# THE BERMUDA SHORTS FORM

**Issued by:**
XL INSURANCE (BERMUDA) LTD

**Policy Number:** BM00028732LH15A
**Renewal of:** BM00027784LH14A
**Producer:** Aon (Bermuda) Ltd.

## 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, U.S.A.

### 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:** NONE

### Item 4.
a) **Followed Policy:**
- **Company:** ACE Property & Casualty Insurance Company
- **Policy Number:** XOO G2763848A
- **Coverage:** Umbrella - Occurrence
- **Policy Period:** May 21, 2015 - May 21, 2016
- **Limits of Liability:**
  - USD 50,000,000 each Occurrence, Claim or Loss
  - USD 50,000,000 Annual Aggregate (where applicable)
  - USD 50,000,000 Products/Completed Operations Aggregate