# EXCESS POLICY DECLARATIONS

**HEC - 1 13 84 10**

**Insurance is provided by the Stock Company designated by [X] and hereinafter called the Company**

- **CITY INSURANCE COMPANY**
  - Short Hills, N.J.
- **THE HOME INSURANCE COMPANY OF INDIANA**
  - Indianapolis, Ind.

**ITEM 1. Insured's Name, P.O. Address and Zip Code**

- **International Business Machines Corp., Etal. (See Endt. #1)**
  - Armonk, New York 10504

**Policy Period:**

- **Inception (Mo. Day Yr.)**: 5/21/81
- **Expiration (Mo. Day Yr.)**: 5/21/82
- **Term**: 1
- **Producer No.**: 50138
- **OPC**: 081
- **NY State Lic.**: 

**Standard time at the address of the Named Insured as stated herein.**

**ITEM 2. PRIMARY OR UNDERLYING INSURANCE - DESCRIPTION OF COVERAGE**

- **$40,000,000.00 Umbrella Liability, Bodily Injury, Property Damage, or Both Combined Each Occurrence and in the Aggregate where applicable, as more fully described by Centennial Ins. Co. Policy No. 462018623 in turn excess of Underlying Insurances as per Schedule on File with the Company.**

**ITEM 3. EXCESS COVERAGE AFFORDED BY THIS POLICY**

- **$15,000,000.00 P/O $40,000,000.00 Bodily Injury, Property Damage or Both Combined Each Occurrence and in the Aggregate where applicable, following the terms, conditions, exclusions and limitations of Centennial Ins. Co. Policy No. 462018623 excess of the limits set forth in ITEM 2. above.**

**ITEM 4. PREMIUM**

- **$21,000.**

**In Witness Whereof, the Company designated above, has caused this Policy of Insurance to be signed by its President and attested by its Secretary at its Executive Office, and this policy is made and accepted upon the above express conditions, but shall not be valid unless countersigned by a duly Authorized Representative of the Company at place of issue.**

**TIMOTHY P. HEAMES**
**PETER C. M. HUANG, President**
**HENRY P. LENZ, President**

**COUNTED AND SIGNED BY AUTHORIZED REPRESENTATIVE:**
**DATE:** 6/12/81