# Zurich-American Insurance Group

## INFORMATION PAGES - DEDUCTIBLE AGREEMENT

**AGREEMENT NO. 66017 - 91**

### 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, 1991**
**Expiring 12:01 A.M., Standard Time, May 21, 1992**
**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 | 05/21/91 - 05/21/92 | GLO6347605-00 |
| Z       | Comm General Liability | 05/21/91 - 05/21/92 | GLO6347607-00 |
| Z       | Auto Deductible Aggregate Excess | 05/21/91 - 05/21/92 | CE06347772-03 |
| Z       | Business Auto Liability | 05/21/91 - 05/21/92 | BAP6347606-00 |
| Z       | Texas Auto Liability | 05/21/91 - 05/21/92 | TAP6347608-02 |
| Z       | Canadian Products Liability | 05/21/91 - 05/21/92 | 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 063087**

**06-Jun-91**