# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** 6/15/95  
**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:** 5/21/95 - 5/21/96  
**Policy number:** 967966-56-89  

**Type of coverage:**
- GL: ☐  
- WC: ☐  
- Auto: ☐  
- Directors: ☐  
- E & O: ☐  
- Other: ☐  
- Certificate of Insurance: ☐  
- Endorsement/Rider: ☑  
- Other: ☐  

**Description of Content:** N/A  

## 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: N/A  

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

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

**Cerussi & Spring Confidential Work Product**