# Liberty Mutual Insurance Excess Liability Policy Declarations - Revised

## Coverage Provided by:
The Ohio Casualty Insurance Company

## Policy Number:
ECO (16) 54 08 82 46

## Basis of Occurrence

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

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

### Item 3: Policy Period
From 05/21/2015 TO 05/21/2016 12:01 AM Standard Time at Insured Mailing Location

### Item 4: Premium Charges
**Explanation of Charges**
- **Description:** Excess Liability
- **Premium:** **(Included)**

- **Description:** Certified Acts of Terrorism Coverage
- **Premium:** **(Included)**

**Total Advance Charges:** **(Included)**

Note: This is not a bill.

**See Policy Change Endorsement for Explanation of Charges.**

### Item 5: Basis of Premium
- **Non-Auditable (X)**

### Item 6: Limits of Insurance
| Description | Limit |
|-------------|-------|
| Each Occurrence | $25,000,000 |
| Aggregate (Where Applicable) | $25,000,000 |

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
- **New York - Metro Regional Office**
- **Issue Date:** 07/21/2015

### Authorized Representative

## To report a claim, call your Agent or 1-800-362-0000

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