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

**Date of Document:** 8-31-2004  
**Box No.:** 190  
**Cust. Box No.:** 18262

**Name of Insurance Company:** VARIOUS CARRIERS  
**Name of Insured:** IBM

**Insurance Policy:**
- Primary
- Excess
- Umbrella
- Policy period: _______________________
- Policy number: _______________________
- 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: w/policy.info.

**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: A.G.

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