# Liberty Agency Underwriters Excess Liability Policy Declarations - Revised

## Coverage Provided by:
The Ohio Casualty Insurance Company

## Policy Number:
ECO (14) 54 08 82 46

## Basis: Occurrence

### Item 1: Named Insured & Mailing Address
- **International Business Machines Corporation**
  - **Mailing Address:** Mail Drop 109, Armonk, NY 10504-1722
  - **Phone:** (212) 441-1000

### Item 2: Agent Mailing Address & Phone No.
- **AON Risk Services Northeast, Inc.**
  - **Mailing Address:** 199 Water St, New York, NY 10038-3526
  - **Phone:** (212) 441-1000

### Item 3: Policy Period
- **From:** 05/21/2013
- **To:** 05/21/2014 12:01 AM Standard Time at Insured Mailing Location

### Item 3: Premium Charges
- **Excess Liability:** **Included**
- **Certified Acts of Terrorism Coverage:** **Included**

### Item 4: Limits of Insurance
- **Each Occurrence:** $25,000,000
- **Aggregate (Where Applicable):** $25,000,000

### Notes:
- This is not a bill.
- See Policy Change Endorsement for Explanation of Charges.

### Basis of Premium:
- **Non-Auditable (X)**

### Item 5: Limits of Insurance
- These limits of insurance apply in excess of the underlying limits of insurance indicated in (Item 5) of the declarations.

### Servicing Office and Issue Date:
- **Liberty Agency Underwriters - NY**
- **Issue Date:** 07/25/2013

### Authorized Representative:

### Contact Information:
- **To report a claim:** Call your Agent or send info to Fax: 1-(800)293-4269 or email: 'umbrellaexcessclaims@libertyau.com'

**DS 70 22 01 08**
**07/25/2013**
**54088246**
**MLL5**
**UCAFPNNO**
**INSURED COPY**
**002120**
**PAGE 3 OF 8**