**Excess Third Party Liability Policy Form G-40219-A**

**Producer No:** 047873  
**Branch:** 885  
**Prefix:** RDX  
**Policy Number:** 009 61 66 98

**Named Insured & Address:**
- **International Business Machines Corporation**
- **Address:** Armonk, New York 10504

**Policy Period:**
- From: 5-21-84
- To: 5-21-85

**Schedule of Underlying Insurance:**
- **Insurer and Policy Number:** SEE ENDORSEMENT #2

**Limits of Liability:**
- The limit of the Company's liability shall be as stated herein, subject to all the terms of this policy having reference thereto.

| Column I | In Excess Of | Column II | Total Limits |
|-----------|---------------|-----------|--------------|
| Company Limit | Underlying Limits | Total Limits | Coverage |
| $ | $ | $ | A. Bodily Injury |
| $ | $ | $ | B. Bodily Injury Except Automobile |
| $ | $ | $ | C. Property Damage Automobile |
| $ | $ | $ | D. Property Damage Except Automobile |
| $ | $ | $ | E. Combined Single Limit Bodily Injury and Property Damage |
| $ | $ | $ | F. Other EXCESS UMBRELLA LIABILITY |

**Premium Computation:**
- **Premium Basis:** FLAT CHARGE
- **Estimated Exposure:** N/A
- **Rate:** E/A
- **Estimated Premium:** N/A

**Deposit Premium:** $7,500 on effective date of policy
- **Minimum Premium:** $7,500 Annual
- **$7,500 Policy term**

**Audit Period:** E/A

*Absence of entry means the "each person" limit does not apply.*

**Countersigned by:** Authorized XET Representative

**DG-40219-A**