# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** 3/10/80  
**Box No.:** 187  
**Cust. Box No.:** 32217  

**Name of Insurance Company:** Columbia Casualty  
**Name of Insured:** FBM  

## Insurance Policy
- Primary: ☐
- Excess: ☑
- Umbrella: ☐  
- Policy period: 1/1/80 - 83  
- Policy number: S13 69 62  

## Type of coverage:
- GL: ☐  
- DWC: ☐  
- Auto: ☐  
- Directors: ☐  
- E & O: ☐  
- Other: ☐  

## Document related to Insurance:
- Document Type:
  - Manual: ☐  
  - Brochure: ☐  
  - Article: ☐  
  - Govt. Regs.: ☐  
  - Letter: ☐  
  - Memo: ☐  
  - Email: ☐  
  - Record: ☐  
  - Drawings: ☐  
  - Contract: ☐  
  - PO/Invoice: ☐  
  - Chart/Graph: ☐  
  - Report/Study: ☐  
  - Bid Info.: ☐  
  - Certificate/Licenses: ☐  
  - Other: ☐  
- Description of Content:

## IBM Internal:
- Letter: ☐  
- Memo: ☐  
- Email: ☐  
- Notes: ☐  
- Record/Form: ☐  
- Company Wide Correspondence: ☐  
- Other: ☐  
- Description of Content:

## Confidentiality:
- Not Confidential/Public: ☑  
- Confidential: ☐  
- Highly Confidential: ☐  
- Restricted: ☐  
- Other: ☐  
- C&S Attorney: [Signature]

**Cerussi & Spring Confidential Work Product**