**INA INSURANCE COMPANY OF NORTH AMERICA, PHILADELPHIA, PENNSYLVANIA**

New York 502 Johnson & Higgins 380089 (F) (F-2) Renewing XBC #3241

**Attached to and hereby made a part of Certificate of Excess Insurance No. XCP 3028**

**DECLARATIONS**

**Named Insured:**

* **International Business Machines Corp., et al.**
    * (See Named Insured Endorsement)
    * Armonk, New York 10504

**Item 3. Certificate Term — From:** May 21, 1973  
**To:** May 21, 1976  
12:01 A.M., standard time at the address of the insured as stated in Item 2 above.

**Item 4. Primary Insurance**

| Primary Carriers | Policy Numbers | Policy Periods |
|------------------|----------------|----------------|
| (1) Various as per Company files | Various | Various |
| (2) Various as per Company files | Various | Various |

**Item 5. Description of Primary Insurance — General Liability, Automobile Liability and Employers Liability**

(1) Various primary insurance as described in Company files.
(2) $40,000,000.00 combined single limit umbrella excess of above.

**Item 6. Description of Excess Insurance — $5,000,000.00 combined single limit quota share part of $40,000,000.00 combined single limit excess of primary and $40,000,000.00 intervening excess, as per items (4) and (5).**

**Item 7. Premiums — Flat charge of $9,000.00 prepaid for 3 years.**

**Item 8. Attached hereto and made a part hereof:**

No. 1 — Nuclear Energy Liability Exclusion Endorsement (Form LC-1012)  
No. 2 — Named Insured Endorsement  
No. 3 — Non-Concurrency Endorsement  
No. 4 — 1454

LC1182 ISM 6-70 PTD. IN U.S.A.