**ZURICH INSURANCE COMPANY**

**GENERAL—AUTOMOBILE LIABILITY POLICY**
Form 950- DECLARATIONS
111 N. JACKSON BLVD., CHICAGO, ILL. 60604

**POLICY NO.:** GA 85-70-500
**REPL. OF:** 8550600
**AGENCY NO.:** 50-515
**BROKER NO.:** 1
**AGENCY NAME:** JOHNSON & HIGGINS
**BROKER OR SUB AGENT NAME:** ARMONK, N.Y.

**COVERAGE PARTS AND ENDORSEMENTS ATTACHED:**
C51 C76

**Item 1. Named Insured and Address:**
- INTERNATIONAL BUSINESS MACHINES CORPORATION
- (SEE END. #1 ATT.)
- ARMONK, N.Y.
- Business or Occupation of the named insured is BUSINESS MACHINES

**Item 2. Policy Period:**
From DEC. 31, 1967 to DEC. 31, 1968
12:01 A.M., standard time at the address of the named insured as stated herein.

**Item 3. The insurance afforded is only with respect to such of the following Parts and Coverages therein as are indicated. The limit of the company's liability against each such Coverage shall be as stated herein, or in the applicable Coverage Part Schedule, subject to all the terms of the policy having reference thereto.**

| Parts | ADVANCE PREMIUM |
|-------|------------------|
| Comprehensive General Liability Insurance | $ |
| Owners', Landlords' and Tenants' Liability Insurance | $ |
| Manufacturers' and Contractors' Liability Insurance | $ |
| Contractual Liability Insurance | $ |
| Completed Operations and Products Liability Insurance | $ |
| Owners' and Contractors' Protective Liability | $ |
| Premises Medical Payments Insurance | $ |
| Personal Injury Liability Insurance | See Coverage Part for Limits of Liability |
| Comprehensive Personal Insurance | See Coverage Part for Limits of Liability |
| Farmer's Comprehensive Personal Insurance | See Coverage Part Schedule for Limits of Liability |
| Comprehensive Automobile Liability Insurance | $ |
| Bodily Injury Liability | $ |
| Property Damage Liability | $ |
| Automobile Medical Payments Insurance | $ |
| Uninsured Motorists Insurance (Bodily Injury Only) | $ |
| Garage Insurance | See Coverage Part Schedule for Limits of Liability |
| Automobile Physical Damage Insurance | See Coverage Part Schedule for Limits of Liability |
| Miscellaneous Coverage Endorsements | (See applicable Coverage Endorsement Schedule for Limits of Liability) |

**MALPRACTICE END. #2**

**If policy period is more than one year, the premium is payable:**
- General Liability: $225,000
- Total Advance Premium: $225,000

**Item 4. The Declarations are completed on an accompanying schedule(s) designated as (1) General Liability Hazards (2) Automobile Liability Hazards.**

**Item 5. During the past three years no insurer has cancelled any similar insurance issued to the named insured, nor declined to issue such insurance, unless otherwise stated herein.**

**Audit Period: Annual, unless otherwise stated.**

**TD:BW 12-26-67**
Countersigned on behalf of ZURICH INSURANCE COMPANY
Duly authorized agent: [Signature]
Form D-950
THIS DECLARATIONS PAGE IS IN CONJUNCTION WITH AND IS A PART OF POLICY SERIES 950
Z 006983