# Commercial General Liability Declarations

## Policy Information
- **Policy No.:** RM GL 612-27-08
- **Named Insured:** International Business Machine
- **Mailing Address:** New Orchard Rd, Armonk, NY 10504-0000
- **Policy Period:** From 05/21/99 to 05/21/00 at 12:01 A.M. Standard Time at your mailing address shown above

## Insurance Coverage
- **General Aggregate Limit (Other Than Prod-Comp Operations):** $10,000,000
- **Products-Completed Operations Aggregate Limit:** $5,000,000
- **Personal & Advertising Injury Limit:** $5,000,000
- **Each Occurrence Limit:** $5,000,000
- **Fire Damage Limit:** $5,000,000 Any One Fire
- **Medical Expense Limit:** $25,000 Any One Person

## Forms of Business
- **Individual:** 
- **Partnership:** 
- **Joint Venture:** 
- **Organization:** (Other than Partnership or Joint Venture)

## Business Description
- **Business Machines**

## Location of All Premises You Own, Rent or Occupy:
- SEE ATTACHED SCHEDULE

## Classification and Premium Details
- **Classification:** SEE ATTACHED SCHEDULE
- **Code No.:** 
- **Premium Basis:** 
- **Rate:** 
- **Advance Premium PR/CO:** 
- **All Other:** 

## Premium
- **Premium Shown is Payable:** $ at inception.
- **Total:** $50,000

## Endorsements
- **Endorsements Attached to This Policy:** SEE ATTACHED SCHEDULE.

## Countersigned
- **Date:** 
- **Authorized Representative:**

## Additional Notes
- **Coverage is provided in the company designated by number (herein called the company).**
- **Date Issued:** 06/72/C