# DECLARATIONS, cont'd

**Item 7. Notice to: (Conditions 3 and 5)**

a) All Notices of Occurrence, Claim or Loss:
- To: Aspen Bermuda Limited Claims Department 141 Front Street Hamilton, HM 19 Bermuda Electronically: ExcessCasualtyClaims@aspen.co

b) All other Notices:
- To: Aspen Bermuda Limited Excess Casualty Department 141 Front Street Hamilton, HM 19 Bermuda

**Item 8.**
a) Premium: USD 58,750 (Part of USD 117,500 for 100% Flat Annual)
b) Minimum Earned Premium: 35%
c) Commission: 0%

**Item 9. The Company:** International Business Machines Corporation At the address stated at the top of the Declarations Page

**Item 10. Policy Form: Endorsements**
- The Bermuda Shorts Form – 03 (Ed. 03/14) at Policy Issuance
- Endorsement No 1. Schedule of Excess Policies
- Endorsement No 2. Several Liability for Quota Share Coverage
- Endorsement No 3. Cancellation Amendatory Endorsement

**Authorized Representative**

**Date of Issuance:** July 19, 2016
BSF-03 (Ed. 03/14)

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