# Certificate of Facultative Casualty Reinsurance

**Certificate No:** FC 01490

**Renews:** ☐

**Replaces:** ☐

**Mr. Lee Gonzales**
**Producer/Intermediary:**
**Facultative Services**
**5 Marineview Plaza**
**Hoboken, NJ 07030**

**Your Reference No:** 80-063G

**In consideration of the payment of premiums and subject to the terms and limits set forth hereon and the General Conditions set forth on the reverse side (which are an integral part of this Certificate), Metropolitan Reinsurance Company, a Delaware stock insurer (referred to as MetRe), does hereby reinsure:**

**Name of Ceding Company:** National Union Fire Insurance Company
**Address:** 70 Pine Street, New York, N.Y. 10005

**Declarations**
**Name of Insured:** International Business Machine Corp. (As per National Union Policy 9910310)
**Address:** Armonk, New York 10504
**Company:** 9910310
**Policy No.:** 9910310
**Policy Period:** 5/21/80 - 5/21/81
**Reinsurance Period:** 5/21/80 - 5/21/81
**Cert. Period:** 

**Item 1 Type of Insurance:** Excess Following Form Umbrella Liability

| Item 2 Policy Limits and Application | Item 3 Company Retention | Item 4 Reinsurance Accepted | Item 5 Basis of Acceptance |
|--------------------------------------|--------------------------|----------------------------|----------------------------|
| C. $15,000,000, part of $40,000,000, excess of $40,000,000, excess of primary. | $4,500,000, part of $15,000,000, in turn part of $40,000,000, excess of $40,000,000, excess of primary. | $5,000,000, part of $15,000,000, in turn part of $40,000,000, excess of $40,000,000, excess of primary. | ☐ Excess of Loss<br>☑ Contributing<br>☐ Non-Concurrent |

**Item 6 Cancellation Notice:** 60 days

**Item 7 Reinsurance and Gross Premium Computation**
- ☑ Fixed Charge: $8,000.00
- ☐ Adjustable: on basis of ________ per ________
- ☐ Deposit Minimum: ________
- ☐ Premium: ________

**Audit Period:** ________

**Item 8 Currency:** United States of America: ☑ Canada: ☐ (other)

**Item 9 Company Ceding Commission:** 25.0%

**Countersigned at:** New York, N.Y.

**Metropolitan Reinsurance Company**
**By:** [Signature]
**Title:** Vice-President
**Date:** 9/22/1980

**MRC-8 (4-79)**
**Printed in U.S.A.**

*(General Conditions of Reinsurance are on Reverse Side)*

**Company Copy**