# Zurich-American Insurance Group

## INFORMATION PAGES - DEDUCTIBLE AGREEMENT

**AGREEMENT NO. 66017 - 90**

### 1. NAME AND ADDRESS OF SELF-INSURER
**INTERNATIONAL BUSINESS MACHINES CORPORATION**
**OLD ORCHARD ROAD**
**ARMONK, NEW YORK 10504**

### 2. NAME AND ADDRESS OF COMPANY
**ZURICH INSURANCE COMPANY (Z)**
**The Zurich Towers**
**1400 American Lane**
**Schaumburg, Illinois 60196 - 1056**

### 3. POLICY PERIOD
- **Effective:** 12:01 A.M., Standard Time, May 21, 1990
- **Expiring:** 12:01 A.M., Standard Time, May 21, 1991
- At the address of the Self-Insurer stated above.

### 4. POLICY NUMBERS SUBJECT TO THIS AGREEMENT

| Company | Line of Business | Eff & Exp Dates | Policy Number |
|---------|------------------|-----------------|---------------|
| Z       | Comm General Liability | 05/21/90 - 05/21/91 | GLO6347605-00 |
| Z       | Comm General Liability | 05/21/90 - 05/21/91 | GLO6347607-00 |
| Z       | Auto Deductible Aggregate Excess | 05/21/90 - 05/21/91 | CEO6347772-02 |
| Z       | Business Auto Liability | 05/21/90 - 05/21/91 | BAP6347606-00 |
| Z       | Texas Auto Liability | 05/21/90 - 05/21/91 | TAP6347608-01 |
| Z       | Canadian Products Liability | 05/21/90 - 05/21/91 | 8006049 |

and any other policies which afford the same or similar insurance issued by the Company during this policy period.

### 5. DEDUCTIBLE AMOUNTS FOR THIS POLICY PERIOD

#### a. Each Occurrence/Each Accident - Retained by Self-Insurer

1. Comprehensive General Liability:
   - The first $5,000,000 of damages for any one occurrence, with respect to each coverage provided by the policy for which there is a separate Limit of Liability.
   - Allocated Claim Expense is payable by the Self-Insurer in addition to this amount.

2. Business Auto Liability:
   - The first $5,000,000 of damages for any one accident, with respect to each coverage provided by the policy for which there is a separate Limit of Liability.
   - Allocated Claim Expense is payable by the Self-Insurer in addition to this amount.

Form DUIPDA Edition 4 (12/89)
IBM 063067
26-Mar-91