# Excess Liability Policy

## Declarations

**Policy Number:** SHX-000-5758-0805

**Policy Period:** From 05/21/11 to 05/21/12 (12:01 A.M. Standard time at the address of the Named Insured as stated herein)

**Fireman's Fund Insurance Companies**

**Coverage is provided in the following company, a stock company:**
- 07 National Surety Corporation

**Named Insured and Mailing Address:**
- International Business Machines Corporation et al., as per first underlying insurance
- One New Orchard Road
- Mail Drop 109
- Armonk, NY 10504

In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy.

**Limits of Insurance**
As per endorsement #178210-1-02R.

**Underlying Insurance Limits**
- $200,000,000 Each Occurrence
- $200,000,000 General Aggregate
- $200,000,000 Products Aggregate

**Premium**
- Basis of premium: Flat charge
- Advance Premium: $78,795
- Annual Minimum Premium: $78,795
- Includes Terrorism Risk Insurance Act - Certified Acts Coverage: $1,544

**Schedule of Underlying Insurance**
This schedule is described within Form No. 178457 2-91 which forms a part of this policy's declarations.

**Schedule of Endorsements**
This schedule is described within Form No. 178250-04-04 which forms a part of this policy's declarations.

**Date of Issue:** 06/06/2011
**Countersignature of Authorized Agent:**

This declarations page is issued in conjunction with and forms a part of Policy Form 5303 10-02.