# Reliance Insurance Policy

## NOTICE: THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW YORK STATE INSURANCE DEPARTMENT.

### Policy Number: NEA 0109021
### Code No.: 1 (Reliance Insurance Company, Philadelphia, Pennsylvania)

#### NOTICE OF CLAIM
NOTICE SHALL BE GIVEN TO THE INSURER AT THE FOLLOWING ADDRESS:
RELIANCE NATIONAL RISK SPECIALISTS CLAIMS DIVISION
77 WATER STREET, NEW YORK, NY 10005

## DECLARATIONS

**ITEM 1 NAMED INSURED**
- International Business Machines Corporation (See Endorsement No. 1)
- Corporate Headquarters
  - Armonk, NY 10504

**ITEM 2 POLICY PERIOD**
- Effective Date: May 21, 1995
- Expiration Date: May 21, 1996

**ITEM 3 POLICY PREMIUM**
- Total Premium (Due at Inception): $31,350. Flat

**ITEM 4 DESCRIPTION OF COVERAGE**
- Excess Umbrella Liability

**ITEM 5 UNDERLYING INSURANCE**
(a) Underlying Policy:
  - National Union Fire Insurance Company of Pittsburgh, PA
  - Coverage: Umbrella Liability
  - Policy Period: May 21, 1995 – May 21, 1996
  - Policy Limit: $25,000,000. each occurrence and annual aggregate where applicable excess of underlying limits.
(b) Total limits of all underlying insurance including the underlying policy in excess of which this applies: $60,000,000. each occurrence and annual aggregate where applicable excess of underlying limits.

**ITEM 6 LIMIT(S) OF THE COMPANY'S LIABILITY**
- $10,000,000. part of $55,000,000. each occurrence and annual aggregate where applicable excess of the amount stated in Item 5(b) above.

**ITEM 7 FORM(S) /ENDORSEMENTS**
- EL 00 P034 00 1094, RN 00 R005 00 0593, EL 00 P070 00 1094, Amendatory Endorsement 1-2

## Broker Name and Address
Henry Ward Johnson
30 Broad Street
New York, NY 10004