# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** _______________________
**Box No.:** 187
**Cust. Box No.:** 32217

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

**Insurance Policy:**
- Primary
- Excess
- Umbrella
  - Policy period: 5/21/70 - 73
  - Policy number: 2K1-300-007504-010
  - 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: ________________________

**Cerussi & Spring Confidential Work Product**