# Excess Liability Insurance Policy

**Company:** qrd Accident and Indemnity Company
**Address:** 1st Plaza, Hartford, Connecticut 06115

**Policy No.:** 10 XS 100026
**Insured:** INTERNATIONAL BUSINESS MACHINES CORP.
**Address:** ARMONK, N.Y. 10504

**Producer's Name and Address:** JOHNSON & HIGGINS
**Agent Code:** 25-2719

**Effective Date:** 5-2-76
**To:** 5-2-77

**Premium:** $6,000
**Type of Policy:** Comprehensive General Liab. & Auto. Liab., also Umbrella Liability

**Limits of Liability:** $40,000,000

**Insurer:** VARIOUS

**The Hartford does not certify, warrant or represent that this is a complete copy of the policy**

## Limits of Liability

The limits of the Company's liability against the insurance afforded by this policy shall, subject to all the terms of this policy relating thereto, be as stated either in Item 5(a) or Item 5(b) below.

**(a) Excess Limits of Liability - Quota Share Basis**
- 12.5%, being $5,000,000 each occurrence and $5,000,000 aggregate quota share part of $40,000,000 each occurrence and $40,000,000 aggregate excess of underlying insurance.

**(b) Excess Limits of Liability - Full Limits Basis**
- $ ,000 each occurrence and $ ,000 aggregate excess of underlying insurance.

**Form Numbers of Endorsements forming part of Policy issues:**
- G-2240-A (NAME OF INS.)
- G-2240-A (DATE PROCESSORS/EXCLUSIONS)

**The company located these documents in its archives. The company does not certify that these documents constitute a true and accurate copy of the policy.**