**Insurance Policy Document**

**Issuing Company:** [Name of Insurance Company]

**Producer:** JOHNSON & HIGGINS

**Address:** 95 WALL STREET, SUITE 1000, R/I-1, NEW YORK, NEW YORK 10005

**In Favor of:** INTERNATIONAL BUSINESS MACHINES CORP., ETAL. (SEE END'T #1)

**Address:** ARSOSA, NEW YORK

**Type of Coverage:** EXCESS UMBRELLA LIABILITY

**In the amount of:** $5,000,000 PART OF $45,000,000 EXCESS OF $130,000,000 EXCESS OF PRIMARY

**Term:** Beginning at 12:01 AM on the 21ST day of MAY, 1981 and ending at 12:01 AM on the 21ST day of MAY, 1982

**Premiums:**
- Due: At Inception
- 1st Anniversary: $1,000.00
- 2nd Anniversary: $1,000.00
- Total: $5,000.00

**Service Fee/Policy Fee:**

**Dated at:** NEW YORK, NEW YORK
**this 21ST day of MAY, 1981**

**Producer's Copy**

**375**