# COMMERCIAL EXCESS LIABILITY DECLARATIONS

## ITEM 1
- **POLICY NO:** CCU3967489
- **POLICY PERIOD:** From May 21, 2016 To May 21, 2017
- **COVERAGE IS PROVIDED IN THE:** QBE Insurance Corporation
- **NAMED INSURED AND ADDRESS:** International Business Machines Corporation, One New Orchard Road, (Mail Drop 109), Armonk, NY 10504
- **AGENT OR BROKER:** Aon, 199 Water Street, 33rd Floor, New York, NY 10038

**POLICY PERIOD:** The policy period will begin and end at 12:01 AM standard time at the address of the first named insured.

**THIS POLICY CONSISTS OF THESE DECLARATIONS, THE COMMERCIAL EXCESS LIABILITY COVERAGE FORM, AND ANY ENDORSEMENTS INDICATED AS APPLICABLE IN THESE DECLARATIONS**

## ITEM 2
### A. LIMITS OF INSURANCE:
- **EACH OCCURANCE LIMIT:** $25,000,000
- **GENERAL AGGREGATE LIMIT:** $25,000,000
- **PRODUCTS AND COMPLETED OPERATIONS AGGREGATE LIMIT:** $25,000,000

### QUOTA SHARE PART OF:
- **EACH OCCURANCE LIMIT:** $200,000,000
- **GENERAL AGGREGATE LIMIT:** $200,000,000
- **PRODUCTS AND COMPLETED OPERATIONS AGGREGATE LIMIT:** $200,000,000

### B. LIMITS OF UNDERLYING INSURANCE:
- **EACH OCCURANCE LIMIT:** $200,000,000
- **GENERAL AGGREGATE LIMIT:** $200,000,000
- **PRODUCTS AND COMPLETED OPERATIONS AGGREGATE LIMIT:** $200,000,000

## ITEM 3
- **COMMERCIAL EXCESS LIABILITY PREMIUM:** $59,240
- **MINIMUM EARNED PREMIUM:** Not Applicable

## NYFTZ Class Code 2-13000
- **NOTICE:** These policy forms and the applicable rates are exempt from the filing requirements of the New York State Insurance [Department] Law and Regulations. However, [such] the forms and rates must meet the minimum standards of the New York Insurance Law and Regulations.