty.com

**Named Insured:**
- **International Business Machines Corp.**
- **Mailing Address:** 1 New Orchard Rd, Armonk, NY 10504

**Policy Period:**
- **Effective From:** 05/21/2019 to 05/21/2020
- **Form Number:** FF-XS-USF-POL-05/2018

### a. FOLLOWED POLICY:
- **Policy Number:** XOO G27983212 004
- **Insurer:** ACE Property & Casualty Insurance Co
- **Type of Insurance:** Excess Liability
- **Policy Period:** From: 05/21/2019 To: 05/21/2020
- **Limit of Liability:** $50,000,000

### b. UNDERLYING POLICY(IES):
- As per Endorsement - Schedule of Excess Policy(ies)
- Section II – Schedule of Underlying Policy(ies)

### c. QUOTA SHARE POLICY(IES):
- As per Endorsement - Schedule of Excess Policy(ies)
- Section II – Schedule of Underlying Policy(ies)

### LIMITS OF LIABILITY (Insuring Agreement 2):
**NOTICE:** THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.

Class Code 2 2-13000

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