# IBM Risk Management Insurance Document Review Master Coding Sheet

**Date of Document:** \_\_\_\_\_\_

**Box No.:** 336

**Cust. Box No.:** 36877

**Name of Insurance Company:** \_\_\_\_\_\_

**Name of Insured:** IBM

**Insurance Policy:**

- Primary
- Excess
- Umbrella

**Policy period:** SLU185-5/21/86

**Policy number:** 01 XV S100 WCA

**Type of coverage:**

- OGL
- OWG
- 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:** 21

**Cerussi & Spring Confidential Work Product**