# Fireman's Fund

## Declarations
### EXCESS LIABILITY POLICY

**POLICY NUMBER:** XOM-000-7428-0991
**ITEM 1:** FIREMAN'S FUND INSURANCE COMPANIES
**POLICY PERIOD:** FROM 05/21/97 TO 05/21/98 (12:01 A.M. Standard time at the address of the Named Insured as stated herein)
**ITEM 2:** NAMED INSURED AND MAILING ADDRESS:
**ITEM 3:** 07 NATIONAL SURETY CORPORATION
**NAMED INSURED AND MAILING ADDRESS:** INTERNATIONAL BUSINESS MACHINES CORPORATION as per endorsement 178447-3-90
**OLD ORCHARD ROAD**
**ARMONK, NY** **10504**

In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy.

**ITEM 4:** LIMITS OF INSURANCE As per endorsement #178210-1-86.
**ITEM 5:** UNDERLYING INSURANCE LIMITS $120,000,000 Each Occurrence $120,000,000 Aggregate

**PREMIUM**
**Basis of premium:** Flat charge
**ITEM 6:** Advance Premium: $10,000 Annual Minimum Premium: $10,000
**ITEM 7:** SCHEDULE OF UNDERLYING INSURANCE This schedule is described within Form No. 178457-2-91 which forms a part of this policy's declarations.
**ITEM 8:** Endorsements attached to and forming a part of this policy at inception: 178447 03 90 178454 09 90 178210 01 86 178465 07 91 178241 06 93 NY 178498 06 94 178419 08 88 178517 10 96 178436 12 91S

**Date of Issue:** 08/06/1997
**Countersignature of Authorized Agent:** [Signature]

This declarations page is issued in conjunction with and forms a part of Policy Form 5002 07-87.