# Liberty Mutual Insurance Excess Liability Policy Declarations - Revised

## Coverage Provided by:
The Ohio Casualty Insurance Company

## Policy Number:
ECO (18) 54 08 82 46

## Basis of Occurrence

### Item 1: Named Insured & Mailing Address
- **International Business Machines Corporation**
  - **Mail Drop:** 109
  - **Address:** 1 New Orchard Rd, Armonk, NY 10504-1722
  - **Phone:** (212) 441-1000

### Item 2: Agent Mailing Address & Phone No.
- **Aon Risk Services Northeast, Inc.**
  - **Address:** 199 Water St, New York, NY 10038-3526
  - **Phone:** (212) 441-1000

### Item 3: Policy Period
- **From:** 05/21/2017
- **To:** 05/21/2018 12:01 AM Standard Time at Insured Mailing Location

### Item 4: Premium Charges
- **Explanation of Charges**
  - **Description:** Excess Liability
  - **Premium:** **(Included)**
  - **Description:** Certified Acts of Terrorism Coverage
  - **Premium:** **(Included)**
  - **Total Advance Charges:** **(Included)**

**Note:** This is not a bill.

**See Policy Change Endorsement for Explanation of Charges.**

### Item 5: Basis of Premium
- **Non-Auditable (X)**

### Item 6: Limits of Insurance
- **Description:** Each Occurrence
  - **Limit:** $25,000,000
- **Description:** Aggregate (Where Applicable)
  - **Limit:** $25,000,000

**These limits of insurance apply in excess of the underlying limits of insurance indicated in (Item 5) of the declarations.**

### Servicing Office and Issue Date
- **New York - Metro Regional Office**
- **Issue Date:** 05/26/2017

### Authorized Representative

## To report a claim, call your Agent or 1-800-362-0000

**DS 70 22 01 08**
**54088246**
**N0194278**
**181**
**PCAFPPNO**
**INSURED COPY**
**003683**
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