**INA Insurance Company of North America**

**CANADIAN DECLARATIONS**

**5/21/70 LR**

**Canadian Agent and Location:**
- **Johnson & Higgins (Canada) Ltd.**
- **360 St. James Street West, Montreal, L.A., Canada**

**No.** [No number provided]

**1. NAMED INSURED:**
- **Address:** International Business Machines Corporation, Armonk, New York

**Business of the Named Insured:**
[Not specified]

**2. Policy Period: From May 21, 1970 to May 20, 1973**

**3. PREMIUM COMPUTATION: Description of Property, Coverages, including Limits of Liability**

**CERTIFICATE OF EXPIRY DATE:**
[Date not specified]

**MAJOR PERIL OR LINE | PREMIUMS**
- [Not specified]
- $40,122

**J.K. Dickey**
**Secretary**

**C 1573 SW 2 20 64 Prod. in U.S.A.**

**Michael C. Hunt Jr.**
**President**