# Lexington Insurance Company

**Wilmington, Delaware**
**(A Stock Insurance Company)**

**Administrative Offices 100 Summer Street, Boston, MA 02110**

## STAND ALONE/RETAINED AMOUNT POLICY

### DECLARATIONS

- **POLICY NUMBER:** 552 8820
- **RENEWAL OF:** NEW
- **PRODUCER NAME AND ADDRESS:** Johnson & Higgins
  - 95 Wall Street
  - New York, NY 10005

**THIS IS A CLAIMS MADE POLICY. PLEASE READ THIS POLICY CAREFULLY**

### ITEM 1. NAMED INSURED:
- **International Business Machines**
- **ADDRESS:** Armonk, NY

### ITEM 2. POLICY PERIOD:
- **FROM:** 05/21/86
- **TO:** 05/21/87
- **AT:** 12:01 A.M. STANDARD TIME AT THE ADDRESS OF THE NAMED INSURED SHOWN ABOVE.

### ITEM 3. LIMIT OF LIABILITY:
- **a) Per Occurrence:** $10,000,000
- **b) Self Insured Retention:** $25,000
- **c) Aggregate Limits – Separately as respects:**
  - (i) Products Hazard and Completed Operations' Hazard Combined: $10,000,000
  - (ii) All Other Coverages Combined: $10,000,000
    - (Except Automobile Liability, which is not subject to any aggregate limit)

### ITEM 4. RETROACTIVE DATE:
- **05/21/86**

### ITEM 5. EXTENDED REPORTING PERIOD:
- **125% of the total annual premium.**

### ITEM 6. PREMIUM COMPUTATION:
- **ESTIMATED EXPOSURE:** N/A
- **RATE PER:** N/A
- **ADVANCE PREMIUM:** $85,000.
- **MINIMUM PREMIUM:** $85,000
- **PREMIUM AT INCEPTION:** $21,250

### ITEM 7. SCHEDULE OF RETAINED AMOUNTS:
- **See End. #1**

### TYPE OF INSURANCE:
- **AMOUNT:** See Endorsement No. 1 attached

### ITEM 7. ENDORSEMENTS ATTACHED:
- Nos. 1 - 13

### COUNTERSIGNED:
- **DATE:** 08/04/86
- **msb BY:** AUTHORIZED REPRESENTATIVE

**LEX-CM-STA-1**
**(Ed. 4/86)**