**GENERAL - AUTOMOBILE LIABILITY POLICY**
Form 950 DECLARATIONS
ZURICH INSURANCE COMPANY
111 JACKSON BLVD., CHICAGO, ILL. 60604

**POLICY NO:** 8506175
**RE#:** 0
**AGENCY NO:** 50-515
**BROKER NO:** 0
**AGENCY NAME:** JOHNSON & HIGGINS
**POLICY REGISTER:** UNO
**CONTRACT PARTY AND ENDORSEMENT ATTACH:** C76

**Item 1: Name of Insured and Address**
- **Street, Town or City, County, State, Zip Code:** Armonk, N.Y.
- **Business or Occupation of the Named Insured:** BUSINESS MACHINES

**Item 2: Policy Period**
- **From DEC. 31, 1966 to DEC. 31, 1967**

**Item 3: Insurance Afforded**
- The insurance afforded is only with respect to such of the following Parts and Coverages therein as are indicated. The limit of the company's liability for each such coverage shall be as stated herein, or in the applicable Coverage Part Schedule, subject to all the terms of the policy having reference thereto.

**Parts Covered:**
- Comprehensive General Liability Insurance (X)
- Owners', Landlords' and Tenants' Liability Insurance
- Manufacturers' and Contractors' Liability Insurance
- Contractual Liability Insurance
- Completed Operations and Products Liability Insurance
- Owners' and Contractors' Protective Liability

**LIMITS OF LIABILITY**

| EACH PERSON | EACH OCCURRENCE | AGGREGATE |
|-------------|----------------|-----------|
| Bodily Injury Liability | $500,000 | $1,000,000 | $1,000,000 |
| Property Damage Liability | XXXXX | $100,000 | $100,000 |

| EACH PERSON | EACH ACCIDENT | |
|-------------|---------------|-----------|
| Premises Medical Payments Insurance | $2,000 | $25,000 | XXXXX |
| Personal Injury Liability Insurance | See Coverage Part for Limits of Liability | | |
| Comprehensive Personal Insurance | See Coverage Part for Limits of Liability | | |
| Farmer's Comprehensive Personal Insurance | See Coverage Part Schedule for Limits of Liability | | |
| Comprehensive Automobile Liability Insurance | See Coverage Part Schedule for Limits of Liability | | |
| Body Injury Liability | $500,000 | $1,000,000 | XXXXX |
| Property Damage Liability | XXXXX | $100,000 | XXXXX |
| EACH PERSON | EACH ACCIDENT | |
| Uninsured Motorists Insurance (Bodily Injury Only) | $2,000 | XXXXX | XXXXX |
| Garage Insurance | See Coverage Part Schedule for Limits of Liability | | |
| Automobile Physical Damage Insurance | See Coverage Part Schedule for Limits of Liability | | |
| Miscellaneous Coverage Endorsements | (Named by U.S. and Form No.) | | |

**MALPRACTICE END. #2**

**If policy period is more than one year, the premium is payable:**
- General Liability: $191,250.00
- Total Advance Premium: $191,250.00

**In advance:** $191,250.00
**1st anniversary:** $0
**2nd anniversary:** $0

**Item 4: Declarations**
- The Declarations are completed on an accompanying schedule(s) designated as (1) General Liability Hazards, (2) Automobile Liability Hazards.
- During the past three years no insurer has canceled any similar insurance issued to the named insured, nor declined to issue such insurance, unless otherwise stated herein.
- Audit Period: Annual, unless otherwise stated.

**Counter-signed on behalf of ZURICH INSURANCE COMPANY**
- **Duly authorized agent:** Vic R. Nigro
- **Manuscript: Kelly**

**THIS DECLARATIONS PAGE IS ISSUED IN CONJUNCTION WITH AUTO-LIABILITY POLICY SERIES 950**