# CHUBB EXCESS LIABILITY INSURANCE - SL

## Schedule of Forms

| Policy Period | MAY 21, 2010 to MAY 21, 2011 |
|---------------|--------------------------------|
| Effective Date | May 21, 2010                   |
| Policy Number | 7966-56-84 DTO                 |
| Insured       | INTERNATIONAL BUSINESS MACHINES CORPORATION |
| Name of Company | FEDERAL INSURANCE COMPANY |
| Date Issued   | May 20, 2010                  |

As of the effective date printed above, this is the Schedule of Forms applicable to this policy:

| Form number | Description                                                                 |
|-------------|------------------------------------------------------------------------------|
| 99-10-0872 (06/07) | AOD IMPORTANT POLICYHOLDER NOTICE                                            |
| 07-02-1322 (12/97) | EXCESS-SL-DELARATIONS- VERSION 2 - FEDERAL                                   |
| 07-02-1305 (11/04) | CHUBB EXCESS LIAB-SL-NEW YORK CANCELLATION                                  |
| 07-02-1439 (11/98) | NEW YORK AMENDATORY ENDORSEMENT                                             |
| 07-02-2174 (11/04) | INFORMATION DISTRIBUTION LAWS EXCLUSION                                      |
| 07-02-2313 (01/09) | NEW YORK LATE NOTICE MANDATORY                                              |
| 07-02-1334 (12/97) | LIMITS OF INSURANCE - EXCESS LIAB. INS. SL                                  |
| 07-02-1576 (02/00) | CANCELLATION NOTICE CONDITION                                               |
| 07-02-1953 (12/07) | CAP ON CERTIFIED TERRORISM LOSSES                                           |
| 07-02-1381 (12/97) | MANUSCRIPT ENDORSEMENT                                                      |

Form 07-02-0975 (Rev. 5/95) Schedule of Forms
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