# Certificate of Casualty Facultative Reinsurance

**Transatlantic Reinsurance Company**
99 John Street, New York, New York 10038

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**To:** Mr. Chuck Ciccarelli  
**National Union**  
**99 John Street**  
**New York, N.Y., 10038**

**CERTIFICATE NO.:** COI-5497  
**COMPANY POLICY NO.:** 921 0600  
**GENERAL/AGENT NO.:**  
**U.S. POLICY PERIOD:** 05/21/81 - 05/21/82

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**SOURCE COMPANY:** National Union Fire Insurance Company of Pittsburgh, Pa.

**INSURED:** International Business Machines Corporation, Etal  
**LOCATION:** Armonk, N.Y.

**REINSURANCE EFFECTIVE:** 05/21/81  
**EXPIRATION:** 05/21/82  
**TERM:** 1 Yr.

**ITEM 1 - TYPE OF INSURANCE:** General Liability

**ITEM 2 - POLICY LIMITS AND APPLICABLE: SEE INSURANCE POLICY APPLIED**

**ITEM 3 - COMPANY ALLOCATION:** Self-Insured (No Allocation)

**ITEM 4 - INSURANCE COMPANY:** Transatlantic Reinsurance Company

**ITEM 5 - NAME OF INSURER:** Continental Indemnity Co.

**ITEM 6 - COMPANY NAME:** Transatlantic Reinsurance Company

**ITEM 7 - COMPANY ADDRESS:** 99 John Street, New York, New York 10038

**ITEM 8 - COMPANY PHONE NUMBER:** 212-421-1000

**ITEM 9 - COMPANY FAX NUMBER:** 212-421-1001

**ITEM 10 - COMPANY EMAIL ADDRESS:** transatlantic@reinsurance.com

**Certificate of Casualty Facultative Reinsurance**

**Date:** 05/21/81

**Francis R. Holmes**  
**Authorized Signature**

**29307 (7/80)**

**COPY**