# Aspen Bermuda Shorts Form - 03 (03/14)

## 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

**Item 2:**
- **Policy Period:** From: May 21, 2015 at 12:01 am standard time at the address of the Named Insured.
- **To:** May 21, 2016 at 12:01 am standard time at the address of the Named Insured.

**Item 3:**
- **Retroactive Date:** Not Applicable

**Item 4:**
- **a) Followed Policy:**
  - **Company:** ACE Property & Casualty Insurance Company
  - **Policy Number:** G2763848A
  - **Coverage:** Lead Umbrella - Occurrence
  - **Policy Period:** From: May 1, 2015 To: May 1, 2016
  - **Limits of Liability:** USD 25,000,000 (Part of USD 200,000,000)
- **b) Underlying Policy(ies):** As per Endorsement No. 1 Schedule of Excess Policy(ies) Section I - Schedule of Underlying Policy(ies)
- **c) Quota Share Policy(ies):** As per Endorsement No. 1 Schedule of Excess Policy(ies) Section II - Schedule of Quota Share Policy(ies)

**Item 5:**
- **Limit of Liability:**
  - **a) (Insuring Agreement 2):** USD 25,000,000 (Part of USD 200,000,000) each Occurrence, Claim or Loss
  - **b) (Insuring Agreement 2):** USD 25,000,000 Aggregate

**Item 6:**
- **Underlying Limits:**
  - **a) (Insuring Agreement 2):** USD 200,000,000 each Occurrence, Claim or Loss
  - **b) (Insuring Agreement 2):** USD 200,000,000 Aggregate Which in turn is excess of various insurances and/or retentions as more fully set forth in the Followed Policy

**Date of Issuance:** July 14, 2015
**BSF-03 (Ed. 03/14)**

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