LANDLORDS PACKAGE POLICY PROGRAM. North Country Insurance Co. 4/07

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1 LANDLORDS PACKAGE POLICY PROGRAM Insurance Co. 4/07 October 1998

2 INDEX DESCRIPTION RULE NO. PAGES Basic Policy Coverage and Limits 2 2 Eligibility 1 1 General Rules 3-a to 3-j 3-4 Mandatory Forms 2 2 Optional Coverages - Description 6-a to 6-af 7-10 Premium Section - Optional Coverages 6-a to 6-ae Premium Section - Special Premium Modifications 7-a to 7-b 39 Premium Tables Rating 4 5 Rating - Descriptions of Classifications 5-a to 5-i 5-6 Special Premium Modifications Descriptions 7-a - 7-b 11 Territorial Zones /98 4/07

3 LANDLORDS PACKAGE POLICY PROGRAM Rule No. 1. ELIGIBILITY: The Landlords Package Policy manual contains rules, classifications, rates and premiums for writing Fire, Allied Lines and Liability Insurance on: 1 and 2 family non-owner occupied dwellings; and 3 and 4 family owner and non-owner occupied dwellings. Provisions are made for Optional Endorsement or Coverages: Additional Insured, Additional Living Expense (above 10%), Aggregate Limits, Alternative Replacement Cost Provision, Amendatory Endorsement Automatic Increase - Coverage A, Broad Form, Building Theft Coverage, Construction of Residences on Vacant Land, Credit to Remove Liability Coverage, Earthquake, Exclusion of Canine Related Injuries or Damages, Higher Limits on Certain Property, Identity Fraud Endorsement, Lead Coverage, Loss of Rents (above 10%), Mechanical, Electrical or Pressure Systems Breakdown, Personal Injury, Personal Liability, Personal Property, Premises Alarm or Fire Protection Systems, Premises Liability & Premises Medical Payments-Increased Limits, Related Private Structures (above 10%), Replacement Value Personal Property, Residence Glass, Special Form, Trampoline Exclusion, Vandalism, Windstorm Endorsements (Coastal Properties Program), and Workers' Compensation - Certain Residence Employees. 10/98 Page 1 5/08

4 2. BASIC POLICY CAGE AND LIMITS : The basic policy provides coverage for the following: Coverage Description Minimum Limits A Residence $10,000 B Related Private Structures 10% of Cov. A C Personal Property Optional D Additional Living Expense and Loss of Rent 10% of Cov. A L Premises Liability 25,000 M Premises Medical Payments Optional The Basic Form insures against the following perils: Fire or Lightning, Explosion, Windstorm or Hail, Riot or Civil Commotion, Aircraft, Vehicles, and Sudden and Accidental Damage from Smoke. MANDATORY FORMS - The following forms are mandatory for the Landlords Package Program: Property Coverages Liability Coverages FL-20, FL-30 & PERILS SECTION (FL-1R, 2, 2B, 3 or 3B), FL-345 (may be removed at the insured s request), and NC FL-189 (may be removed at the insured s request). FL-OLT (if liability is included). NOTE: When using FL-30 (5/92) and (1/92) edition forms, the FL-84A should be used. URB-84 and ML-364 should be used when using forms with edition dates prior to 1/92. 10/98 Page 2 5/08

5 3. GENERAL RULES: 3-a CANCELLATION - If insurance is canceled or reduced at the request of the company or the insured, the earned premium shall be computed on a pro-rata basis. 3-b CONTRIBUTING INSURANCE - (FL-14LP) Coverage may be divided between two or more companies using the rates, rules, forms and endorsements of this manual. 3-c DEFERRED PREMIUM PAYMENT PLAN - It is permissible to write a policy for three years with the premium payable annually. If the premium is paid annually, the installment premium shall be determined as follows: The installment premium shall be the annual premium as shown in this manual. 3-d INSURANCE BY MORE THAN ONE COMPANY - (FL-14), (FL-14LP) Coverage may be divided between two or more companies using the rates, rules, forms and endorsements of this manual. 3-e INTERPOLATION - To determine the premium for an amount of insurance between two amounts shown in the premium table, add the pro-rata premium for the difference between the nearest amounts shown to the premium for the lower amount. 3-f MAXIMUM & MINIMUM CHARGES - ANNUAL No additional premium shall be charged and no return premium shall be allowed when such additional or return premium is less than $3.00. Annual Minimum Premium - $ Annual Minimum Retained Premium - $ /98 Page 3 4/07

6 3-g RATE REVISIONS - After the Underwriters Rating Board announces a rate revision, each individual company shall determine the effective date(s) for: 1) new policies and endorsements, and 2) renewal policies. 3-h RESTRICTION OF INDIVIDUAL POLICIES - If a policy would not be issued because of unusual exposures, the applicant may request a restriction of the policy at no reduction in the premium. The request, bearing the signature of the applicant, shall be referred to the Company. 3-i TERM OF INSURANCE - The Landlord Package Program may be written for a term up to three years. All premiums contained in this manual are on an annual basis. Term Factors are listed below: Term of Policy Term Factor 1 year years years j WHOLE DOLLAR PREMIUM - The premium for each exposure shall be rounded to the nearest dollar, separately for each coverage provided by the policy. A premium involving 50 cents or over shall be rounded to the next higher dollar. 10/98 Page 4 4/07

7 4. RATING: All Premiums in this Manual are ANNUAL per $1,000 of Insurance unless otherwise specified. 1. Classify Residence by Construction, Protection and Construction Year. 2. Consult Rate tables to obtain appropriate Annual Premium for Replacement Cost or Actual Cash Value and number of families (see interpolation rule if premium for amount of insurance is not shown). A surcharge of 7.5% shall be applied to the base rates if wiring, heating, roof and plumbing have not been updated in the last 20 years. 3. Apply sub-zone factors when applicable. 4. Apply any special condition charges or credits. 5. Add premium for optional property coverages. 6. Apply deductible credits. 7. Add premiums for higher liability limits and optional liability coverages. 8. Add any other premiums that are written with this policy. 5. RATING - DESCRIPTIONS OR CLASSIFICATIONS CONSTRUCTION - 5-a FRAME - A building shall be classified as Frame when the wall area of Frame, Metal-sheathed or Stucco construction exceeds 33 1/3% of the total exterior wall area. 5-b MASONRY - A building shall be classified as masonry when more than 66 2/3% of the exterior wall area is of Masonry or Masonry veneered construction. 10/98 Page 5 4/07

8 PROTECTION 5-c PROTECTED Building is located within 1,000 feet of an approved fire hydrant and is within 5 road miles of a responding fire department. 5-d SEMI - PROTECTED - Building is located more than 1,000 feet from an approved fire hydrant, but is within 5 road miles of a responding fire department. 5-e UNPROTECTED -All Others. RESIDENCE REPLACEMENT COST / ACTUAL CASH VALUE PROVISIONS - 5-f REPLACEMENT COST - Replacement Cost premiums are to be used when the residence is insured for at least 80% of the Replacement Cost. Residence losses will be settled according to the Replacement Cost Provision. 5-g ACTUAL CASH VALUE - The Actual Cash Value premiums are to be used when the residence is insured for less than 80% of the replacement cost. Residence losses will be settled on an actual cash value basis including deduction for depreciation. 5-h ALTERNATIVE REPLACEMENT COST PROVISION (FL-256 NCIC) - A policy may be written with a replacement cost provision for partial losses provided the dwelling is insured to 50% of replacement value as determined by the current Insurance Company Replacement Cost Estimator. See Optional Coverage. 5-i CONSTRUCTION YEAR - Fire Construction Year Classifications shall be determined according to the following definitions: Constructed Prior to January, Building constructed prior to January 1, Building has not been reconstructed or renovated. Renovation includes a new electrical service and a new heating system. Constructed Since January, Building constructed since January 1, Building has been reconstructed or renovated including a new electrical service and a new heating system. 10/98 Page 6 4/07

9 6. OPTIONAL CAGE - 6-a ADDITIONAL INSURED - (FL-41), (FL-41L), (FL-44) Additional insured premiums are shown in the Premium Section of the Manual. 6-b ADDITIONAL EXPENSE - Enter total amount of coverage on policy declaration. Coverage in excess of the amount provided, (10%), shall be charged at the premiums shown at the bottom of the rate tables. 6-c ALTERNATIVE REPLACEMENT COST PROVISION (FL-256 NCIC) - A policy may be written with a replacement cost provision for partial losses provided the dwelling is insured to 50% of replacement value as determined by the current Insurance Company Replacement Cost Estimator. 6-d AGGREGATE LIMITS - (FL-19) An aggregate limit for bodily injury and property damage may be included on FL-OLT at a credit as shown in the Premium Section of the manual. 6-d1 AMENDATORY ENDORSEMENT (NC FL-AE9) Provides additional coverages for debris removal, water backup of sewer drains and incidental Property Damage. Additional premium for coverage as shown in the Premium Section of the Manual. 6-e AUTOMATIC INCREASE IN INSURANCE - (FL-10) Automatic increase in insurance premiums are shown in the Premium Section of the manual. 6-f BROAD FORM - (FL-2 & FL-2B) Adds the following perils to the basic form: Glass Breakage, Burglary Damage, Falling Objects, Weight of Ice, Snow or Sleet, Collapse of a Building, Sudden and accidental tearing apart, burning or bulging of heating or air-conditioning system or water heater, Accidental Discharge or Overflow of liquids or Steam, Freezing, and Sudden and accidental damage from artificially generated electrical currents. Premiums are shown on the rate pages. 10/98 Page 7 5/08

10 6-g BUILDING THEFT CAGE - (FL-42) Coverage can be added for the loss or damage to the described Residence or covered Related Private Structures resulting from theft of permanently installed building materials. 6-i CAGES - OTHER PROGRAMS It is permissible to attach any filed form offering supplemental coverage not included in this section. The appropriate rates are to be used. 6-j CREDIT TO REMOVE LIABILITY CAGE Credits to remove liability coverage are shown in the Premium Section of the Manual. 6-k DEDUCTIBLES - Forms used in conjunction with the premiums shown in this manual contemplate $250 All Perils Loss Deductible Clause applying per occurrence. This deductible clause can be increased by entering the deductible amount on the Declarations Page and applying the appropriate deductible credit as shown in the Premium Section of the manual. 6-l EARTHQUAKE - (FL-12) Earthquake premiums are shown in the Premium Section of the Manual. 6-m EXCLUSION OF CANINE RELATED INJURIES OR DAMAGES (NC-FL-373) An exclusion for canine related injuries may be added at the premium credit shown in the Premium Section of the manual. 6-o IDENTITY FRAUD ENDORSEMENT - (NC FL-189) Coverage will be added to all policies at the premium shown in the Premium Section of the manual. Coverage will be removed at the request of the insured. 10/98 Page 8 5/08

11 6-p INFLATION GUARD Coverage A, B C & D This coverage is automatically included on policies with Replacement Value Coverage A &/or B. The limits for Coverage A, B, C & D will be adjusted according to the current BOECKH Residential Building Cost Percent Change Factors at the end of each 12-month period after the effective date. Attach Form NC-ML-184(2/97). 6-q LEAD CAGE - (FL-17) Coverage can be added for loss resulting directly from bodily injury caused by lead. Premiums are shown in the Premium Section of the manual. 6-r S - Enter total amount of coverage on policy declarations. Coverage in excess of the amount provided, (10%), shall be charged at the premiums shown at the bottom of the rate tables. 6-s MECHANICAL, ELECTRICAL OR PRESSURE SYSTEMS BREAKDOWN (FL-345) Coverage for mechanical, electrical or pressure systems breakdown will be added to all policies at the premium shown in the Premium Section on the manual. Coverage can be removed at the request of the insured. 6-v PERSONAL PROPERTY - Shall mean personal property owned by or in the care of an insured. Premiums are shown at the bottom of the rate tables. 6-w PREMISES ALARM OR FIRE PROTECTION SYSTEM (ML-216) Premium credits may be allowed for the installation of approved and properly maintained alarm and/or sprinkler systems in a residence as shown in the Premium Section of the manual. 10/98 Page 9 5/08

12 6-x PREMISES LIABILITY - S - Higher Liability limits may be written at the additional premiums shown in the Premium Section of the manual. 6-y PREMISES MEDICAL PAYMENTS - S - Medical payments may be written at the additional premiums shown in the Premium Section of the manual. 6-z RELATED STRUCTURES - Shall mean related private structures on the insured premises which are not attached to insured residence. Premiums are shown at the bottom of the rate tables. 6-aa RELATED STRUCTURES - SPECIFIED - (FL-48A) Related private structures - specified premiums are shown in the Premium Section of the manual. 6-ab REPLACEMENT VALUE PERSONAL PROPERTY (NCFL-55) Personal property may be insured for replacement value at the charges shown in the Premium Section of the manual.. 6-ac RESIDENCE ENDORSEMENT - (FL-25) Coverage may be added by charging the premiums shown at the bottom of the rate tables. 6-ad SPECIAL FORM - (FL-3 & FL-3B) - (Excludes Theft) Coverage on the residence is on a risk not otherwise excluded basis and coverage on personal property is the same as Broad Form. Premiums are shown on the rate pages. 6-ae TRAMPOLINE EXCLUSION - (FL-52) Credit is shown in the Premium Section of the manual. 6-af VANDALISM - Can be added to basic form by indicating coverage applies on policy declarations. Coverage included in other forms. Premiums shown on the rate pages. 10/98 Page 10 5/08

13 7. SPECIAL PREMIUM MODIFICATIONS 7-a HAZARDOUS CONDITIONS CHARGES Conflagration or substandard charges may be applied to residence and personal property where conditions exist, as shown in the Premium Section of the manual. 7-b OCCUPANCY CREDITS - Premium credits may be applied to residence and personal property where occupancy conditions exist, as shown in the Premium Section of the manual. TERRITORIAL ZONES: TERRITORIAL ZONES Zone 1 - All of state except Richmond, Queens, New York, Bronx and Kings Counties and cities in Zone 2. Factor Sub-Zones: Clinton, Essex, Franklin, Hamilton, Jefferson, Lewis, Oswego and St. Lawrence Allegany, Cattaraugus, Genesee, Livingston, Ontario, Orleans, Stueben, Wayne and Wyoming Broome, Cayuga, Chemung, Chenango, Cortland, Delaware, Onondaga, Schoharie, Schuyler, Seneca, Tioga, Tompkins and Yates Fulton, Herkimer, Madison, Montgomery, Oneida, Otsego and Washington Columbia, Dutchess, Greene, Putnam, Rockland, Ulster and Westchester Orange and Sullivan Albany, Rensselaer, Saratoga, Schenectady and Warren Chautauqua, Erie, Monroe and Niagara Nassau and Suffolk Zone 2 - Zone 3 - The cities listed below: Albany City, Binghamton City, Buffalo City, Mount Vernon City, New Rochelle City, Niagara Falls City, Rochester City, Schenectady City, Syracuse City, Troy City, Utica City, Yonkers City. Bronx, Kings, New York, Queens and Richmond Counties. 10/98 Page 11 5/08

14 MASONRY OR FRAME ZONE 1 PROTECTED - REMAINDER OF STATE REPLACEMENT COST PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL P 10/98 Page 12 4/07

15 MASONRY OR FRAME ZONE 1 PROTECTED - REMAINDER OF STATE ACTUAL CASH VALUE PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL P 10/98 Page 13 4/07

16 MASONRY OR FRAME ZONE 1 SEMI-PROTECTED - REMAINDER OF STATE REPLACEMENT COST PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL P 10/98 Page 14 4/07

17 MASONRY OR FRAME ZONE 1 SEMI-PROTECTED - REMAINDER OF STATE ACTUAL CASH VALUE PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL P 10/98 Page 15 4/07

18 MASONRY OR FRAME ZONE 1 UNPROTECTED - REMAINDER OF STATE REPLACEMENT COST PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL P 10/98 Page 16 4/07

19 MASONRY OR FRAME ZONE 1 UNPROTECTED - REMAINDER OF STATE ACTUAL CASH VALUE PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL P 10/98 Page 17 4/07

20 MASONRY OR FRAME ZONE 2 UPSTATE CITIES REPLACEMENT COST PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL P 10/98 Page 18 4/07

21 MASONRY OR FRAME ZONE 2 UPSTATE CITIES ACTUAL CASH VALUE PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL P 10/98 Page 19 4/07

22 MASONRY ZONE 3 NEW YORK CITY REPLACEMENT COST PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL P 10/98 Page 20 4/07

23 MASONRY ZONE 3 NEW YORK CITY ACTUAL CASH VALUE PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL P 10/98 Page 21 4/07

24 FRAME ZONE 3 NEW YORK CITY REPLACEMENT COST PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL P 10/98 Page 22 4/07

25 FRAME ZONE 3 NEW YORK CITY ACTUAL CASH VALUE PRIOR TO 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL P 10/98 Page 23 4/07

26 MASONRY OR FRAME ZONE 1 PROTECTED - REMAINDER OF STATE REPLACEMENT COST SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL S 10/98 Page 24 4/07

27 MASONRY OR FRAME ZONE 1 PROTECTED - REMAINDER OF STATE ACTUAL CASH VALUE SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL S 10/98 Page 25 4/07

28 MASONRY OR FRAME ZONE 1 SEMI-PROTECTED - REMAINDER OF STATE REPLACEMENT COST SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL S 10/98 Page 26 4/07

29 MASONRY OR FRAME ZONE 1 SEMI-PROTECTED - REMAINDER OF STATE ACTUAL CASH VALUE SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL S ANNUAL LANDLORDS PACKAGE POLICY 10/98 Page 27 4/07

30 MASONRY OR FRAME ZONE 1 UNPROTECTED - REMAINDER OF STATE REPLACEMENT COST SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL /98 Page 28 4/07

31 MASONRY OR FRAME ZONE 1 UNPROTECTED - REMAINDER OF STATE ACTUAL CASH VALUE SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL S 10/98 Page 29 4/07

32 MASONRY OR FRAME ZONE 2 UPSTATE CITIES REPLACEMENT COST SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL S 10/98 Page 30 4/07

33 MASONRY OR FRAME ZONE 2 UPSTATE CITIES ACTUAL CASH VALUE SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL S 10/98 Page 31 4/07

34 MASONRY ZONE 3 NEW YORK CITY REPLACEMENT COST SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL S 10/98 Page 32 4/07

35 MASONRY ZONE 3 NEW YORK CITY ACTUAL CASH VALUE SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES PER $1, 000 ABOVE ADDITIONAL S 10/98 Page 33 4/07

36 FRAME ZONE 3 NEW YORK CITY REPLACEMENT COST SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL SEE SEE SEE SEE SEE SEE SEE SEE PROPERTY ACV ACV ACV ACV ACV ACV ACV ACV STRUCTURES ABOVE ADDITIONAL S 10/98 Page 34 4/07

37 FRAME ZONE 3 NEW YORK CITY ACTUAL CASH VALUE SINCE 1/60 10, , , , , , , , , , , , , , , , EACH $ PERSONAL PROPERTY SEE SEE STRUCTURES ABOVE ADDITIONAL S 10/98 Page 35 4/07

38 PREMIUM SECTION OPTIONAL CAGES ANNUAL PREMIUMS RULE NO. 6-a ADDITIONAL INSURED - (FL-41), (FL-41L), (FL-44) Coverages A & B (FL-41) Coverages A, B, L & M (FL-41L) Coverage L & M (FL-44) 6-c ALTERNATIVE REPLACEMENT COST PROVISION (FL-256 NCIC) $10 per additional insured. $15 per additional insured. $10 per additional insured. additional 10% of the ACV premium 6-d AGGREGATE LIMITS - Multiply the appropriate factor from the aggregate limits table below by the base premium for FL-1R, No VMM to obtain the appropriate credit. Aggregate limits (000) Each Occurrence (000) ,000 2,000 3, , d1 AMENDATORY ENDORSEMENT (NC FL-AE9) $27.00 PER POLICY 6-e AUTOMATIC INCREASE IN INSURANCE - (FL-10) Amount of Quarterly Surcharge Increase % % % % EACH ADD'L ADD'L.5 Surcharge 1.3% 6-g BUILDING THEFT CAGE - (FL-42) $10.00 PER POLICY. 10/98 Page 36 4/07

39 6-j CREDIT TO REMOVE LIABILITY CAGE Family $ Family k DEDUCTIBLE - HIGHER DEDUCTIBLE AMOUNTS 6-l EARTHQUAKE - (FL-12) Amount of Deductible % of Debit % of Credit $ % % 1,000. 8% 2, % Frame (excluding masonry veneer).40 per $1,000. All other.50 per $1, m EXCLUSION OF CANINE RELATED INJURIES OR DAMAGES (NC-FL-373) $1.00 credit per policy 6-o IDENTITY FRAUD ENDORSEMENT (NC FL-189) $10 per policy 6-p INFLATION GUARD Coverage A, B C & D This coverage is automatically included on policies with Replacement Value Coverage A &/or B. The limits for Coverage A, B, C & D will be adjusted according to the current BOECKH Residential Building Cost Percent Change Factors at the end of each 12-month period after the effective date. Attach Form NC-ML-184(2/97). 6-q LEAD CAGE - (FL-17) $100,000 Per Occurrence $300,000 Per Occurrence $200,000 Annual Aggregate $600,000 Annual Aggregate 1 Family Family Family Family s MECHANICAL, ELECTRICAL OR PRESSURE SYSTEMS BREAKDOWN (FL-345) $15 per policy 10/98 Page 37 4/07

40 6-w PREMISES ALARM OR FIRE PROTECTION SYSTEM - (ML-216) Fire Alarm and/or Smoke 2% Detectors Central Station Burglary 10% and/or Fire Alarm Systems Fire and/or Police Department 5% Alarm Systems Automatic Sprinkler System 15% 6-x PREMISES LIABILITY - S (FL-OLT) (Bodily Injury/Property Damage) Limit of Liability 1-2 Family 3-4 Family $ 25, , , , , , ,000, y PREMISES MEDICAL PAYMENTS Medical Payments Limit Premium 250/10, /25, /50, /10, /25, /50, ,000/10, ,000/25, ,000/50, FOR EACH ADDITIONAL $500, ADD $ /98 Page 38 4/07

41 6-aa RELATED STRUCTURES - (FL-48A).25 per $100 6-ab REPLACEMENT VALUE PERSONAL PROPERTY (NCFL-55) Charge an additional 20% of the contents premium. Minimum additional charge - $20. 6-ae TRAMPOLINE EXCLUSION - (FL-52) $2.00 credit per location. 7-a HAZARDOUS CONDITION CHARGES - Charge No. % of Charge Unoccupancy - Seasonal A 25% 7-b OCCUPANCY CREDIT- Credit No. % of Credit Owner Occupied 3 15% 10/98 Page 39 4/07

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