# THE CHUBB COMMERCIAL EXCESS

## Premium Bill

**Policy Period:** MAY 21, 1997 to MAY 21, 1998  
**Effective Date:** May 21, 1997  
**Policy Number:** (98) 7966-56-84 CAS  
**Insured:** INTERNATIONAL BUSINESS MACHINES CORP., ETAL (AS PER CONTROLLING U/L INSURANCE)  
**Name of Company:** VIGILANT INSURANCE COMPANY  
**Date Issued:** June 5, 1997  
**Producer:** JOHNSON & HIGGINS  

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**THIS BILLING IS TO BE ATTACHED TO AND FORM A PART OF THE POLICY**

Please Send Payment To Agent Or Broker

| Coverage | Premium |
|----------|---------|
| EXCESS LIABILITY POLICY | $ 116,000.00 |
| UNITED STATES | $ 111,151.00. |
| CANADIAN | $ 4,849.00. |

Total: $ 116,000.00.

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When sending payment please indicate policy or certificate number.
Note: Please return this bill with payment and include any additional changes.

Form 07-10-0345 (Ed. 9/92) Premium Bill  
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