OREGON MUTUAL INSURANCE COMPANY CUSTOM SHIELD AUTO CREDITS AND OPTIONS

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1 ACCIDENT FORGIVENESS 1. For a policy that has had no at fault accidents in the prior three years, any surcharge for the first at fault accident caused by rated drivers 18 years or older will be waived. If any rated driver on the policy has had a major violation or speed cite over 20 miles per hour in the prior three years the at fault accident will not be waived. If Oregon Mutual Insurance has paid for any at fault accident on the policy in the last three years the at fault accident will not be waived. 2. Subsequent at fault accidents in the next three years will result in a surcharge, as well as all at fault accidents for drivers less than 18 years of age. Accidents are not waived for any at fault accident for non-rated drivers. 3. In order for the at fault accident to continue to be waived, the accident forgiveness endorsement must be continued until the policy term expiration where the accident is three years old or more. ADDITIONAL EQUIPMENT AND CUSTOMIZATION COVERAGE Total Cost Additional Equipment and Customization Six Month Premium $ $ , ,001 1, ,501 2, ,001 2, ,501 3, ,001 3, ,501 4, ,001 4, ,501 5, ,001 and Over $30 per $1000 Permanently installed equipment and customization that is not factory installed or dealer installed prior to a new car purchase may be scheduled individually under this endorsement. The rate is based on the total value of the listed items. This coverage is available for the following: 1. Vehicle equipment including, but not limited to: a. Custom wheels and tires b. Custom body/interior work, including custom T tops c. Special carpeting, insulation, paneling, cooking, sleeping, and bathroom facilities, or height extending roofs d. Custom engine work and parts e. Custom paint and trim work. f. Any equipment which modifies the vehicle's appearance or performance 2. Sound reproduction equipment and accessories valued in excess of $500 including, but not limited to: a. Radios and stereos b. Speakers and amplifiers c. Compact disk players d. Digital/audio format players e. Satellite audio receivers August 2016 Washington CO-1

2 ADDITIONAL EQUIPMENT AND CUSTOMIZATION COVERAGE (Cont.) 3. Electronic equipment that receives and/or transmits audio, visual, and data signals and is not designed solely for the reproduction of sound including, but not limited to: a. Citizens band radios b. Telephones c. Two-way mobile radios d. Television monitor receivers e. Scanning monitor receivers f. Audio cassette recorders g. Video cassette recorders h. Digital video disk (DVD) players i. Satellite television receivers Accessories used with electronic equipment that receive or transmit audio, visual, or data signals, listed above. Excluded from coverage are radar detectors and other devices designed to evade traffic laws. Additional Equipment and Customization Coverage is only available on those private passenger vehicles for which Comprehensive and Collision coverage are provided. No additional deductible applies. It is not available on motorhomes, trailers, antique, or restricted use classic. This also does not apply to comp only or non-owned auto. ADDITIONAL INSURED An additional insured may be endorsed onto the policy at no additional charge provided the company is advised as to the additional insured's interest in the vehicle and driving information (driver's license number, date of birth, accident and citation record is required if the additional insured will be operating the vehicle). ADVANCE QUOTING CREDIT This credit will automatically be applied to new business policies based on the number of days in advance of the policy effective date that the coverage was quoted. 1. The prior carrier must be preferred or standard and there must not be a lapse in coverage. 2. If applied, the new policy will continue to receive a discount in accordance with the schedule found in the rating factor pages. If prior carrier is Oregon Mutual or Western Protectors this credit does not apply. AFFINITY CREDIT A 5% affinity discount applies to BI, PD, PIP, UMBI, UMPD, Comp, and Collision for specific company approved groups such as credit unions. The following are currently approved as affinity groups: 1. First Tech Credit Union members 2. Selco Credit Union members 3. MAPS Credit Union members 4. First Community Credit Union members 5. Idaho Central Credit Union members 6. Oregon State Credit Union members 7. TwinStar Credit Union members The discount applies to all vehicles types except non-owned auto. CO-2 Washington March 2017

3 ANTI-THEFT DEVICES CREDIT This credit applies to Comprehensive coverage only. To qualify, the vehicle must be equipped with one or more of the following: 1. Alarm only devices which sound an audible alarm that can be heard at a distance of at least 300 feet for a minimum of three minutes. 2. Active disabling devices which disable the vehicle by making the fuel, ignition or starting system inoperative. A disabling device is categorized as active if a separate manual step is required to engage the device. 3. Passive disabling devices which disable the vehicle by making the fuel, ignition or starting system inoperative. A disabling device is categorized as passive if a separate manual step is not required to engage the drive. AUTOMOBILE GLASS REPAIR WAIVER When there is damage to glass caused by comprehensive covered perils, and the glass can be repaired rather than replaced, the comprehensive deductible will be waived. This coverage will only be offered on vehicles which have comprehensive coverage. CUSTOM SHIELD PLUS Custom Shield Plus provides a package of policy level coverage, including one deductible for auto and home; key replacement; worldwide comp, collision, and loss of use coverage for rental cars (excluding Mexico); pet medical; personal property; and Laptop/smartphone/iPad collision damage. 1. If selected, the charge applies to all PPVs, MH, Antique, Restricted and Regular Use Classic. 2. For each eligible vehicle charge 5% of the total premium for major policy coverages. 3. N/A for non-owned auto, comp only, and all trailers. DEFENSIVE DRIVER DISCOUNT CREDIT A 5% credit will apply to all major coverages for principal drivers age 55 or older who have successfully completed a Defensive Driver accident prevention course meeting criteria of the Department of Licensing. The discount is disallowed if: The credit is for a two-year period only and will require recertification to requalify for each two-year period. If there are other drivers in the household, this credit applies only to the driver classification factor of the qualified driver. DIMINISHING DEDUCTIBLE Optional policy level endorsement. The deductible will be reduced by $100 annually (up to $500 total) as long as there have been no at fault accidents or collision losses within the past year. Selected/purchased at policy level, then applies to all vehicles with collision coverage (though only charge on PPV, Regular Use Classic, and MH). August 2016 Washington CO-3

4 EMERGENCY ASSISTANCE PACKAGE EAP This coverage is available for private passenger vehicles and motorhomes only and provides: 1. Transportation expenses/rental cost coverage 2. Emergency expenses 3. Roadside assistance 4. Personal property coverage 5. Lock coverage 6. Increased supplementary payments coverage Other requirements: 1. Coverage can be selected by individual vehicle 2. Vehicles with EAP cannot have transportation expenses 3. If EAP is purchased Comprehensive, Collision, and Roadside Assistance must also be provided 4. Not applicable to antique, restricted classic, trailers, or non-owned Emergency Assistance Pkg Policy Term Premium 6 months $ Months $30.00 EMPLOYEE DISCOUNT Discount available to employees and retirees of Oregon Mutual Insurance Group. Discount is discontinued if employee leaves the company prior to retirement. The discount applies to major coverages. ENHANCED WINDOW GLASS 1. Coverage is available by vehicle for private passenger vehicles, antique autos, classic autos, motorhomes, and trailers that have comprehensive and collision coverage. 2. It provides for the repair or replacement of damaged window glass without regard to the applicable deductible when comprehensive coverage applies to the loss. 3. The charge is a percentage of the comprehensive premium for the vehicle and varies based on the deductible chosen for comprehensive as follows: Comprehensive Deductible Relativity CO-4 Washington August 2016

5 EXTENDED NON-OWNED AUTO 1. This insurance is available for the named insured or a listed relative living in the same household. Coverage is provided for the use by the named individual of any non-owned automobile, as provided in the endorsement. 2. Submit complete information regarding: a. Estimated annual mileage of non-owned automobile. b. Whether there is underlying insurance covering the named insured or relative on a direct primary basis. c. Type of vehicle and use of vehicle usually driven. d. Specific occupation of the insured. FIVE YEAR EXPERIENCE CREDIT This credit will not apply to the policy if any of the following apply: 1. Any driver on the policy has a chargeable violation in the last five years. 2. Any at fault accident on the policy in the last five years. 3. Any driver on the policy has more than one non-glass comprehensive claim in the last five years. 4. Named insured has five years or less of driving experience. Chargeable is defined as activity that would have been chargeable under the Merit Rating Plan. INSURANCE SCORE Policy premiums will include an adjustment for insurance score based on the TransUnion TrueRisk 2.0 for auto, which applies to all primary coverages. The policyholder may request a new score in advance of the renewal if the current score was ordered no less than a year prior to the renewal date. The renewal premium will be adjusted accordingly to reflect the new score. OMI will reorder insurance score once every three years from receipt of the previous score. If a consumer is charged higher premiums due to disputed credit history, which is later resolved and the company is advised in writing of the resolution, the policy will be re-rated retroactive to the effective date of the current policy term. The consumer shall be charged the same premiums they would have been charged if accurate credit history was used to calculate an insurance score. LEGACY CREDIT Legacy Credit applies when a driver on his/her parents' policy is moved to his/her own policy as applicant or co-applicant. Eligibility requirements are as follows: 1. Driver must be under 25 years of age and on parents' policy for at least two years. 2. Must be no more than one (1) cite and one (1) accident within past three years for all drivers on new policy. This factor is applied in the driver averaging calculation and the factor varies by age. LIABILITY ASSUMED BY CONTRACT This coverage indemnifies the insured up to $1,000 for liability assumed by contract under most car rental agreements (at no additional charge). January 2017 Washington CO-5

6 LISTED OPERATOR COVERAGE The Custom Shield Listed Operator policy provides limited coverage for undisclosed (unlisted) drivers. However, all individuals listed as drivers receive full policy limits. If the broader Custom Shield policy is purchased, it provides coverage at the policy limits for undisclosed drivers who are using the insured's vehicles within the scope of the permission given by the insured. A 7% charge applies to major coverages for all vehicles except comp only vehicles and extended non-owned auto. LOW MILEAGE CREDIT Low mileage credit is optional for regular use PPVs driven 9,000 miles annually or less, subject to the following requirements: 1. The credit must be requested and selected by the insured. 2. It applies only to regular use PPV type vehicles. 3. Insured must verify the low mileage by providing annual odometer readings. 4. Until the first anniversary of the new policy the declared annual miles will be used. At the policy anniversary the annual miles will be based on the odometer reading. Any subsequent reduction in annual miles must be verified by the odometer reading. 5. If verification is not provided or the verification shows mileage above the mileage range of the credit, the credit will be removed at the next renewal term. LONGEVITY (LOYALTY) CREDIT This credit will be applied automatically at renewal on policies based on the number of years since original inception. Term effective date minus original effective date equals years with OMI. This credit applies to all major coverages for all vehicles except comp only and non-owned auto. MILITARY DEPLOYMENT CREDIT A Military Deployment Credit will be given on the automobile policy for insureds who are members of the military and have received military orders for active deployment in an active war zone. This credit applies to bodily injury, property damage liability, personal injury protection, uninsured/underinsured motorist (UMBI and UMPD), comprehensive, and collision coverages. In order to process the Military Deployment Credit, we require this credit be selected or indicated on the automobile new business or change application(s). This credit will be removed effective the renewal date following the date of the insured's return from deployment. PACKAGE CREDIT/RESIDENCE TYPE A Package Credit will be given on the automobile policy for policyholders who also insure their homeowners' coverage with Oregon Mutual. The credit varies based on the type of homeowner policy and whether or not there is an Oregon Mutual umbrella policy. The credit is not given for manufactured homes. The credit applies to all vehicles except comp only and non-owned auto and to all major coverages. In order to process the Package Credit we require the supporting homeowner policy number to be listed on the automobile new business or change application(s). The homeowner policy must be in force to qualify for this credit. CO-6 Washington August 2016

7 PHYSICAL DAMAGE LOAN/LEASE BALANCE This endorsement provides coverage to satisfy the outstanding indebtedness incurred in conjunction with the purchase or lease of a vehicle classed as a private passenger vehicle having both comprehensive and collision coverage. The endorsement will pay off the loan/lease balance on a specified vehicle if it is a total loss and the actual cash value is less than the loan/lease balance. The coverage is available: 1. For indebtedness that was incurred exclusively in conjunction with the financing of the purchase or lease of your private passenger automobile as a new motor vehicle. 2. Provided the new vehicle is added within 30 days of purchase or 30 days of inception. The premium charge is 5% of the total premiums for comprehensive and collision coverage applying to the covered automobile. PHYSICAL DAMAGE MOTORHOME, TRAVEL TRAILER, OR CAMPER Provides coverage for motorhomes, travel trailers, tent trailers, trailers or campers designed to be towed by, or used with a private passenger or utility auto. Rates refer to the travel trailer and motorhome rate page. PRIOR LIABILITY COVERAGE Elements of the applicant's prior insurance history will be used for rating. Prior policy type, prior bodily injury limits, prior lapse in liability coverage, and months with prior carrier will be classified as specified in the rating factor pages. See end of CO pages for list of non-standard carriers. 1. Prior Policy Type. a. Prior policy type refers to the type of insurance carrier (preferred or standard/ nonstandard/ no prior) covering the first named insured immediately preceding the inception of the Oregon Mutual Insurance (OMI) policy. Examples of no prior/no need may include, but are not be limited to; away on military service, out of the country, not owning a vehicle, etc. b. If the applicant had a liability insurance policy prior to OMI and the policy had lapsed (expired) prior to the inception of the OMI policy, but not more than six days prior to the OMI policy, the prior policy type may be either preferred/standard or nonstandard whichever one applies. If the prior policy lapsed seven days or more prior to the effective date of the OMI policy, the prior policy type will be no prior or no prior/no need. c. At the second anniversary (24 months from inception) of the OMI policy the factor will be amended to reflect the prior policy type of standard (relativity of 1.0). 2. Prior Bodily Injury Limit. a. The prior bodily injury limit is the first named insured's liability limits immediately preceding the inception of the OMI policy. If the prior policy lapsed seven days or more prior to the effective date of the OMI policy, the prior BI Limits are rated as no prior. b. At the second anniversary (24 months from inception) of the OMI policy, the factor used for prior BI limit will be selected using the OMI policy BI limit. August 2016 Washington CO-7

8 PRIOR LIABILITY COVERAGE (Cont.) 3. Prior Policy Lapse. a. A surcharge will apply if the first named insured did not have liability insurance immediately preceding the inception of the OMI policy. b. Zero days lapsed equals no lapse and no prior/no need. Some examples of no prior/no need may include, but are not be limited to; away on military service, out of the country, not owning a vehicle, etc. c. At the second anniversary (24 months from inception) of the OMI policy the number of days lapsed factor will be amended to reflect zero days lapse, if not already being rated as zero days lapsed, with a relativity of Months with Prior Carrier. Months with Prior Carrier are the number of months preceding the inception of the Oregon Mutual Insurance policy that the first named insured had continuous coverage with the prior carrier. The credit is subject to the following requirements: a. This credit applies regardless of the prior carrier type. b. This credit only applies if there was not a lapse in coverage of seven or more days with the prior carrier and no prior/no need. c. This credit does not apply if Oregon Mutual or Western Protectors is the prior carrier. 5. When the lapse days between prior insurance and quote effective date is seven or more days, the quote is rated using the "No Prior coverage" categories even though there was a prior insurance carrier. ROADSIDE ASSISTANCE 1. Roadside assistance coverage is available by vehicle for private passenger vehicles, motorhomes, and travel trailers using Oregon Mutual's authorized service provider. The coverage provides the following subject to a maximum of five disablements per 12-month consecutive period: a. Towing of a covered disabled vehicle to the nearest qualified repair facility b. Minor on-site labor at the place of disablement Roadside Assistance PPV Tow Miles MH & TT Limit Out of Network Limit PPV Premiums MH & TT Premiums 25 miles $400 $100 $6.00 $ miles $500 $150 $7.00 $ miles $600 $250 $10.00 $ Covered emergencies include: a. mechanical or electrical breakdown; b. battery failure; c. insufficient supply of fuel, oil, water, or other fluid; d. flat tire; e. lock-out; f. entrapment in snow, mud, water, or sand. CO-8 Washington August 2016

9 ROADSIDE ASSISTANCE (Cont.) 3. Antique autos, restricted use classic autos, and trailers, other than travel trailers, are not eligible for coverage. 4. This is a flat charge. Annual premium is 2 x 6 month premium shown above. 5. Coverage may be written on well-maintained vehicles whether or not physical damage applies. 6. If selected for multiple vehicles each vehicle must have the same limit level. TRANSPORTATION EXPENSES AND LOSS OF USE This optional coverage is available by vehicle for regular use private passenger autos and motorhomes. This coverage is subject to the following eligibility requirements: 1. N/A for antique, restricted use classic, trailers, or non-owned auto 2. Vehicles with Emergency Assistance Package are ineligible 3. Comp and collision coverage are required 4. This is a flat charge, no other factors apply. Transportation Expenses / Loss of Use 6 months Daily Limit Maximum Premium $35.00 $1, $12.00 $50.00 $1, $18.00 VEHICLE REPLACEMENT OR UPGRADE COVERAGE Optional coverage selected at the vehicle level that provides replacement coverage for a vehicle one year old or newer and upgrade to a one year newer vehicle if the vehicle is over one year old. This coverage is subject to the following requirements: 1. Charge is 5% of the Collision Premium. 2. Only available when adding a newly purchased vehicle aged five years or less. 3. Vehicle must be in well-maintained with no existing damage. 4. Coverage may be continued until the vehicle is 15 years old. 5. Available only for private passenger vehicles. Does not apply to antique, classic, motorhome or trailer. UNDERINSURED MOTORISTS COVERAGE Washington Insurance Law requires this coverage be provided at the same limit as the Bodily Injury limit of the policy unless the insured elects to buy a lower limit or rejects the coverage. When coverage is rejected M0008AW must be completed and signed by the named insured(s). This coverage cannot be provided at limits higher than the policy's bodily injury liability limits. August 2016 Washington CO-9

10 UNDERINSURED MOTORISTS PROPERTY DAMAGE COVERAGE Washington Insurance law requires this coverage to be offered at the same limits as the property damage liability limit of the policy. The insured may elect to buy a lower limit or reject this coverage. When coverage is purchased above the $10,000 limit the vehicle(s) must also carry comprehensive and collision coverage. Underinsured Motorist Property Damage Protection Coverage is subject to a $300 deductible for accidents involving hit-and-run or phantom vehicles and a $200 deductible for an accident with any other type of uninsured motor vehicle. LIST OF NON-STANDARD PRIOR CARRIERS Company AM Best # Company AM Best # 21st Century Security Ins Co California Automobile Ins Co A Central Ins Co Canal Ins Co Acceptance Indemnity Ins Co Car was in storage (no prior or comp only) Acceptance Ins Co Charter Indemnity Co Access Ins Co Chicago Ins Co Aegis Security Inc Clarendon National Ins Co Aegis Security Ins Co Clearwater Ins Co Affirmative Ins Co Clearwater Select Ins Co Affirmative Ins Co of MI Coast National Ins Co Affirmative Ins Group Colonial County Mut Ins Co Agency Ins Co of MD, Inc Commercial Alliance Ins Co Agent Alliance Ins Co Consumers County Mut Ins Co Aipso Consumers Ins Usa Alfa Gen Insur Corp Country Casualty Ins Alfa Ins Corp Dairyland County Mut Ins Co of TX Alfa Ins Group Dairyland Ins Co Alfa Mut Fire Ins Co Dairyland Of TX Alfa Mut Gen Ins Co Danielson National Ins Co Alfa Mut Ins Co Deerbrook Ins Co Alfa Specialty Ins Delphi Casualty Co Alfa Vision DHC Group Alliance United Ins Co Direct General Group Alliant Specialty Ins Svcs (MGA) Direct General Ins Co Allstate Indem Co Direct General Ins Co of LA Alpha Property & Casualty Ins Co Direct General Ins Co of MS Amer Economy Ins Co Direct Ins Co CO-10 Washington September 2017

11 LIST OF NON-STANDARD PRIOR CARRIERS (Cont.) Company AM Best # Company AM Best # American Access Casualty Co Direct National Ins Co American Alliance Discovery Ins Co American Economy Ins Co El Aguila (The Eagle) - Great American Ins American Freedom Ins Co Equity Ins Co American Guarantee and Liability Ins Co Eveready Ins Co American Heartland Ins Co Everest Security Ins Co American Independent Cos Executive Ins Co American Independent Ins Co Farm Bureau County Mut Ins Co of TX American Reliable Farm Bureau Ins Co of NC Inc American Service Ins Co, Inc Farmers TX County Mut Ins Co American Service Pool Federated National Ins Co American Standard Ins Co of OH Financial Indemnity Co American Standard Ins Co of WI First Acceptance Ins Co of GA, Inc American Underwriters Ins Co First Acceptance Ins Co of TN, Inc Anchor General Ins Co First Acceptance Ins Co, Inc Anchor General Ins Group First Acceptance Ins Group Apollo Casualty Co First Chicago Ins Co Assigned Risk Foremost County Mut Ins Co AssuranceAmerica Ins Co Foremost Ins Co Audubon Ins Co Foremost P & C Ins Co Bankers Independent Ins Co Interstate Auto Ins Co, Inc Benchmark Ins Co Interstate Bankers Casualty Co Bristol West Casualty Ins Co Interstate Fire and Casualty Co Bristol West Ins Co Key Ins Co Bristol West Preferred Ins Co Kingsway America Group Foremost Signature Ins Co Kingsway Amigo Ins Co Founders Ins Co Leon Hix Ins Co Founders Ins Co of MI Lincoln General Ins Co Founders Ins Group Little River Ins Co Gainsco, Inc Lyndon Southern Ins Co Gateway Ins Co Markel American Ins Co Geico Indemnity Comp Markel Ins Co General Ins Co Amer MemberSelect Ins Co September 2017 Washington CO-11

12 LIST OF NON-STANDARD PRIOR CARRIERS (Cont.) Company AM Best # Company AM Best # Grange Indemnity Ins Co Mendakota Ins Co Granite State Ins Co Mendota Group Great American Ins Co (SG) Mendota Ins Co Great American Ins Co CAB Mesa Underwriters Specialty Ins Co Great American Ins Co of NY Metropolitan General Ins Co Great American Insurance Company MGA Ins Co, Inc Greenville Casualty Companies MIC General Insurance Corp Greenville Casualty Ins Co MICO Ins Co Guideone America Ins Co Mid Century Ins Co Hallmark Ins Co Mid-Continent Assurance Co Hanover American Ins Co Mid-Continent Casualty Co Hanover Fire and Casualty Ins Co Middle States Ins Co Inc Hanover Insurance Co Milwaukee Casualty Ins Co Hanover National Ins Co Modern Service Ins Co Harbor Ins Co Mountain Laurel Assurance Co Hawkeye Security Ins Co National American Ins Co of CA Hillstar Ins Co National Automotive Ins Co Home State County Mut Ins Co National Ins Co Inc Hudson Ins Co National Interstate Ins Co Hudson Specialty Ins Co National Interstate Ins Co HI ICW Group Holdings Inc National Security Fire and Casualty Co ICW Pool ( C ) National Security Group. Inc ICW Pool ( SG ) National Unity Ins Co Illinois Nat Ins Co Nations Ins Co Imperial Fire and Casualty Ins Co Nationwide Assurance Co Infinity Assurance Ins Co Nevada General Ins Co Infinity Auto Ins Co New Hampshire Indemnity (also see 21st Century Security Ins Co) Infinity Casualty Ins Co New Jersey Indemnity Ins Co Infinity County Mut Ins Co New South Ins Co Infinity Indemnity Ins Co North East Ins Co Infinity Ins Co North Pointe Ins Co Infinity Preferred Ins Co Northbrook Indemnity Co Infinity Property & Casualty Group Northland Casualty Co CO-12 Washington September 2017

13 LIST OF NON-STANDARD PRIOR CARRIERS (Cont.) Company AM Best # Company AM Best # Infinity Reserve Ins Co Northland Insurance Co Infinity Safeguard Ins Co Oak Brook County Mut Ins Co Infinity Security Ins Co Occidental Fire & Casualty Co of NC Infinity Select Ins Co Ocean Harbor Casualty Ins Co Infinity Standard Ins Co Ohio Security Ins Co Insura Property and Casualty Ins Co Tennessee Farmers Ins Co InsureMax Ins Co Tennessee Farmers Mutual Ins Co Integon Casualty Ins Co The FB Ins Co Integon General Ins Corp The General Automobile Ins Co Integon Indemnity The Members Ins Co Integon National Ins Co The Personal Service Ins Co Old American County Mut Fire Ins Co Titan Indemnity Co Omni Indemnity Co Titan Ins Co Omni Ins Co Topa Ins Co Onebeacon Insur Co Topa Ins Group Orion Capital Corp (MGA) Traders General Agency Other Non Standard Traders Ins Co Pacific Pioneer Ins Co Trustgard Ins Co Pacific Star Ins Co Twin Lights Ins Co Patriot General Ins Co Union American Ins Co Peachtree Casualty Ins Co Union Ins Co Peak P&C Ins Corp Unique Ins Co Permanent General Assurance Corp United Automobile Ins Co Permanent General Assurance Corp of OH United Automobile Ins Group Permanent General Ins Group United Equitable Group Phoenix Ins Co United Equitable Ins Co Protective Ins Co United Financial Casualty Co Protective Specialty Ins Co United National Group Regal Ins Brokers United National Ins Co Republic Indemnity Co of America United National Specialty Ins Co Republic Indemnity Co of CA Unitrin Advantage Ins Co Rockford Mutual Ins Co Unitrin County Mut Ins Co September 2017 Washington CO-13

14 LIST OF NON-STANDARD PRIOR CARRIERS (Cont.) Company AM Best # Company AM Best # Safeway Direct Ins Co Universal Casualty Co Safeway Ins Co Usaa Gen Indem Co Safeway Ins Co of AL, Inc USAgencies Casualty Ins Co, Inc Safeway Ins Co of GA USAgencies Direct Ins Co Safeway Ins Co of LA Valley Ins Co Safeway Ins Group Victoria Automobile Ins Co Sagamore Ins Co Victoria Fire & Casualty Co Santa Fe Auto Ins Co Victoria National Ins Co Security National Ins Co Victoria Select Ins Co Seminole Casualty Ins Co Victoria Specialty Ins Co Sentry Select Ins Co Viking Co Mut Ins Co Sirius America Ins Co Viking Ins Co of WI Sirius America Ins Co CAB Virginia Farm Bureau Group Southern County Mut Ins Co Virginia Farm Bureau Mutual Ins Co Southern General Group Vision Ins Co ' Southern General Ins Co West Virginia National Auto Ins Co Southern Michigan Ins Co Western Agricultural Ins Co Spartan Ins Co Western General Ins Co Star Casualty Ins Co Wilshire Ins Co StarNet Ins Co Workmen's Auto Ins Co State Auto Ins Co of Ohio Yosemite Ins Co State Auto Ins Co of WI Young America Ins Co State Auto Mutual Ins Co State Auto P & C Ins Co State Farm Fire and Casualty Co Sterling Casualty Ins Co Sterling Ins Co Stonewood General Ins Co Stonewood National Ins Co Sutter Ins Co CO-14 Washington September 2017