# Northbrook Insurance Company
Northbrook, Illinois

## Declarations - Special Cover Policy - Casualty

**Renewal of No:** 63 004 593

**Item 1. Named Insured:** International Business Machines Corporation

**Item 2. Address:** Old Orchard Road, Armonk, New York 10504

**Item 3. Policy Period:**
- From: May 21, 1979
- To: May 21, 1980

**Item 4. Coverage:** Excess Umbrella Liability

**Item 5. Limits of Liability:**
- $9,000,000 any one occurrence and in the aggregate excess of
- $10,000,000 any one occurrence and in the aggregate (where applicable) excess of primary.

**Item 6. Premium:**
- Advance: $55,000.00
- Rate: Flat
- Annual Minimum: $55,000.00

**If the Policy Period is more than one year and the premium is to be paid in installments, Premium is payable for:**
- Not Applicable
- Effective Date: Not Applicable
- 1st Anniversary: Not Applicable
- 2nd Anniversary: Not Applicable

**In the event of cancellation by the Named Insured, the Company shall receive and retain not less than as the policy minimum premium.**

**Item 7. Schedule of Underlying Insurance:**
See RU13-1 attached

**Countersignature Date:** May 14, 1979

**Authorized Representative:**