# COVER NOTE

**EVIDENCE OF REINSURANCE EFFECTED WITH**

☑ **GENERAL REINSURANCE CORPORATION**

☐ **NORTH STAR REINSURANCE CORPORATION**

June 30, 1961

**TO:** Johnson & Higgins, Inc.

**ADDRESS:** 63 Wall Street, New York 5, New York

This will confirm that coverage is bound for your account as follows:

**Name of Reinsured:** International Business Machines Corp.

**Address:** 590 Madison Avenue, New York, New York

**Term:** From — June 29, 1961 at 12:01 a.m. LST To — July 1, 1964 at 12:01 a.m. LST

**Coverage:** Excess Umbrella Liability

**Conditions and Warranties:**

1) Subject to terms and conditions of Underlying.
2) Subject to Standard Nuclear Incident Exclusion clause.

**Amount of Insurance and Retention:**

$5,000,000 excess of $12,000,000

**Rate and Premium:** (Payable upon delivery of this Cover Note)

$13,500 flat charge

The coverage afforded by this Cover Note is subject to (30) days cancellation. This Cover Note and the coverage afforded thereby are subject to all terms and conditions of the Contract or Certificate of Reinsurance to be issued. This Cover Note shall be automatically terminated and voided by delivery of Contract or Certificate of Reinsurance to the Reinsured.

**North Star Reinsurance Corporation**  
**General Reinsurance Corporation**

Vice President - Assistant Secretary  
```

This document is a cover note confirming evidence of reinsurance effected with General Reinsurance Corporation for the period from June 29, 1961, to July 1, 1964. The reinsured party is International Business Machines Corp., and the coverage provided is an excess umbrella liability policy. The amount of insurance and retention is specified, along with the rate and premium details. The document also includes conditions and warranties, and it is subject to certain terms and conditions of the underlying contract or certificate of reinsurance.