# Zurich American Insurance Company

## Following Form Excess Liability Policy Declarations

**ZURICH AMERICAN INSURANCE COMPANY**
1400 American Lane
Schaumburg, Illinois 60196-1056

**Policy Number:** AEC 5574320-02
**Renewal of Number:** AEC 5574320-01

### 1. Named Insured:
- **International Business Machines Corporation**

### 2. Mailing Address:
- **1 New Orchard Rd**
- **Armonk, NY 10504**

### 3. Policy Period:
- **From:** 05/21/2015
- **To:** 05/21/2016 at 12:01 A.M. Standard Time at the address of the Named Insured in Item 1.

### 4. Limits Of Insurance:
- **A. $25,000,000 Part of $50,000,000 Occurrence**
- **B. $25,000,000 Part of $50,000,000 Other Aggregate**
- **C. $25,000,000 Part of $50,000,000 Products/Completed Operations Aggregate**

### 5. Policy Premium:
- **Advance Premium:** $51,005.00
- **Policy Minimum Earned Premium:** $12,751

### Producer:
- **AON RISK SERVICES NORTHEAST INC**
- **199 WATER ST FL 32ND**
- **NEW YORK, NY 10038-3526**

### NYFTZ Class: 2
**Class Code:** 2-13000

**Notice:** THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK INSURANCE LAW AND REGULATIONS. HOWEVER, THE FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF THE NEW YORK INSURANCE LAW AND REGULATIONS.

U-EXS-D-100-B FTZ (01/12)
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