# Starr Excess Liability Insurance International Limited

(Hereinafter referred to as the "Insurer")

29 Richmond Road, Pembroke HM 08, Bermuda

Telephone: 441-295-7827

Facsimile: 441-292-8099

Facsimile: 441-296-3750 (For Claim Matters Only)

## FOLLOWING FORM EXCESS LIABILITY INSURANCE POLICY OCCURRENCE FORM DECLARATIONS (Contd.)

Policy No: 400000

New

### ITEM 7. FOLLOWED POLICY:
- **Company:** Illinois National Insurance Company
- **Policy Number:** BE 932 81 22
- **Coverage:** Commercial Umbrella Liability
- **Policy Period:** May 21, 1998 – May 21, 1999
- **Limits of Liability:**
  - $50,000,000 Each Occurrence
  - $50,000,000 General Aggregate
  - $50,000,000 Products Completed Operations Aggregate

### ITEM 8. PREMIUM:
US$300,000

### ITEM 9. NOTICES TO THE INSURER:
(a) All notices of Occurrence of Claim: Claim Department
(b) All other notices: Underwriting Department
(c) At the address and numbers shown at the top of the Declarations Page

### ITEM 10.
(a) Representative of Insured: International Business Machines Corporation
(b) Address: New Orchard Road Armonk, NY 10504-0000 USA

### ITEM 11. POLICY FORM:
SELIC FF0C (11/98)

ENDORSEMENTS: 1 [FFOC] – 10 [FFOC]

Date of Issuance – January 7, 1999

SELIC FF0C (Ed. 11/98)