# THE BERMUDA SHORTS FORM – 03 (03/14)

## RISK DETAILS / DECLARATIONS

**Item 1.**
- **a) Named Insured:** International Business Machines Corporation and as more fully set forth in the Followed Policy.
- **b) Address of Named Insured:** One New Orchard Road, Mail Drop 109, Armonk, New York 10504

**Item 2.** **Policy Period:**
- **From:** May 21, 2017 at 12:01 a.m. standard time at the address of the Named Insured.
- **To:** May 21, 2018 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 002
  - **Coverage:** Lead Umbrella - Occurrence
  - **Policy Period:**
    - **From:** May 21, 2017
    - **To:** May 21, 2018
  - **Limits of Liability:** USD 50,000,000
- **b) Underlying Policy(ies):** As per Endorsement Number One – Schedule of Underlying Policy(ies).
- **c) Quota Share Policy(ies):** As per Endorsement Number One – Schedule of Quota Share Policy(ies).

**Item 5.** **Limit of Liability: (Insuring Agreement 2):**
- **a) USD 50,000,000 each Occurrence, Claim or Loss**
- **b) USD 50,000,000 Aggregate**

**Item 6.** **Underlying Limits: (Insuring Agreement 2):**
- **a) USD 400,000,000 each Occurrence, Claim or Loss**
- **b) USD 400,000,000 Aggregate**

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