**COPY OF THE EXCESS THIRD PARTY LIABILITY POLICY FORM G-40219-A**

**POLICY NUMBER:** RDX 009 61 65 67

**NAMED INSURED & ADDRESS:**
INTERNATIONAL BUSINESS MACHINES CORPORATION (STT ENDORSEMENT #1)
ARMOUR, NEW YORK 10504

**Policy Period:**
From: 5-21-53
To: 5-21-54

**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 | COLUMN III |
|----------|------------------------|------------|
| Company Limits | Underlying Limits | Total Limits |
| $         | Each Person            | $          | A. Bodily Injury Automobile |
| $         | Each Occurrence        | $          | B. Bodily Injury Except Automobile |
| $         | Each Person*           | $          | C. Property Damage Automobile |
| $         | Each Occurrence        | $          | D. Property Damage Except Automobile |
| $         | Aggregate              | $          | E. Combined Single Limit Bodily Injury and Property Damage |
| $         | Each Occurrence        | $          | F. Other |

**Premium Computation**
- **Flat Charge:** $5,000.
- **Deposit Premium:** $5,000 on effective date of policy
- **Minimum Premium:** $5,000 Annual
- **Audit Period:** 3/1

**COLUMBIA CASUALTY**

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

**Countersigned by:** [Name]
**Authorized Agent:** [Name]

DG-40219-A