# Arch Reinsurance Ltd.

**Victoria Hall, 4th Floor**
11 Victoria Street,
Hamilton HM 11
Bermuda

* Telephone: 441-278-9200
* Fax: 441-278-9230

## THE BERMUDA SHORTS FORM

**POLICY NO.:** UFP0044276-00
**NEW BUSINESS**

## DECLARATIONS

### Item 1.
a) **Named Insured:** International Business Machines Corporation
b) **Address of Named Insured:** One New Orchard Road, Mail Drop 109 Armonk, NY 10504 USA

### Item 2. **Policy Period:**
From: May 21, 2011 at 12:01 am standard time at the address of the Named Insured.
To: May 21, 2012 at 12:01 am standard time at the address of the Named Insured.

### Item 3. **Retroactive Date:** As per Followed Policy, if any

### Item 4.
a) **Followed Policy:**
   - Company: ACE Property and Casualty Insurance Company
   - Policy Number: XOO G25830854
   - Coverage: Umbrella Liability
   - Policy Period: From: May 21, 2011 To: May 21, 2012
   - Limits of Liability:
     - US$50,000,000 Each Occurrence
     - US$50,000,000 General Aggregate
     - US$50,000,000 Products Completed-Operations Aggregate

b) **Underlying Policy(ies):** As per Endorsement No. 1 Section I - Schedule of Underlying Policy(ies)

c) **Quota-Share Policy (ies):** As per Endorsement No. 1 Section II – Schedule of Quota-Share Policy(ies)

### Item 5. **Limit of Liability:**
a) US$25,000,000 each Occurrence, Claim or Loss Part of US$200,000,000
b) US$25,000,000 Aggregate

### Item 6. **Underlying Limits:**
(Insuring Agreement 2):
a) US$200,000,000 each Occurrence, Claim or Loss
b) US$200,000,000 Aggregate

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BSF-02 (Ed. 07/09)