# CHUBB MAJOR ACCOUNTS EXCESS CASUALTY BINDER

**New York**
1133 Avenue of the Americas,
New York, NY 10036

**DATE:** 05/17/2018
**TO:** Jim Mahoney
AON RISK SERVICES NORTHEAST INC
199 WATER STREET, NEW YORK, New York 10038

**PRODUCER E-MAIL:** jim.mahoney@aon.com
**NAMED INSURED:** International Business Machines Corporation
**ADDRESS:** One New Orchard Road, (Mail Drop 109), Armonk, New York, 10504
**INCEPTION DATE:** 05/21/2018
**EXPIRATION DATE:** 05/21/2019
**ISSUING COMPANY:** ACE Property and Casualty Insurance Company
**POLICY SYMBOL AND NUMBER:** XOO G27983212 003
**POLICY TYPE:** Lead Umbrella - Occurrence
**FORM TYPE:** XS-29461 (04/10)
**Claims-Made Retro Date (if applicable):** N/A
**POLICY LIMITS:**
- $50,000,000 Each Occurrence
- $50,000,000 General Aggregate
- $50,000,000 Products Completed Operations Aggregate
**SELF INSURED RETENTION:** N/A
**PREMIUM:** $900,049
The premium in this quote includes commission in an amount equal to 0% of such premium.
**includes TRIA coverage cost:** $42,859
**State surcharge cost:** $0
(in addition to premium)
**ADJUSTMENT:** Flat
**COMMISSION:** 0%

## Foreign Local Policies

| Canadian Policy: | $9,951 | Premium NOT INCLUDED in the above policy premium. ADDITIONAL fees & charges shown below. |
|------------------|--------|-------------------------------------------------------------|
|                  | $1,699 | ADDITIONAL Local fees & charges for policy issuance. |
|                  | $11,650 | TOTAL of Premium, Fees & Charges. Amounts do not include separate Insured Payable Taxes. |

**TOTAL PREMIUM:** $910,000
This amount does not include additional local fees & charges, and separate Insured Payable Taxes.

**TOTAL AMOUNT BILLED: Including designated local fees & charges** $911,699
These amounts do not include the separate Insured Payable Taxes.

**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 - 13000

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