**Great American Assurance Company**

**EXU 6600 (Ed. 05/16)**

**Administrative Offices**
301 E 4th Street
Cincinnati, OH 45202-4201
513 389 5060 ph

**Policy No.** EXC4100288
**Renewal of** EXC2464970

**EXCESS LIABILITY INSURANCE POLICY DECLARATIONS PAGE**

**1. NAMED INSURED AND ADDRESS:**
International Business Machines Corp.
(As Per Underlying Insurance)
One New Orchard Road, Mail Drop 109
Armonk, NY 10504-1725

**PRODUCER'S NAME AND ADDRESS:**
Aon Risk Services Northeast, Inc.
199 Water Street, 33rd Floor
New York, NY 10038

**2. POLICY PERIOD:** 12:01 a.m. Standard time at the address of the Named Insured shown in Item 1. above.
From 05/21/2016 To 05/21/2017

Insurance is afforded by: Great American Assurance Company

**3. PREMIUM:**
- Total Advance Premium $ 61,740
- Taxes $
- Surcharges $
- Terrorism Premium (Certified Acts) $
- Total $ 61,740

Basis of Premium: (X) Non-Auditable ( ) Auditable

**4. LIMITS OF INSURANCE:**
- Per EXU 4006 Each Occurrence
- Per EXU 4006 Aggregate Limit (Where Applicable)

The Limits of Insurance apply in excess of the Underlying Limits of Insurance indicated in Item 5. Schedule of Underlying Insurance

**5. SCHEDULE OF UNDERLYING INSURANCE:** Underlying policies applicable to this Policy at the time of issue are listed on the attached Schedule of Underlying Insurance, EXU 66 01 (Ed. 05/16).

**6. FORMS AND ENDORSEMENTS** applicable to all Coverages Forms and made part of this Policy at the time of issue are listed on the attached Forms and Endorsements Schedule, EXU 66 02 (Ed. 05/16).

EXU 6600 (Ed. 05/16)
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