**JOHNSON & HIGGINS**
INSURANCE BROKERS - AVERAGE ADJUSTERS
95 WALL STREET, NEW YORK, N.Y. 10005
TEL: (212) 432-2000

**INTERNATIONAL BUSINESS MACHINES CORP**
ARMONK NY 10504
ATT MR RICHARD FARON INS DEPT

**ACCOUNT NO:** 23055
**INSURED NO:** 000
**DEPT. NO:** 3
**BILLING DATE:** 06/14
**POLICY NO:** XN1028WCA
**REFERENCE NO:** 39657
**DATE TO BILL:** 05/216
**DATE OF INSURANCE:** 05/217
**EXCESS:** 10,000
**UMBRELLA LIAB:** 000 PART OF 40,000,000
**EXCESS OF:** 40,000,000
**AMOUNT:** $11,538.00

**JOHNSON & HIGGINS**
95 WALL STREET, NEW YORK, N.Y. 10005