**ARGO RE**

Member Argo Group

**Form ARGO-BSP-03 (Ed. 03/14)**

**POLICY NO.:** ARGO-CAS-OCC-000888.1  
**NEW BUSINESS**

**THE 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, New York, 10504 U.S.A.

**ITEM 2.** **Policy Period:**  
From: MAY 21, 2016 at 12:01 a.m. standard time at the address of the Named Insured.  
To: MAY 21, 2017 at 12:01 a.m. standard time at the address of the Named Insured.

**ITEM 3.** **Retroactive Date:** Not Applicable

**ITEM 4.**
(a) **Followed Policy:**  
Company: ACE Property and Casualty Insurance Company  
Policy Number: XOO G27983212 001  
Coverage: Commercial Umbrella Liability  
Policy Period From: May 21, 2016 To: May 21, 2017  
Limits of Liability: USD 50,000,000 Each Occurrence  
USD 50,000,000 General Aggregate  
USD 50,000,000 Products Completed-Operations Aggregate  

(b) **Underlying Policy(ies):** As per Endorsement No. 1 Schedule of Excess Policy(ies) Section 1 – 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)

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**Argo House**  
T. 441 296 5858  
110 Pitts Bay Road  
F 441 296 6162  
Pembroke, Bermuda HM08  
www.argore.com