**Johnson & Higgins**

**100**  
**7-31-73**  
**RENEWAL OF RDX 893360**

**CLASS CODE 3172**  
**SUB LINE 84**

**PRODUCER NO. 034344**  
**BRANCH 030**  
**PREFIX RDX**  
**POLICY NUMBER 893-66-01**

**NAMED INSURED & ADDRESS: (Number & Street, Town, County & State)**  
**International Business Machines Corp.**  
**Armonk, New York 10504**  
**Att: Miss Dolores Warneck Insurance Dept.**

**CODING**

**Policy Period: (hereinafter called "this policy period")**  
**7-1-73 To: 5-21-76**

**COPY OF THE EXCESS THIRD PARTY LIABILITY POLICY FORM G-40219-A**

**Schedule of Underlying Insurance: Insurer and Policy Number**

**See Endorsement No. 1**

**4. Limits of Liability:** The limit of the Company's liability shall be as stated herein, subject to all the terms of this policy having reference thereto.

| COLUMN I | IN EXCESS OF | COLUMN II | Total Limits | Coverage |
| --- | --- | --- | --- | --- |
| $ | Each Person | $ | $ | A. Bodily Injury |
| $ | Each Occurrence | $ | $ | Automobile |
| $ | Each Person | $ | $ | B. Bodily Injury |
| $ | Each Occurrence | $ | $ | Except Automobile |
| $ | Aggregate | $ | $ | C. Property Damage Automobile |
| $ | Each Occurrence | $ | $ | D. Property Damage |
| $ | Aggregate | $ | $ | Except Automobile |
| $ | Each Occurrence | $ | $ | E. Combined Single Limit Bodily |
| $ | Aggregate | $ | $ | Injury and Property Damage |

**$2,000,000 part of $10,000,000 $10,000,000 $20,000,000 Excess**
**$2,000,000 part of $10,000,000 $10,000,000 $20,000,000 Umbrella Liability**

**5. Premium Computation**

| Premium Basis | Estimated Exposure | Rate | Estimated Premium |
| --- | --- | --- | --- |
| Flat Charge for Policy Period; | 96.542% | $8,367 |

**Deposit Premium:** $8,367 on effective date of policy

**Minimum Premium:** $8,367 Annual  
**$8,367 Policy term**

**Audit Period:** None

**Form numbers of endorsement attached at issuance include G-40284-D**

**Countersigned by Authorized Agent**

**HOME OFFICE COPY**