# Declarations

## EXCESS LIABILITY POLICY

**Policy Number:** XOM-000-7409-6918
**Policy Period:** From 05/21/96 to 05/21/97 (12:01 A.M. Standard time at the address of the Named Insured as stated herein)

**Item 2** **Named Insured and Mailing Address:** INTERNATIONAL BUSINESS MACHINES CORPORATION as per endorsement 178447-3-90 OLD ORCHARD ROAD ARMONK, NY 10504

**Coverage is provided in the following company, a stock company:** 07 NATIONAL SURETY CORPORATION

In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy.

**Item 4** **Limits of Insurance:** As per endorsement #178210-1-86.

**Item 5** **Underlying Insurance Limits:** $120,000,000 Each Occurrence Aggregate $120,000,000

**Premium**

**Basis of premium:** Flat charge

**Item 6** **Advance Premium:** $13,000 Annual Minimum Premium: $13,000

**Item 7** **Schedule of Underlying Insurance:** This schedule is described within Form No. 178457-2-91 which forms a part of this policy's declarations.

**Item 8** **Endorsements attached to and forming a part of this policy at inception:** 178210 01 86 178454 09 90 178241 06 93 NY 178465 07 91 178419 08 88 178489 10 93 178436 12 91S 178498 06 94 178447 03 90

**Date of Issue:** 05/17/1996
**Countersignature of Authorized Agent:** [Signature]

This declarations page is issued in conjunction with and forms a part of Policy Form 5002 07-87.