# THE BERMUDA SHORTS FORM - 03 (03/14)

## RISK DETAILS / DECLARATIONS

**Item 1.**
- **a) Named Insured:** International Business Machines Corporation and as more fully set forth in the Followed Policy.
- **b) Address of Named Insured:** One New Orchard Road, Mail Drop 109, Armonk, NY 10504

**Item 2.**
- **Policy Period:**
  - From: May 21, 2019 at 12:01 am standard time at the address of the Named Insured.
  - To: May 21, 2020 at 12:01 am standard time at the address of the Named Insured.

**Item 3.**
- **Retroactive Date:** N/A

**Item 4.**
- **a) Followed Policy:**
  - **Company:** ACE Property and Casualty Insurance Company
  - **Policy Number:** XOO G27983212 004
  - **Coverage:** Lead Umbrella - Occurrence
  - **Binder Dated:** May 14, 2019
  - **Policy Period:**
    - From: May 21, 2019
    - To: May 21, 2020
  - **Limits of Liability:** USD 50,000,000
- **b) Underlying Policy(ies):** As per Endorsement No. 1 Schedule of Excess Policy(ies) Section I - Schedule of Underlying Policy(ies)
- **c) Quota-Share Policy(ies):** As per Endorsement No. 1 Schedule of Excess Policy(ies) Section II - Schedule of Quota-Share Policy(ies)

**Item 5.**
- **Limit of Liability: (Insuring Agreement 2):**
  - a) USD 50,000,000 each Occurrence, Claim or Loss
  - b) USD 50,000,000 Aggregate (where applicable)

**Item 6.**
- **Underlying Limits: (Insuring Agreement 2):**
  - a) USD 400,000,000 each Occurrence, Claim or Loss
  - b) USD 400,000,000 Aggregate (where applicable)

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

**Page 1 Declarations**