**ZURICH INSURANCE COMPANY**

111 WEST JACKSON BLVD., CHICAGO, ILLINOIS 60604

A stock insurance company herein called the company)

**DECLARATIONS**

**Item 1. Named Insured:**
- Name: INTERNATIONAL BUSINESS MACHINES CORPORATION (SEE END. #1 ATT.)
- Address: ARMONK, N. Y.

**Item 2. Policy Period:**
- From DEC. 31, 1965 to DEC. 31, 1966

**Item 3. Business of the named insured is BUSINESS MACHINES**
- The named insured is ☐ Individual; ☐ Partnership; ☒ Corporation

**Coversages | Limits of Liability | Advance Premiums**

| Coversages | Limits of Liability | Advance Premiums |
|------------|---------------------|-------------------|
| A Body Injury Liability | 500 thousand dollars each person | $ |
| | 1 million dollars each accident | $ |
| | 1 million dollars aggregate products | $ |
| B Property Damage Liability—Automobile | 100 thousand dollars each accident | $ |
| C Property Damage Liability—Except Automobile | 100 thousand dollars each accident | $ |
| | 100 thousand dollars aggregate operations | $ |
| | 100 thousand dollars aggregate protective | $ |
| | 100 thousand dollars aggregate products | $ |
| | 100 thousand dollars aggregate contractual | $ |

**The three year advance premium for policy and endorsement attached at issuance of policy shall be payable:**

| In advance | Additional premium for endorsements attached at issuance of policy (if any) | Total Advance Premium |
|------------|----------------------------------|-----------------------|
| $          | $                                | $ 182,093.00          |

**Item 4. The declarations are completed on attached schedules designated A and B.**
**Item 5. The schedules disclose all hazards insured hereunder known to exist at the effective date of this policy, unless otherwise stated herein:** NOT STATED
**Item 6. The schedules contain a complete list of all automobiles and trailers owned by the named insured at the effective date of this policy and the purposes of use thereof, unless otherwise stated herein:**
**Item 7. The schedules contain a complete list of all persons within the definition of Class 1 persons, at the effective date of this policy, unless otherwise stated herein:**
**Item 8. During the past three years no insurer has canceled insurance issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein:**
**Item 9. Complete the following for each location owned, rented or controlled by named insured:**

| Location of all Premises owned, rented or controlled by named insured | Names insured is | Part occupied by named insured |
|--------------------------------------------------------------------|----------------|--------------------------------|
| AS PER SCHEDULES IN COMPANY FILES                                  | Owner, Gen'l.  | Lessee, Tenant                 |

**AS PER SCHEDULES IN COMPANY FILES**

**AS NECESSARY**

**Z 006899**

**Counter-signed on behalf of ZURICH INSURANCE COMPANY**

RC: MCH

Form D-919-D.

THIS DECLARATIONS PAGE IS ISSUED IN CONJUNCTION WITH AND IS A PART OF POLICY SERIES 919