**IBM Risk Management Insurance Document Review Master Coding Sheet**

- **Date of Document:** _______________________
- **Box No.:** 373
- **Cust. Box No.:** 31770

**Name of Insurance Company:** The Home Insurance Company
**Name of Insured:** IBM

**Insurance Policy:**
- Primary
- Excess (Checked)
- Umbrella

- **Policy period:** 5/21/85 - 5/21/86
- **Policy number:** AXL-1640171

**Type of coverage:**
- GL
- WC
- Auto
- Directors
- E & O
- Other: ____________________________

- **Certificate of Insurance**
- **Endorsement/Rider**
- **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: CBR

**Cerussi & Spring Confidential Work Product**