PERSONAL LIABILITY PROGRAM General Information

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General Information POLICY AVAILABILITY Personal liability (Section II) coverage is available only when packaged with a property (Section I) policy written through an affiliated mutual company. COVERAGE AVAILABILITY Personal liability (CPL) coverage may be issued to the following: Owner occupant of a residence premises; or Tenant occupant of an apartment, dwelling, or condominium. Premises only liability (OLT) coverage may be issued to owners of residential premises who do not reside on that premises. BINDING AUTHORITY An agent may bind coverage in accordance with the eligibility rules described in this manual. Do not bind coverage when a risk or any portion of a risk does not satisfy these eligibility requirements. AVAILABLE LIMITS OF LIABILITY Coverage L (Personal Liability) is available in the following limits: $ 50,000 $ 100,000 (standard) $ 300,000 $ 500,000 $ 1,000,000 Coverage M (Medical Payments to Others) is available in the following limits: $ 1,000 (standard) $ 2,000 $ 5,000 $ 10,000 The limit of liability for Coverage L (Personal Liability) and Coverage M (Medical Payments to Others) must be uniform for all exposures covered by the policy. All Coverage L limits are per occurrence. All Coverage M limits are per person. RMIC 07/11 Page -1-

General Information POLICY TERM All policies are written with a 12-month policy term. PREMIUMS When the Coverage L limit of liability is $100,000 or greater, a minimum premium of $40 applies. All premiums for each coverage will be rounded to the nearest whole dollar. A premium involving 50 cents or more will be rounded to the next higher whole dollar. Premium changes or return premium resulting from any change or cancellation will be computed on a pro-rata basis. APPLICATIONS Fully completed applications signed by the insured need to be received by the mutual company within 10 working days from the effective date of the policy. Two photos of the dwelling (front and back) and photos of all other structures on the premises are required with the application. Any additional information the agent can supply about the risk should also be included with the application. DECLINATIONS If it is necessary to decline a risk, we will issue a notice of cancellation. CANCELLATIONS Policy cancellations can be requested with either an insured s declaration page, signed lost policy release, or a signed request from the insured. CHANGES Changes to the policy should be requested by: Sending a request on a Request for Policy Change form (99-123); or Noting the change on the declarations page and returning the declarations page to the mutual company. RMIC 07/11 Page -2-

General Information ASSIGNMENT The policy may not be assigned. A new application must be submitted. INSPECTIONS The company may inspect an insured property at any time to determine underwriting acceptability. CERTIFICATES OF INSURANCE Certificates of insurance may be issued. Please send a copy of the certificate to us. Any changes accompanying the certificate should be described on a Request for Policy Change form. Requests for specific wording on the certificate should be submitted to your underwriter. RMIC 07/11 Page -3-

Eligibility Requirements In the personal liability program, risk selection is very important. The overall success of the program is dependent upon the agent s personal knowledge of the risk, including the physical condition of the property and the moral character of the applicants. Risks with the following characteristics require approval from your underwriter prior to binding coverage: (1) Applicants cancelled or refused renewal by another insurance company in the past 3 years. (2) Persons that exhibit instability in employment or financial matters. (3) Persons whose employment or lifestyle increases their exposure to loss. (4) Properties with more than 2 mortgages. (5) Properties with more than 4 horses kept on the premises. Risks that exhibit the following characteristics are ineligible for coverage: (1) Applicants with more than 1 liability claim in the past 3 years. (2) Unoccupied or vacant dwellings. (3) Properties with swimming pools unless completely enclosed by a fence of at least 4 feet in height. (4) Properties with a swimming pool unless the pool is completely enclosed by a fence of at least 4 feet in height and locked when the facilities are not in use. (For above ground pools, the combined height of the pool wall and fence must be at least 4 feet.) (5) Properties with a swimming pool that includes a diving board or a slide. (6) Properties with 3 or more steps without handrails. (7) Properties with decks and porches without guardrails and elevated 3 or more feet above the ground. (8) Dwellings being remodeled or with unrepaired damage until remodeling or repair is completed. (9) Premises with visible debris until the debris is completely removed from the property. (10) Properties with a trampoline unless the surrounding area is completely enclosed by a fence of at least 4 feet in height and the trampoline is well supervised when in use. (11) Properties with home day care operations of more than 3 children. (12) Risks with liability extended to more than 4 rental units. (13) Persons who own or care for the following types of animals: Breeds of dogs known to exhibit vicious tendencies including, but not limited to, American Stafford Terriers (Pit Bulls), Chows, Filas, and Rottweilers. This includes dogs that consist of a mixed breed and are linked to any of the above breeds; Exotic or non-domesticated animals including, but not limited to, boa constrictors, iguanas, monkeys, poisonous snakes, tigers, and wolves; Vicious animals or animals with a prior bite or injury history; or Dogs trained as guard or attack dogs. (14) Properties involved with the boarding, breeding, or training of horses. RMIC 07/11 Page -4-

Eligibility Requirements (15) Properties with ramps or jumps for skateboards, rollerblades, or bicycles. (16) Properties involved with the boarding, breeding, raising, or selling of dogs. (17) Risks with more than 2 roomers or boarders. (18) Risks with business operations not incidental to the home. NOTE: Specific incidental business activities are permitted but only when endorsed to the policy and a premium shown for the coverage (See Business Activities). RMIC 07/11 Page -5-

Coverage L (Personal Liability) Covers damages which the insured becomes legally obligated to pay because of bodily injury or property damage arising from an insured premises and, if the policy insures an owner or tenant occupied residence, arising from personal activities. An insured premises includes vacant land (other than farm land) owned by or rented to an insured. Coverage M (Medical Payments to Others) Covers medical expenses incurred by persons, other than an insured, who sustain bodily injury caused by an accident arising from an insured premises or, if the policy insures an owner or tenant occupied residence, arising from personal activities. Damage to Property of Others Provides coverage for property damage to property of others caused by an insured. These are a brief description of coverages. Please refer to the policy for complete descriptions of coverages and provisions. RMIC 07/11 Page -6-

BASIC COVERAGE INCLUDES: $ 100,000 Coverage L (Personal Liability) $ 1,000 Coverage M (Medical Payments to Others) $ 500 Damage to Property of Others Personal Liability (CPL) Personal liability (CPL) coverage may be issued to the following: Owner occupant of residence premises; or Tenant occupant of an apartment, dwelling, or condominium. # Families Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 1-Family 2010 39 43 56 62 79 3 8 11 2-Family 2020 39 43 56 62 79 3 8 11 3-Family 2030 56 62 81 89 114 3 12 16 4-Family 2040 65 72 94 104 132 3 12 16 Dwelling Premises (OLT) (DL 24 11) Premises only liability (OLT) coverage may be provided for 1-4 family residences owned but not occupied by the named insured. Premises only liability coverage applies if liability coverage for the insured s primary residence and personal activities is not insured with Rockford Mutual. Coverage may be provided for a maximum of 4 rental units (e.g., 4 one-family units or 1 four-family unit). Risks that require coverage for more than 4 rental units must be written under a commercial general liability policy. # Families Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 1-Family 651430 33 37 48 53 68 3 12 16 2-Family 651470 33 37 48 53 68 3 12 16 3-Family 651010 46 51 66 73 94 3 12 16 4-Family 651020 53 59 77 85 109 3 12 16 RMIC 07/11 Page -7-

OPTIONAL COVERAGES: Additional Insureds The personal liability coverages define an insured as the following persons who are residents of the household: The named insured (including the spouse); Relatives of the named insured; and Any other person under age 21 in the care of a person described above. Coverage may be extended to additional insureds as described below. Code 14260: Coverage may be extended to residents of the household over age 21 and not related to the named insured. Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 14260 5 5 7 7 9 0 0 0 Code 14261: Coverage may be extended to persons or entities who have an insurable interest in the residence premises (e.g., heir, estate, administrators, trustees, and mortgagees). No premium adjustment applies. Additional Residence Personal liability coverages may be provided on locations, other than the residence premises, where an insured resides, but which are insured for Section I coverages under another policy or by another company. Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 651140 8 9 12 13 17 1 4 6 RMIC 07/11 Page -8-

Rental Dwellings Personal liability coverages may be provided when additional 1 to 4 family residences are rented to others. Coverage may be extended to a maximum of 4 rental units (e.g., 4 one-family units or 1 four-family unit). Risks that require coverage for more than 4 rental units must be written under a commercial general liability policy. The insured must have Personal liability (CPL) coverage insured with Rockford Mutual to add this coverage. # Families Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 1-Family 651160 22 24 31 35 44 2 8 11 2-Family 651170 22 24 31 35 44 2 8 11 3-Family 651171 30 33 43 48 61 2 8 11 4-Family 651172 35 39 51 56 72 2 8 11 Farms Rented to Others (99-406) Liability coverage may be provided for insureds who own farms, rent the farm to others, and are not involved in the farming operations. Acres Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 0-160 12050 41 45 59 65 83 2 8 11 161-500 12060 53 59 77 85 109 2 8 11 501-1000 12070 70 78 101 112 144 3 12 16 1001-1500 12071 78 87 113 125 160 3 12 16 1501-2000 12072 80 89 116 128 164 4 16 22 2001-2500 12073 85 94 122 135 173 4 16 22 Over 2500 12074 87 97 126 140 178 5 20 28 RMIC 07/11 Page -9-

Personal Injury (99-8077) Coverage is available for liability arising from personal injury to others, such as false arrest, libel, or invasion of privacy. This coverage is not available to persons previously sued for libel or slander. Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 14360 14 16 21 23 29 0 0 0 Waterbed Leakage Liability (99-416) The policy may be endorsed to provide coverage to tenants or condominium unit owners for property damage caused by waterbeds and other water-filled furniture to non-owned property on the residence premises. Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 13620 18 20 26 29 37 0 0 0 RMIC 07/11 Page -10-

Incidental Business Activities (99-420) The policy may be endorsed to provide coverage for the liability of the insured arising out of incidental business activities. Annual sales generated from such activities must not exceed $5,000. Eligible Business Classes. CLASS A - CLASS B - CLASS C - Incidental office (e.g., accountants, insurance sales, and real estate); Picture photo framing; Music or dance lessons. Arts and crafts; Bait shop; Ceramic sales; Home products distributor; Saw and tool sharpening; Teachers (corporal punishment is excluded); Taxidermy; Textile work (e.g., curtain, drapery, dressmaking, and tailoring); Watch and jewelry repair. Appliance repair; Beauty and barber shops (no professional liability); Repair of lawnmowers or bicycles (no motorbikes or motorcycles); Roadside stands; U pick operations; Farmers open air markets. Class Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 A 733201 14 15 20 22 28 2 8 11 B 733202 18 20 26 29 37 2 8 11 C 733203 23 25 33 36 46 3 12 16 Home Day Care (99-192) The policy may be endorsed to provide coverage for the increased exposure arising from a home day care business on the insured location. Home day care business means regularly providing day care services for up to 3 persons, other than insureds or a relative of an insured, and receiving monetary compensation for such services. This endorsement provides for an annual aggregate limit of liability for Coverages L and M combined. The annual aggregate limit of liability (Coverages L and M combined) for this endorsement is the same as the Coverage L limit shown in the declarations. Coverage M is subject to a sub-limit and is the same as the Coverage M limit shown in the declarations. Code 50,000 100,000 300,000 500,000 1,000,000 2,000 5,000 10,000 9710 54 60 78 86 110 5 20 28 RMIC 07/11 Page -11-

Watercraft (99-8022) and Recreational Vehicles (99-8023) Property and liability coverages for watercraft and recreational vehicles (e.g., snowmobiles and all-terrain vehicles) may be endorsed to the policy. For rules and premiums, refer to the Boat and Recreational Vehicle programs. Use application 98-062 for watercraft and application 98-035 for recreational vehicles. RMIC 07/11 Page -12-