**INA**

**INSURANCE COMPANY OF NORTH AMERICA, PHILADELPHIA, PENNSYLVANIA**

**Attached to and hereby made a part of Certificate of Excess Insurance No XSP 14410a**

**DECLARATIONS**

**Item 1. Name of Insured — International Business Machines Corp., Etal**
- **See Named Insured Endt. #2**

**Item 2. Address —**

**Item 3. Certificate Term — From: 5/21/81 To: 5/21/82 12:01 A.M., standard time at the address of the insured as stated in Item 2 above.**

**Item 4. Primary Insurance —**

| Primary Carriers | Policy Numbers | Policy Periods |
|------------------|----------------|----------------|
| See Primary Insurance Endt. #4 |

**Item 5. Description of Primary Insurance — See Limits of Liability Endorsement #3**

**Item 6. Description of Excess Insurance — See Limits of Liability Endorsement #3**

**Item 7. Premium —**

| U.S. Portion | 10,375. |
| Canadian Portion | 375. |
| Flat Charge For Policy Period | 10,750. |

**Item 8. attached hereto and made a part hereof: No. 1 — Nuclear Energy Liability Exclusion Endorsement (Form LC-1012) See Schedule of Endorsements**

**U.S.A.**