# Ohio Casualty Excess Liability Policy Declarations - Revised

## Coverage Provided by:
- **The Ohio Casualty Insurance Company**
- **9450 Seward Road, Fairfield, Ohio 45014**

## Policy Number:
- **ECO (09) 53 62 96 13**

## Basis of Occurrence

### Item 1: Named Insured & Mailing Address
- **International Business Machines Corp**
  - **Address:** One North Castle Drive MD #222, Armonk, NY 10504-0000
  - **Phone:** (704) 364-5161
- **Agent Mailing Address & Phone No.:**
  - **Professional Risk Brokers Inc**
    - **Address:** 11325 N Community House Rd # 2, Charlotte, NC 28277-1978

### Named Insured:
- **Corporation**

### Named Insured Business:
- **Information Processing**

### Item 2: Policy Period
- **From:** 05/21/2008 TO 05/21/2009 12:01 AM Standard Time at Insured Mailing Location

### Item 3: Premium Charges
- **Explanation of Charges**
  - **Description:** Excess Liability
  - **Premium:** ****
  - **Certified Acts of Terrorism Coverage:** **** (Included)
  - **Total Advance Charges:** ****
  - **Note:** This is not a bill
  - **See Policy Change Endorsement for Explanation of Charges.**

- **Basis of Premium:** NON-AUDITABLE( X) AUDITABLE( )

### Item 4: Limits of Insurance
- **Description:** Each Occurrence
  - **Limit:** $25,000,000
- **Aggregate (Where Applicable):**
  - **Limit:** $25,000,000

## Servicing Office and Issue Date
- **Raleigh Umbrella / Excess Team**
- **06/11/2008**

## Authorized Representative
- **Cathy Barnett**

## To report a claim, call your Agent or 1-800-366-6446

## Agency Bill
- **DS 70 22 01 08**
- **182 NC 32-6024**
- **06/11/2008**
- **AGENT COPY**
- **KMC7**
- **TRANSACTION # 3**