**XL Group**
**Insurance**
**Reinsurance**

**Form XL XS-BSF-02 (07/09)**

**THE BERMUDA SHORTS FORM**
Issued by
**XL INSURANCE (BERMUDA) LTD**

**Policy Number:** BM00026949LH13A
**Renewal of:** BM00028195LH12A
**Producer:** Aon (Bermuda) Ltd.

**DECLARATIONS**

**Item 1.**
a) **Named Insured:** International Business Machines Corporation
b) **Address of Named Insured:** 1 New Orchard Road, Mall Drop 109, Armonk, NY 10504, U.S.A.

**Item 2.** **Policy Period:**
From: May 21, 2013 at 12:01 am standard time at the address of the Named Insured.
To: May 21, 2014 at 12:01 am standard time at the address of the Named Insured.

**Item 3.** **Retroactive Date:** NONE

**Item 4.**
a) **Followed Policy:**
Company: ACE Property & Casualty Insurance Company
Policy Number: XOO G27051169
Coverage: Lead Umbrella - Occurrence
Policy Period: May 21, 2013 to May 21, 2014
Limits of Liability: $60,000,000 Per Occurrence
$50,000,000 General Aggregate (where applicable)
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)

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