# Excess Insurance Policy

## Liberty International Underwriters
Member of Liberty Mutual Group

## Liberty Insurance Underwriters Inc.
(A New York Stock Insurance Company, hereinafter the "Insurer")
55 Water Street, 18th Floor, New York, NY 10041
Toll-free number: 1-800-677-9163

## EXCESS FORMS AND ENDORSEMENTS SCHEDULE

| Effective Date: | May 21, 2009 |
|----------------|--------------|
| Expiration Date: | May 21, 2010 |
| Policy Number: | LQIB71078753082 |
| 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 |
| E-NY-XS (Ed. 10/00) | New York Amendatory Endorsement | 6 |
| TRIA-N004-0208 | Disclosure – Terrorism Risk Insurance Act | 7 |
| TRIA-E002-0208 | Cap on Losses from Certified Acts of Terrorism | 8 |
| LIUILE001-NY-0109 | New York Liability State Amendatory Endorsement | 9 |
| 0101-XS (Ed. 03/00) | Excess Liability Policy | - |

**1** **1**
0104-XS (03 00)