# DECLARATIONS

## COMMERCIAL EXCESS LIABILITY POLICY

**Chubb Group of Insurance Companies**
15 Mountain View Road, Warren, N.J. 07060

**Producer Number:** (91)7908-98-98
**Policy Number:** (92)7908-98-98

**Item 1: Named Insured & Address**
- **International Business Machines Corp., Etal Corporate Headquarters**
- **Address:** Armonk, NY 10504

**Producer's Name & Address**
- **Johnson & Higgins**
- **Address:** 125 Broad Street
- **New York, NY 10004**

**Named Insured is**
- ☐ Individual
- ☐ Partnership
- ☐ Corporation
- ☐ Joint Venture
- ☐ Other

**Item 2: Policy Period**
- **From:** 05/21/91
- **To:** 05/21/92
- **12:01 A.M. standard time at the address of the insured as stated.**

**Retroactive Date:** N/A
- **Applicable when all or part of the policy applies on a Claims Made Basis. If such a date is included, this policy will not apply to any injury or damage which occurs prior to that date.**

**Item 3: Premium**
- **Premium:** $100,000.-
- **Basis Rate:** Per:
- **Rate:** 

**Item 4: Limits of Liability**
- **$ 20,000,000.- Each Occurrence**
- **$ 20,000,000.- Aggregate in excess of**
- **$ See End't #2 Each Occurrence**
- **$ See End't #2 Aggregate**

**Item 5: Schedule of Underlying Insurance**
a. **First Underlying Insurance**
   - **Company:** American Home
   - **Policy No.:** TBA
   - **From/To:** 05/21/91 - 92
   - **Claims Made:** N/A
   - **Retroactive Date:** N/A
   - **Limits:**
     - Each
     - Of Liability: $ 25,000,000 Occurrence
     - $ 25,000,000 Aggregate
b. **Other Underlying Insurance**
   - **Company:** Various
   - **Policy No.:** TBA
   - **From/To:** 05/21/91 - 92
   - **Claims Made:** N/A
   - **Retroactive Date:** N/A
   - **Limits:**
     - Each
     - Of Liability: $ 35,000,000 Occurrence
     - $ 35,000,000 Aggregate

**In Witness Whereof, the company issuing this policy has caused this policy to be signed by its authorized officers, or the authorized officers of its U.S. Manager, Chubb & Son Inc., but this policy shall not be valid unless also signed by a duly authorized representative of the company.**

**CHUBB & SON INC., U.S. MANAGER OF SUN INSURANCE OFFICE LIMITED**

**PACIFIC INDEMNITY COMPANY**
- **President:** 
- **Secretary:** 

**FEDERAL INSURANCE COMPANY**
- **President:** 
- **Secretary:** 

**SUN INSURANCE OFFICE LIMITED**
- **Chairman:** 
- **Secretary:** 

**Date:** 06/06/91
**dk-0606.26**
**AUTHORIZED'S COPY**
**Form 07-02-0575-U (Rev. 11-86)**
**P-87939 (6M)**