# Mission Insurance Company Declarations

**No. M 72607**

## Mission Insurance Company
**Los Angeles, California**

## SAYRE & TOSO, Inc.
**Underwriting Managers**

### In favor of:
**INTERNATIONAL BUSINESS MACHINES CORPORATION**

### Address:
**ARMONK, NEW YORK 10504**

### Type of Coverage:
**EXCESS UMBRELLA LIABILITY**

### In the amount of:
**ONE MILLION DOLLARS EXCESS OF ONE HUNDRED FORTY THREE MILLION DOLLARS**

### Term:
- **Beginning at 12:01 AM on the 21ST day of MAY 19 70**
- **and ending at 12:01 AM on the 21ST day of MAY 19 73**

Standard time at the place of location of risks insured, and in accordance with terms and conditions of the form(s) attached and the Standard Clauses on the reverse side of this page.

### Forms:
At time of issuance this Policy contains a 5 page insuring Form and Endorsements 1 through 2 inclusive. Standard Clause 2 shall not apply.

---

**Mission Insurance Company**, Los Angeles, California (hereinafter called the Company), agrees with the assured named above, in consideration of the premium to be paid and subject to the limits of liability, exclusions, conditions and other terms of this policy, to provide insurance as set forth in the form(s) and endorsement(s) attached.

---

**Premium:**

| Due | At Inception | 1st Anniversary | 2nd Anniversary |
|-----|--------------|-----------------|-----------------|
| PREMIUM | $ 1,200,000 | $ N/A | $ N/A |
| Service Fee | | | |
| Policy Fee | | | |
| TOTAL | | | |

IN WITNESS WHEREOF, this Company has executed and attended these presents; but this policy shall not be valid unless countersigned by SAYRE & TOSO, INC.

**Edward A. [Signature]**  
**President**

**SAYRE & TOSO, INC.**

**Dated at LOS ANGELES, CALIFORNIA**  
**this 30TH day of JULY, 1970**  
**By [Signature]**  
**J. Sloop**  
**CC:**  

**ORIGINAL POLICY**

**FORM LOS-001 (E-70) BM**