# Excess Third Party Liability Policy

## Affiliated FM Insurance Company
Appalachian Insurance Company
P. O. Box 7500, Johnston, Rhode Island 02913

## Declarations
- **Policy No.:** XL 98107
- **Item 1: Name of Insured:** International Business Machines Corp., et al and per Endorsement No. 1
- **Address:** Armonk, New York 10504
- **Item 2: Location of Coverage:** as above
- **Item 3: Policy Period:** From May 21, 1978 To May 21, 1979 (12 O'AM Standard Time at the address of the insured stated above)
- **Item 4: Primary Insurance:** Centennial Insurance Co. (Policy #TBA)

## Description of Coverage:
- **Excess Umbrella Liability**

## Limits of Liability:
The limit of the Company's liability shall be as stated herein, subject to all the terms of this policy.

## Coverage Table:
| Coverage | Section I | Section II | Section III |
|----------|-----------|------------|-------------|
| A        | Bodily Injury | Each Person | $ | $ |
|          |           | Each Accident or Occurrence | $ | $ |
|          |           | Aggregate Products | $ | $ |
| B        | Property Damage Automobile | Each Accident or Occurrence | $ | $ |
| C        | Property Damage Except Automobile | Each Accident or Occurrence | $ | $ |
|          |           | Aggregate Operations | $ | $ |
|          |           | Aggregate Protective | $ | $ |
|          |           | Aggregate Products | $ | $ |
|          |           | Aggregate Contractual | $ | $ |
| D        | Combined Single Limit Bodily Injury and/or Property Damage | Each Accident or Occurrence | $ | $ |
|          |           | Aggregate | $ | $ |
| E        | Other Excess Umbrella Liability | See Endorsement No. 2 | | |

## Premium Computation:
- **Premium Basis:** Flat Charge
- **Estimated Exposure:** N/A
- **Rate:** N/A
- **Estimated Premium:** $12,500.
- **Deposit Premium:** $12,500.
- **Minimum Premium:** $12,500.
- **Audit Period:** N/A

## Endorsements:
- Named Insured- Endorsement No. 1
- Limit of Liability- Endorsement No. 2
- Error and Omission- Endorsement No. 3
- Aircraft Products Exclusion- Endorsement No. 4
- ERISA Exclusion- Endorsement No. 5

## Date of Issue: June 5, 1978
## Countersigned by: Michael Maloney
## Authorized Representative