**First State Insurance Company**

**Wilmington, Delaware**

**Administrative Offices: 60 Batterymarch Street, Boston, Massachusetts 02110**

**Renewal of No. 927856**

**No. 929109**

**DECL - TIONS - SPECIAL COVERAGE POL**

**STOCK COMPANY**

**Named Insured and Mailing Address**

**International Business Machines, Inc., et al (see Endorsement #1)**

**IBM**

**Old Orchard Road**

**Armonk, New York 10504**

**Item 1. Policy Period: From May 21, 1980 To May 21, 1981**

**12:01 A.M., Standard Time at the address of the named Insured as stated herein.**

**Item 2. Premium:**

**(A) Advance Premium: $ 4600. Rate: Flat Minimum Premium: $4600.**

**(B) $ 2500.**

**If the Policy Period is more than one year and the premium is to be paid in installments, premium is payable on:**

**Effective Date 1st Anniversary 2nd Anniversary**

**$ --- $ --- $ ---**

**Item 3. Coverage: Excess Umbrella Liability**

**Item 4. Limits of Liability: The limit of the Company's liability shall be as stated herein, subject to all the terms of this policy having reference thereto.**

**See Endorsement #2**

**Item 5. During the past three years no insurer has cancelled insurance issued to the named insured, similar to that afforded hereunder, unless otherwise stated herein.**

**Countersigned by:**

**Date of Issue: 4-14-80 rh**

**C-140**

**The company located these documents in its business records. At this time, the company does not certify that these documents constitute a complete and accurate copy of the policy.**