# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** 6/21/96  
**Box No.:** 28  
**Cust. Box No.:** 48302  

**Name of Insurance Company:** Chubb Group of Insurance Co.  
**Name of Insured:** IBM Corp  

## Insurance Policy:
- **Primary:** ☐
- **Excess:** ☒
- **Umbrella:** ☑

**Policy period:** 5/21/96 - 5/21/97  
**Policy number:** 97-79089897  

**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: AG  

**Cerussi & Spring Confidential Work Product**