**PRODUCER NO:** 387694  
**PRODUCER:** JOHNSON & HIGGINS  
**SUB-PRODUCER:**  

**STATUS OF BUSINESS (INDICATE BY "X"):** RENEWAL  
**REPLACES POLICY NO.:** OCW 22 552  
**NAME CODE:** SMCO  
**CALABRETTA:**  

**LUMBERMEN'S MUTUAL CASUALTY COMPANY**  
**AMERICAN INSURANCE COMPANY**  
**AMERICAN MANUFACTURERS MUTUAL INSURANCE COMPANY**  

**SPECIAL TITLE DEED TRANSFER AND DESTRUCTION SCHEDULE: 10 YEARS AFTER EXPIRATION**  
**EXTRA COPY**  
**APR 16 1974**  
**POLICY NUMBER:** 35X 010 122  

**DECLARATIONS**  
1. **NAME OF INSURED:** INTERNATIONAL BUSINESS MACHINES CORP.  
2. **ADDRESS:** ARMONK, NEW YORK  
3. **POLICY PERIOD:** FROM 5-21-73 TO 5-21-76  
4. **ADVANCE PREMIUM:** $ 4827.  
   **PREMIUM BASIS:** FLAT CHARGE  
   **MINIMUM PREMIUM:** $ 4827.  

**NEW YORK**

**DESCRIPTION OF UNDERLYING POLICIES:** $100,000,000 EACH OCCURRENCE OR IN THE AGGREGATE WHERE APPLICABLE EXCESS LIABILITY AS PROVIDED BY VARIOUS DOMESTIC CARRIERS AND UNDERWRITERS AT LLOYDS. (SCHEDULE ON FILE WITH THE COMPANY.)  

**$5,000,000 PART OF $50,000,000 EACH OCCURRENCE OR IN THE AGGREGATE WHERE APPLICABLE EXCESS LIABILITY FOLLOWING THE TERMS, CONDITIONS, RESTRICTIONS AND EXCLUSIONS OF THE UNITED STATES FIRE INS. CO. POLICY ECL 541553 (COPY ON FILE WITH THE COMPANY) EXCESS OF THE UNDERLYING POLICIES AS SET FORTH IN ITEM'S ABOVE.**  

**COUNTERSIGNED AT:** NEW YORK, NEW YORK  
**COUNTERSIGNATURE DATE:** MONTH 6 DAY 15 YEAR 73  
**COUNTERSIGNATURE OF LICENSED RESIDENT AGENT:** V. DAWSON US  

**FORM CK1022 4-72 1M**  
**PRINTED IN U.S.A.**