# Excess Liability Insurance Policy

**Great American Assurance Company**

**EXU 6605 (Ed. 05/16)**

**Policy No:** EXC4100288  
**Effective Date of Change:** 05/21/2016  
**Change Endorsement No:** 1

## Excess Liability Insurance Policy Changes

### 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

### Policy Period:
- From: 05/21/2016
- To: 05/21/2017

**Insurance is afforded by: Great American Assurance Company**

**THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.**

It is hereby understood and agreed that this policy is amended as follows:

1. EXU4006 (05/16) Quota Share Endorsement is amended per attached.
2. EXU4011 (05/16) Participation Endorsement is amended per attached.

All other terms and conditions remain unchanged.

**Forms and Endorsements hereby amended:**
- EXU4006 (05/16)
- EXU4011 (05/16)

**EXU 6605 (Ed. 05/16)**  
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