VACANT DWELLING OR MOBILE HOME

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1 VACANT DWELLING OR MOBILE HOME SECTION PAGE VACANT DWELLINGS...2 VACANT MOBILE HOMES...3 MISCELLANEOUS COVERAGES...4 OUTBUILDINGS...4 COMMERCIAL FARM LIABILITY...5 Policy Fee: $50 UNDERWRITER APPROVAL REQUIRED ON THE FOLLOWING 1. Applicant that has plead guilty or been convicted of a felony. 2. Any dwelling where the roof covering is slate, asbestos, concrete or any non-standard material. We will accept the risk, given these roof coverings, if the insured will agree to a roof exclusion. 3. Risks with unfenced in-ground swimming pools. 4. Risks with pools with diving boards. CLAIM UNDERWRITING The following are guidelines concerning claims history and acceptability. Each applicant and claim scenario is different, so the underwriter will review the entire account and the type of claim or claims to evaluate acceptability. NO-PAY CLAIMS: Generally no-pay claims are treated as a paid claim. SINGULAR RISK: 2 claims in 3 years or 3 claims in 5 years would disqualify a risk. If there are more than 2 fire claims in the last 5 years, regardless of the number of properties, the risk will be declined. UNDERWRITING If the dwelling is for sale, we will write coverage up to two years. On any other vacant dwelling, we will write coverage up to three years. BMIC (01-17) 1 VACANT

2 $ MINIMUM RETAINED PREMIUM DOWN PAYMENT OF $250, TWO MONTHS PREMIUM, OR INITIAL INSTALLMENT (WHICHEVER IS GREATEST) REQUIRED WITH APPLICATION. VACANT DWELLINGS - DEDUCTIBLE: $1,000 all other perils / $2,000 wind hail Liability premium does not count toward minimum Maximum coverage: $200,000 in fire class 1-6, $150,000 in fire class 7-10 AMOUNT CLASS 1-6 CLASS 7-8 CLASS 9 CLASS 10 10, , , , , , , , , , , , , , , , , , Add l $1, CONTENTS (NO THEFT) FIRE & EC AMOUNT CLASS 1-6 CLASS 7-8 CLASS 9 CLASS 10 5, , , , , , , , , Add'l $1, VANDALISM is included. ADDITIONAL CHARGES: $ ROOF REPLACEMENT Flat roofs are ineligible. See eligibility requirements, Underwriting page 10. $ SUBMERSIBLE PUMP WARRANTY Provides coverage for any cause of loss. $4,000 limit; $500 deductible. $ LIMITED THEFT ($5,000 coverage limit) Refer to policy for exact coverage and restrictions. $ per $1,000 TV ANTENNA/SATELLITE No coverage unless specified and charge made. DEDUCTIBLE CREDITS: $2,000 10%; $2,500 17%; $3,000 20% Non-Farm liability rates on page 3. Farm liability rates on page 5. BMIC (01-18) 2 VACANT

3 $ MINIMUM RETAINED PREMIUM DOWN PAYMENT OF $250, TWO MONTHS PREMIUM, OR INITIAL INSTALLMENT (WHICHEVER IS GREATEST) REQUIRED WITH APPLICATION. VACANT MOBILE HOMES - DEDUCTIBLE: $1,000 all other perils / $2,000 wind hail Liability premium does not count toward minimum Maximum coverage: $150,000 in fire class 1-6, $100,000 in fire class 7-10 AMOUNT CLASS 1-9 CLASS 10 10, , , , , , , , , ,000 1, , ,000 1, , ,000 1, , Add l $1, VANDALISM is included. ADDITIONAL CHARGES: $ ROOF REPLACEMENT Flat roofs are ineligible. See eligibility requirements, Underwriting page 10. $ SUBMERSIBLE PUMP WARRANTY Provides coverage for any cause of loss. $4,000 limit; $500 deductible. $ LIMITED THEFT ($5,000 coverage limit) Refer to policy for exact coverage and restrictions. $ per $1,000 TV ANTENNA/SATELLITE No coverage unless specified and charge made. DEDUCTIBLE CREDITS: $2,000 10%; $2,500 17%; $3,000 20% LIABILITY RATES (NON-FARM) See page 5 for farm liability rates. DESCRIPTION LIMIT INCREASED MED PAY ,000 2,000 5, ACRE LIMITATION BMIC (01-18) 3 VACANT

4 MISCELLANEOUS COVERAGES Deductible is $1,000 all other perils / $2,000 wind hail for a vacant policy. PER $ GRAIN BINS 9.90 MACHINERY Open perils. (Theft is included.) LIVESTOCK $100 deductible. (Theft is included.) 9.90 GRAIN/HAY IN BUILDINGS (Theft is included.) HAY IN OPEN (Theft is included.) 8.00 RELATED PRIVATE STRUCTURES (No farm buildings.) See below for farm building rates. OUTBUILDINGS RATE PER $1,000 Type 1 Minimum Coverage - $8.00 per square foot Type 2 Minimum Coverage - $6.00 per square foot Type 3 Minimum Coverage - $4.00 per square foot Must be specified for coverage to be provided. (Submit photo.) REPLACEMENT COST COVERAGE FOR OUTBUILDINGS: Farm barns, buildings and structures. Needs to be written at minimum 80% replacement value. Add $1.00 per 1,000 coverage (minimum charge of $50.00) only available on Type 1 & 2 barns. BROAD FORM FOR OUTBUILDINGS: Subject to policy deductible. You must charge for all outbuildings if this coverage is written. Rate per $1,000 = $1.00 BMIC (01-17) 4 VACANT

5 COMMERCIAL FARM LIABILITY Combined Limits: $1,000 Med. No Farm Employee Coverage (000 omitted) DESCRIPTION LIMIT INCREASED MED PAY ,000 2,000 5,000 INITIAL FARM TO 120 ACRES ACRES ACRES ACRES ACRES ACRES EA. ADD'L 200 ACRES EA. ADD'L FARM PREMISES W/BLDGS USED BY INSURED EA. ADD'L FARM PREMISES W/ANY BUILDINGS RENTED EA. ADD'L RES. USED BY INSURED ADD'L INSURED - NON- RESIDENT BUT HAVING AN INTEREST IN THE PROPERTY. PREMISES LIABILITY ONLY. PERSONAL LIABILITY IS NOT INCLUDED. DECLARE THE PERSON AND HIS INTEREST FARM EMPLOYEES: No more than 2 full-time employees. (No included coverage.) FULL TIME (WORKING 180 DAYS OR MORE PER YEAR) CHARGE PER EMPLOYEE PART TIME (WORKING LESS THAN 180 DAYS PER YEAR) CHARGE PER EMPLOYEE ANIMAL COLLISION: animals = $10.00; = $20.00; = $30.00 (MAXIMUM $400 PER HEAD.) RECREATIONAL MOTOR VEHICLE (INCLUDES GOLF CARTS), SNOWMOBILE - NOT DESIGNED FOR PUBLIC ROAD USE. CHARGE PER VEHICLE BMIC (01-18) 5 VACANT

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