# DECLARATIONS COMMERCIAL EXCESS LIABILITY POLICY

**Chubb Group of Insurance Companies**
15 Mountain View Road, Warren, N.J. 07060

## Item 1 Named Insured & Address
- **International Business Machines Corp., E.T.A.L.**
  - **Corporate Headquarters**
    - Armonk, NY 10504
- **Producer's Name & Address**
  - **Johnson & Higgins**
    - 125 Broad Street
    - New York, NY 10004
- **Named Insured is:**
  - ☐ Individual
  - ☐ Partnership
  - ☑ Corporation
  - ☐ Joint Venture
  - ☐ Other

## Item 2 Policy Period
- **From:** 05/21/92
- **To:** 05/21/93
- **12:01 A.M. standard time at the address of the insured as stated.**

## Item 3 Premium
- **$ 17,500.00 Basis Rate:**
- **Per:**

## Item 4 Limits of Liability
- **$ 5,000,000. Each Occurrence**
- **$ 5,000,000. Aggregate**
- **$ 115,000,000. Each Occurrence**
- **$ 115,000,000. Aggregate**

## Item 5 Scheduled Underlying Insurance
a. **First Underlying Insurance**
   - **Company:** AMERICAN HOME
   - **Policy No.: TBA**
   - **From/To:** 05/21/92 to 05/21/93
   - **Claims Made:** NO
   - **Retroactive Date:**
   - **Limits:**
     - **Of Liability:** $ 25,000,000.
     - **Each Occurrence:** $ 25,000,000.
     - **Aggregate:** $ 25,000,000.

b. **Other Underlying Insurance**
   - **Company:** AETNA
   - **Policy No.: TBA**
   - **From/To:** 05/21/92 to 05/21/93
   - **Claims Made:** NO
   - **Retroactive Date:**
   - **Limits:**
     - **Of Liability:** $ 10,000,000.
     - **Each Occurrence:** $ 10,000,000.
     - **Aggregate:** $ 10,000,000.

## In Witness Whereof, the company issuing this policy has caused this policy to be signed by its authorized officers, or the authorized officers of its U.S. Manager, Chubb & Son Inc., but this policy shall not be valid unless also signed by a duly authorized representative of the company.

**FEDERAL INSURANCE COMPANY**

**President:** [Signature]
**Date:** [Date]

**Secretary:** [Signature]
**Authorized Representative:** [Signature]

**Form:** 07-02-0575-U (Rev. 11-86)
**INSURED**