# Excess Insurance Policy

## Liberty Insurance Underwriters Inc.

**(A member of Liberty Mutual Group and hereinafter "the Company")**

**55 Water Street, 18th Floor, New York, NY 10041**

**Toll-free number: 1-800-677-9163**

## EXCESS FORMS AND ENDORSEMENTS SCHEDULE

| Effective Date: | 5/21/2008 |
|----------------|------------|
| Expiration Date: | 5/21/2009 |
| Policy Number: | LQ1B71078753072 |
| Issued To: | International Business Machines Corporation |

It is hereby understood and agreed the following forms and endorsements are attached to and are a part of this policy:

| Form Number | Form Name | Endorsement No. |
|-------------|-----------|-----------------|
| 0100-XS (03/00) | Excess Policy Liability Declarations | - |
| 0104-XS (Ed. 03/00) | Excess Forms and Endorsements Schedule | 1 |
| 0188-XS (Ed. 03/00) | Asbestos Exclusion | 2 |
| 0200-XS (04/07) | Crisis Communication Management Insurance Endorsement | 3 |
| 0102-XS (Ed. 03/00) | Nuclear Energy Liability Exclusion Endorsement | 4 |
| 0160-XS (Ed. 03/00) | Pollution Limitation Endorsement Follow Form | 5 |
| Excess 4011 (05/06) | War Liability Exclusion | 6 |
| E-NY-XS (Ed. 10 00) | New York Amendatory Endorsement | 7 |
| TRIA-N004-0208 | Disclosure – Terrorism Risk Insurance Act | 8 |
| TRIA-E002-0208 | Cap on Losses from Certified Acts of Terrorism | 9 |
| 0101-XS (Ed. 03 00) | Excess Liability Policy | 10 |

**1** **1**

0104-XS (03 00)