# Liberty Mutual Insurance Policy Change Endorsement

## Coverage Provided by:
**The Ohio Casualty Insurance Company**

## Policy Details:
- **Policy Number:** ECO (18) 54 08 82 46
- **Policy Period:** From 05/21/2017 to 05/21/2018
- **Endorsement Period:** From 05/21/2017 to 05/21/2018, 12:01 am Standard Time at Insured Mailing Location

## Named Insured:
- **International Business Machines Corporation**

## Agent:
- **(212) 441-1000**
- **AON Risk Services Northeast, Inc.**

## Policy Forms and Endorsements:
This section lists the forms and endorsements for your policy. Refer to these documents as needed for detailed information concerning your coverage.

| Form Number | Title |
|-------------|-------|
| CE 65 04 03 98 | New York State Amendatory Endorsement for Excess Liability |
| CE 65 15 06 97 | Limits of Liability Amendment - Quota Share Endorsement |
| CE 65 24 06 97 | Excess Liability Coverage Form |
| CE 65 30 01 15 | Caps On Losses From Certified Acts Of Terrorism |
| CE 66 10 01 13 | New York Excess Changes Amendatory Endorsement |
| CE 66 54 05 09 | Recording And Distribution Of Material Or Information In Violation Of The Law Exclusion |
| *CE 88 99 05 16 | Following Form Endorsement |
| CU 60 53 06 97 | Cancellation Amendment |
| CU 62 05 08 04 | New York Changes Cancellation and Nonrenewal |

## Servicing Office and Issue Date:
- **New York - Metro Regional Office**
- **06/12/2017**

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

**DS 70 27 01 08**  
**54088246**  
**N0194278**  
**181**  
**PCAFPPNO**  
**INSURED COPY**  
**003122**  
**PAGE 2 OF 8**