# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** 11/5/85  
**Box No.:** 336  
**Cust. Box No.:** 36877  

**Name of Insurance Company:** North R.W.  
**Name of Insured:** IBM  

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

**Policy period:** 5/21/85 - 5/21/86  
**Policy number:** S220512472  

**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:**  
[Blank]

## IBM Internal:
- Letter: ☐
- Memo: ☐
- Email: ☐
- Notes: ☐
- Record/Form: ☐
- Company Wide Correspondence: ☐
- Other: ☐

**Description of Content:**  
[Blank]

## Confidentiality:
- Not Confidential/Public: ☑
- Confidential: ☐
- Highly Confidential: ☐
- Restricted: ☐
- Other: ☐

**C&S Attorney:** [Signature]  

**Cerussi & Spring Confidential Work Product**