# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** [Date]
**Box No.:** 187
**Cust. Box No.:** 32217

**Name of Insurance Company:** LM
**Name of Insured:** IBM

## Insurance Policy:
- Primary
- Excess
- Umbrella
- Policy period: S/21/67 - S/26/70
- Policy number: K1-300-007504 - 017 7092
- Type of coverage:
  - GL
  - W/C
  - Auto
  - Directors
  - E & O
  - Other: [Blank]

## 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: [Blank]
- Description of Content: [Blank]

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

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