# CHUBB EXCESS LIABILITY INSURANCE - SL

## Premium Bill

**Policy Period:** MAY 21, 2013 To MAY 21, 2014  
**Effective Date:** May 21, 2013  
**Policy Number:** 7966-56-84  
**Insured:** INTERNATIONAL BUSINESS MACHINES CORPORATION  
**Name of Company:** FEDERAL INSURANCE COMPANY  
**Date Issued:** May 22, 2013  
**Producer:** AON RISK SERVICES NORTHEAST, INC.

---

**THIS BILLING IS TO BE ATTACHED TO AND FORM A PART OF THE POLICY**

PLEASE SEND PAYMENT TO AGENT OR BROKER, IF APPLICABLE

| Coverage | Premium |
|----------|---------|
| COMMERCIAL EXCESS RENEWAL | $ 97,000.00 |

**Total** | $ 97,000.00

**Portion of total premium attributable for Terrorism and statutory standard fire where applicable is:**  
$ 960.00

---

Form 07-10-0542 (Ed. 10-06)  
Premium Bill  
Page 1