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Fire Policy Number: RAM Mutual Insurance Company P.O. Box 308 Esko, MN 55733 TM41 3-09 AND Farm Partner Application Individual Partnership Corporation Other New Renewal of Policy #: Name: From: To: Address: (12:01 am at address of named insured) General Agency: Annual Semi-Annual Quarterly Phone #: Insured: Annual Monthly* RAM-Pay* Social Security #: *Requires minimum initial payment of 2 months) Perils/Policy Included: Fire Windstorm and Hail FCPL CPL Inland Marine* (Complete Supplemental Application) OL&T (Complete Separate Application) Deductible: $250 $500 $1,000 Included $2,500 $5,000 $10,000 $25,000 Mortgagee Loss Payee C/D Mortgagee Loss Payee C/D Description of Premises: List all property owned, leased, rented, or maintained. Farm No. No. of Dwellings Sets of Buildings Acres Quarter Section Sec- tion Twp. Range Township Fire # County State Interest Owner or Tenant 1 2 3 4 UNDERWRITING GUIDE - Furnish photos of all buildings All questions must be answered or application may be returned. If asked to explain or list, please use the space provided, if more room is needed please list the question number, explanation, and attach a separate memo. 1. Date of last on-site inspection and by whom: 2. Principal farm operations are: Grain Dairy Livestock Poultry Occupation other than farming: 3. General housekeeping and condition of premises: Excellent Good Fair Poor - 1 -
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Farm Partner Application RAM Mutual Insurance CompanyTrampoline? Yes No F. Does applicant own dog(s)? Yes No #: Roadside stand? Yes No Breed(s): Business office or incidental sales?

Jul 15, 2020

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  • Fire Policy Number:

    RAM Mutual Insurance CompanyP.O. Box 308

    Esko, MN 55733

    TM41 3-09

    AND

    Farm Partner Application

    Individual Partnership Corporation Other New Renewal of Policy #: Name: From: To:

    Address: (12:01 am at address of named insured)

    General Agency: Annual Semi-Annual Quarterly

    Phone #: Insured: Annual Monthly* RAM-Pay*

    Social Security #: *Requires minimum initial payment of 2 months)

    Perils/Policy Included: Fire Windstorm and Hail FCPL CPL

    Inland Marine* (Complete Supplemental Application) OL&T (Complete Separate Application) Deductible: $250 $500 $1,000 Included $2,500 $5,000 $10,000 $25,000

    Mortgagee Loss Payee C/D Mortgagee Loss Payee C/D

    Description of Premises: List all property owned, leased, rented, or maintained.

    Farm No. No. of

    Dwellings Sets of

    Buildings Acres Quarter Section

    Sec-tion Twp. Range Township Fire # County State

    Interest Owner or Tenant

    1

    2

    3

    4

    UNDERWRITING GUIDE - Furnish photos of all buildings All questions must be answered or application may be returned. If asked to explain or list, please use the space provided, if more room is needed please list the question number, explanation, and attach a separate memo.

    1. Date of last on-site inspection and by whom:

    2. Principal farm operations are: Grain Dairy Livestock Poultry Occupation other than farming:

    3. General housekeeping and condition of premises: Excellent Good Fair Poor

    - 1 -

  • 4. Dwelling:

    A. Age of dwelling: G. Wood heating system: Yes No

    B. Age of roof: Type: Central Space Fireplace

    C. Age of wiring: # of Amps: Age in years:

    D. Age of plumbing: H. Smoke Alarm(s): Yes No

    E. Occupancy: I. Fire Extinguisher(s): Yes No

    Owner Tenant Unoccupied J. Solar heating: Yes No If Yes, explain:

    Vacant Seasonal Under Construction Other:

    F. Central Heating: Yes :tnempiuqe gnitareneg dniW .K oN Yes No

    Type:

    Age of heating unit in years:

    5. Outbuildings: If an answer to a question is Yes, list the building and please explain.

    A. Occupied by: Owner Tenant Off-premises Tenant

    B. Condition of buildings: Excellent Good Fair Poor

    C. Any building not used for designed purpose? Yes No

    D. Do any outbuildings have:

    Heating? Yes No Exposed Insulation? Yes No Existing damage? Yes No

    E. Condition of wiring in buildings: Excellent Good Fair Poor

    F. Are buildings unused or vacant? Yes No

    G. Are there any buildings where wind coverage should be: Restricted? Yes No Omitted? Yes No

    6. Liability Survey:

    A. Does the applicant have: D. Does the applicant own any livestock? Yes No

    Seasonal property? Yes No E. Does the insured own horses? Yes No #:

    Rental property? Yes No Away from premises? Yes No

    Swimming pool? Yes No Does insured board other horses? Yes No #:

    Trampoline? Yes No F. Does applicant own dog(s)? Yes No #:

    Roadside stand? Yes No Breed(s):

    Business office or incidental sales? Yes No

    B. Does applicant do custom farming? Yes No G. Has the dog(s) ever bitten anyone? Yes No

    Type: Shown aggressive behavior? Yes No

    Custom spraying involved? Yes No H. In what condition are the applicant’s fences? Good Fair Poor

    Gross annual custom farming receipts? I. Do all steps have adequate handrails? Yes No

    C. Are premises used for any business or professional purposes

    other than farming? Yes No If Yes, explain: J. Condition of farm equipment: Good Fair Poor Has safety equipment been altered or removed? Yes No

    - 2 -

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  • 7. Other Insurance:

    A. Is there other insurance? Yes No If Yes, with whom?

    B. Is there other insurance with RAM? Yes No If Yes, policy number:

    8. How long has agent personally known applicant?

    Does agent personally recommend issuance of this policy? Yes No

    9. Other information:

    Special Restrictions:

    Applicant’s Signature:

    Loss History - List ALL losses, at this or any other location, within the last three (3) years or any loss ever if over $10,000.

    List dates, type, and amount: None

    PREVIOUS CARRIER (at this or prior location):

    Was any policy cancelled, declined or non-renewed? Yes No

    Explain:

    Initials of Insured (REQUIRED):

    GENERAL AGENTS USE ONLY

    Application has been reviewed and approved. GA’s initials:

    Agent

    and

    Address

    - 3 -

    KenLine

  • CODE AMOUNT DESCRIPTION Fire/Wind

    CODE AMOUNT DESCRIPTION Fire/Wind

    CLASS A-1 DWELLINGS - Photos Required Dwelling Replacement Cost and Coverage Adjustment is included

    Class A-1 Basic Broad Special Superior A-1 Special ______ _______ $ _____________________ Residence ______ _______ $ _____________________ Household Personal Property ______ _______ $ _____________________ Increase in Living Costs ______ _______ $ _____________________ ________________________ $ _____________________ Sub-Total

    Protected Partially Protected Unprotected

    OPTIONAL COVERAGES

    Special Form Unscheduled Personal Property Replacement Cost - Household Personal Property

    CLASS A-2 DWELLINGS - Photos Required

    Limited Basic Broad ______ _______ $ ______________ Dwelling ______ ______x____x______ ______ _______ $ ______________ Household Personal Property ______ _______ $ ______________ Increase in Living Costs ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ $ ______________ Sub-Total

    CLASS A-3 MOBILE HOMES - Photos Required

    Limited Basic Broad ______ _______ $ _________ Home (Age/Make) ________ ______x____x______ ______ _______ $ _________ _____________________ ______x____x_____ ______ _______ $ _________ Additions ____________ ______x____x______ ______ _______ $ _________ Household Personal Property ______ _______ $ _________ Increase in Living Costs ______ _______ $ _________ _____________________ ______x____x______ $ _________ Sub-Total

    CLASS E SCHEDULED FARM PERSONAL PROPERTY Includes 7B Non-depreciation of Repairs

    Limited Basic Broad

    ______ _______ $ ________ Scheduled Farm Personal Property (From 7 on pg. 7) ______ _______ $ ________ Portable Crop or Grain Dryer (515) ______ _______ $ ________ Farm Operations Record Expenses (533) ______ _______ $ ________ ______________________________________ $ _________ Sub-Total

    CLASS F UNSCHEDULED FARM PERSONAL PROPERTY Includes 7B Non-depreciation of Repairs

    Limited Basic Broad Special

    Code ________ _________ $ ___________________ Unscheduled Farm Personal Property (From 8 on pg. 7)

    - 4 -

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  • CLASS G-1 FARM BARNS, BUILDINGS, STRUCTURES & OUTBUILDINGS - Photos Required

    Superior - Minimum of 80% of Replacement Cost Replacement Cost, Special Form, Opt. Cov. P,

    & Coverage Adjustment Incl. $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______

    G-1S (Asphalt Shingles)

    $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ Sub-Total

    CLASS G-2 FARM BARNS, BUILDINGS, STRUCTURES & OUTBUILDINGS - Photos Required

    (Includes Opt.Cov. P) Minimum of 50% of Replacement Cost

    Above Average - ACV basis

    Limited Basic $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ Sub-Total

    CLASS G-3 FARM BARNS, BUILDINGS, STRUCTURES & OUTBUILDINGS - Photos Required

    Minimum of 25% of Replacement Cost Standard - ACV basis

    Limited Basic $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ _________________ ______x____x______ $ ______________ Sub-Total

    CLASS H SPECIAL HAZARDS - Photos Required

    Limited Basic ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ ______ _______ $ ______________ _____________ ______x____x______ $ ______________ Sub-Total

    - 5 -

  • MISCELLANEOUS PROPERTY ACORD Form Required on All Commercial Property Check company manual for rules and binding authority.

    Code ______ _______ $ ______________ _____________ ______x____x______

    Code ______ _______ $ ______________ _____________ ______x____x______

    Code ______ _______ $ ______________ _____________ ______x____x_____

    $ ______________ Sub-Total

    SEGAREVOC LANOITPO )ylnO egarevoC MT( SEGAREVOC LANOITPO

    ______ ______ Yes No $____________ Add’l Fire Dept. Service ______ ______ Yes No $____________ Peak Season - Item:

    ______ ______ Yes No $____________ Submersible Pumps

    From: To:

    ______ ______ Yes No $____________ Underground Wiring ______ ______ Yes No $____________ Loss of Income

    (Dairy & Hogs)

    ______ ______ Yes No $____________ Theft Coverage Extension ______ ______ Yes No $____________ Farm Extra Expense

    ______ ______ Yes No $____________ _____________________ ______ ______ Yes No $____________ Blizzard Death

    (Livestock) (RAM)

    ______ ______ Yes No $____________ _____________________ ______ ______ Yes No $_________ Livestock Confinement (RAM)

    (Separate RAM application required)

    DO NOT BIND

    ______ ______ Yes No $____________ _____________________ ______ ______ Yes No $____________ Special Form -

    Farm Machine (RAM)

    ______ ______ Yes No $____________ _____________________ ______ ______ Yes No $____________ Leased, Rented, or

    Borrowed Farm Machinery Coverage

    ______ ______ Yes No $____________ _____________________ ______ ______ Yes No $____________ Equipment Breakdown TM114

    ______ ______ Yes No $____________ _____________________ ______ ______ Yes No $____________ _____________________

    ______ ______ Yes No $____________ _____________________

    ______ ______ Yes No $____________ _____________________

    $ ______________ Sub-Total $ ______________ Sub-Total

    - 6 -

    Class

  • FARM PERSONAL PROPERTY INVENTORY SCHEDULED FARM PERSONAL PROPERTY UNSCHEDULED FARM PERSONAL PROPERTY

    TOTAL SCHEDULED VALUE TOTAL UNSCHEDULED VALUE

    (Add 1 through 6 - transfer amount to page 2) $____________ (Add 1 through 5 - transfer amount to page 2) $___________

    Comments: _______________________________________________________________________

    Policy provisions require individual scheduling of above items when not being used in Unscheduled Farm Personal Property. The following items may be optionally scheduled.

    Item (Describe) Value

    TRACTORS (505) No. 1 _________________ $ _________ No. 2 _________________ $ _________ No. 3 _________________ $ _________ No. 4 _________________ $ _________ Garden Tractor _________ $ _________ Skid Loader ___________ $ _________ _____________________ $ _________ Combine No. 1 (505) ____ $ _________ Combine No. 2 (505) ____ $ _________ Combine Heads ________ $ _________ Swather ______________ $ _________ Picker/Sheller (505) _____ $ _________ Other Self-propelled (505) $ _________ _____________________ $ _________ _____________________ $ _________ Port. Elevator __________ $ _________ Port. Auger No. 1 (505) __ $ _________ _____________________ $ _________ Port Auger No. 2 (505) ___ $ _________ _____________________ $ _________ Bale Racks & Trailers ____ $ _________ Beet Defoliators ________ $ _________ Beet Lifters ____________ $ _________ Beet Thinners __________ $ _________ Chisel Plow ____________ $ _________ Corn Planter ___________ $ _________ Crop Sprayer __________ $ _________ Drill Seeder ____________ $ _________ Disc __________________ $ _________ Drag _________________ $ _________ Fert. Spreader _________ $ _________ Field Cultivator _________ $ _________ Grain Wagons _________ $ _________ Grinder/Mixer/Mill _______ $ _________ Hay Baler _____________ $ _________ Hay Crimper ___________ $ _________ Hay Stacker/Loader _____ $ _________ Hay Stack Mover _______ $ _________ Livestock Trailer (Unlicensed)$ _________ Mach. Trailer (Unlicensed) __ $ _________ Manure Spreader _______ $ _________

    LIVESTOCK Number Value Total

    CATTLE (514) Dairy Cows ______ @ ______ $ _________ Heifers ______ @ ______ $ _________ Calves ______ @ ______ $ _________ Feeder Cattle ______ @ ______ $ _________ Stock Cattle ______ @ ______ $ _________ Bulls ______ @ ______ $ _________ Registered Cattle ______ @ ______ $ _________

    SHEEP (514) Ewes ______ @ ______ $ _________ Rams ______ @ ______ $ _________ Lambs ______ @ ______ $ _________

    HOGS (514) Sows ______ @ ______ $ _________ Boars ______ @ ______ $ _________ Feeder Pigs ______ @ ______ $ _________

    HORSES (514) ______ @ ______ $ _________

    TOTAL LIVESTOCK ………………… $ _________

    POULTRY Hens (514) ______ @ ______ $ _________ Fryers ______ @ ______ $ _________

    TOTAL POULTRY …………………… $ _________

    HAY, STRAW, & FODDER Hay (522) ______ @ ______ $ _________ Straw ______ @ ______ $ _________ Fodder/Silage ______ @ ______ $ _________

    TOTAL HAY, STRAW, & FODDER: $ _________

    GRAIN, FEED, & SUPPLIESCorn (521) ______ @ ______ $ _________

    Soybeans ______ @ ______ $ _________ Wheat ______ @ ______ $ _________ Oats ______ @ ______ $ _________ Sunflowers ______ @ ______ $ _________ Farm Chemicals ______ @ ______ $ _________ Veterinary Supplies ______ @ ______ $ _________ Fuel Oil & Grease ______ @ ______ $ _________ Paints ______ @ ______ $ _________ Commercial Feed ______ @ ______ $ _________ Ground Feed ______ @ ______ $ _________ _____________ ______ @ ______ $ _________

    TOTAL GRAIN, FEED, & SUPPLIES $ _________

    Item (Describe) Value

    Mower _____________ $ ________ Plows _____________ $ ________ Potato Digger _______ $ ________ Rakes _____________ $ ________ Rotary Tiller/Hoe _____ $ ________ Row Cultivator _______ $ ________ Silage Wagon _______ $ ________ Silage Cutter/Blower __ $ ________ Stalk Cutter _________ $ ________ Snow Blower ________ $ ________ Spraying Tank _______ $ ________ Tractor Loader ______ $ ________ Vaculator ___________ $ ________ Other Farm Mach.(505)$ ________ __________________ $ ________ __________________ $ ________ __________________ $ ________

    TOOLS & MISCEQUIPMENT (506)

    Electric Motors ______ $ ________ Fuel Tanks _________ $ ________ Port. Generator ______ $ ________ Spare Parts _________ $ ________ Power Tools ________ $ ________ Hand Tools _________ $ ________ Welder _____________ $ ________ Compressor ________ $ ________ Bldg/Fencing Material _ $ ________ __________________ $ ________ __________________ $ ________

    TOTAL FARM MACHINERY & EQUIP. $ ________

    1

    2

    3

    4

    5

    INSTALLED EQUIPMENT (591)

    (Must be scheduled to be insured)

    Bulk Tank/Cooler $ ________ Crop or Grain Dryer $ ________ Milk House Equip. $ ________ Milking Machine (Port)$ ________ Hog House Equip. $ ________ Poultry Equipment $ ________ Silo Unloader $ ________

    TOTAL INSTALLED EQUIPMENT $ ________ 6

    8 7

    -7-

    FARM MACHINERY & EQUIPMENT

  • SCHEDULE OF ANNUAL LIABILITY RATES

    COVERAGE APPLIES?

    Yes No

    CODE # DESCRIPTION PERSONAL LIABILITY

    50,000 100,000 300,000 500,000 1,000,000

    MEDICAL PAY

    Add’l for each

    $1,000 (max

    $5,000)

    PREMIUM

    FCPL-1A Farmers CPL (FCPL)

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    Additional Acreage Charge

    sercA 000,1 ot 123 6109

    9017 Over 1,000 Acres

    Additional Acreage Charge

    sercA mraF-noN 08 - 14 5109

    L9105 Additional Named Insured - Premises Only Liability

    L9106 Additional Named Insured - Personal Liability

    CF108 Additional Residence Premises - Rented to Others

    One Family

    Two Family

    CF109 Additional Residence Premises

    9225 Additional Set of Buildings

    CF71 Business Activities

    L9186 Custom Farming: Rates per $100 of receipts Apply only if receipts exceed $1,000; rate then applies to all receipts

    L9996 Damage to Property of Others (Coverage N) $1,000 included in policy Max Limit $10,000 - each additional $1,000 is $10

    L9300 Employers’ Liability If payroll is between $8,000 and the amount required by MN Comp Law for Work Comp

    L6123 Family Med. Pay Ages 12-65 only ($100 Deductible)

    9023 Inactive Farmer Credit - N/A with CPL

    9024 Hobby Farm Credit - N/A with CPL

    Horse Exposure Charge

    9231 □ 1-2 Horses 9232 □ 3-5 Horses 9233 □ 6-10 Horses

    9235 Limited Non-Owned Horse Exposure 1-10 Horses. Rate applies to each horse.

    9020 Livestock Exposure Charge

    CF107 Office, Professional, Private School, or Studio Use

    CF106 Personal Injury (No Medical)

    L9125 Property in Control of Insured (Fire Legal Liability - Farm Premium) $10,000 included in policy. Each add’l $5,000 is $2.

    CF105 Recreational Vehicles (Off Premises) (Fully Earned)

    CF110 Watercraft Liability (Motors Over 100 HP)

    CF110J Jet-Driven Watercraft

    L9002 Trampoline

    L9003 Wind Generator

    - 8 -

  • AGREEMENT AND SIGNATURE OF APPLICANT AND AGENT

    The signatures below certify that:

    1. all property under Class E is listed to at least 80 percent of actual cash value.

    2. Class F property is insured to 100 percent of the Inventory Schedule. The applicant understands that an 80 percent coinsurance requirement applies and agrees to, at all times, maintain contributing insurance on the property insured to the extent of at least 80 percent of its actual cash value, and failing to do so, shall to the extent of any deficit bear the proportion of any loss.

    3. all Class G-1 structures are insured to at least 80 percent of replacement value.

    4. all Class G-2 structures are insured to at least 50 percent of replacement value.

    5. the Farm Personal Property inventory contains a full description of the total values of the property listed.

    6. the answers to questions on this application are true, correct, and complete representations.

    7. As the applicant for this insurance, I grant permission to the agency listed on the front and to the underwriting departments of RAM Mutual and Palo Mutual to obtain claims information from previous insurer(s) and/or reports from investigative consumer organizations as to my credit (or credit-based insurance score), character, and/or condition of the property represented on this application. I understand that I have the right to make a request in writing as to the nature of any such information that may be developed and that I have the right to request that any such information be corrected by providing documented support for such correction. If my request is denied, I understand that I have the right to appeal to the Minnesota Commissioner of Commerce, 85 7th Place East Suite 500, St. Paul, MN 55101-2198. I understand that this temporary authorization will expire as soon as one of the following occurs: (A) The above named companies make the underwriting decision(s) in question, or (b) one year elapses after the date I sign this authorization. However, if a policy is issued, I authorize the above for subsequent amendments and renewals as long as the policy remains in force.

    8. the check box “Yes/No” areas accurately indicate desired coverage.

    9. INSURANCE FRAUD IS A CRIME - I understand that a person who submits an application or claim information with intent to defraud an insurer is guilty of a crime. Loss History is correct. ________ APPLICANT’S SIGNATURE: ___________________________________ DATE: __________________ As the Agent for the applicant, I attest that the information in this application and attachments is correct to the best of my knowledge.

    AGENT’S SIGNATURE: ______________________________________ DATE: __________________

    - 9 -

  • WORKSHEETPREMIUM COMPUTATION FIRE

    Class Insurance Amount Rate Premium Premium Premium Total

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    WIND

    FIRE WIND

    Class Insurance Amount Rate Premium Premium Premium Total

    OPTIONAL COVERAGES: List and Describe

    Total Insurance Coverage Total Wind Premium

    Total Fire Premium Wind Zone Adj.

    Liability Premium

    Total Fire Premium

    Farm Partner Plus 5% max (Member Company Only) Inland Marine

    Continuous Coverage Credit (5%) max Credits/Surcharges Total Policy IRPM % Surcharge

    Yes No

    Q Added Perils for Refrigerated Food Products (TM Only)

    6J Agreed Percentage Replacement Cost for Dwellings

    7S Amended Theft

    6R Cab Glass - Scheduled

    7A Collapse - Weight of Ice, Snow, or Sleet

    7Q Collapse - Weight of Ice, Snow, or Sleet

    7W Collision and/or Overturn

    7Y Collision and/or Overturn

    6S Debris Removal

    W Deferred Loss Payment

    R Glass Coverage - Unscheduled $ Ded.

    T Farm Extra Expense

    7X Expanded Vehicle Damage

    7H Earthquake

    X Deferred Loss Payment

    X

    Yes No

    SPC Special Package of Coverages - RAM (included)

    SPC Special Package of Coverages - TM

    7P Leased, Rented, or Borrowed Farm Machinery, Vehicles

    & Equipment of Others

    6T Loss of Income or Rent

    7N Loss of Income

    7R Loss of Use or Income

    S Peak Season Inventory

    K Replacement Cost Endorsement - Household

    Personal Property

    7U Backup of Sewers, Drains, or Sump Systems

    7J Theft Coverage Extension

    V Restriction of Individual Policies

    Y Replacement Cost Provision

    - 10 -

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Age of Siding:Text55: Text50_1: Siding Type:FIELD_630: Text56: 10. Has anyone in the household ever been convicted of a felony?RadioButton3_5: OffText62: YesText63: K. Daycare on premises?Text65: 1-4 ChildrenText66: 5+ ChildrenText67: NoText68: A $15 surcharge will apply per building/structureFIELD_210: FIELD_211: FIELD_212: FIELD_213: FIELD_214: FIELD_215: Text69: Appearance Loss End.FIELD_200: FIELD_205: FIELD_201: FIELD_202: FIELD_203: FIELD_204: FIELD_222: FIELD_227: FIELD_223: FIELD_224: FIELD_225: FIELD_226: FIELD_228: FIELD_231: FIELD_230: FIELD_232: FIELD_229: FIELD_245: FIELD_246: FIELD_247: FIELD_248: FIELD_249: FIELD_250: FIELD_251: FIELD_461: FIELD_471: FIELD_457: FIELD_427: FIELD_472: FIELD_473: FIELD_459: TOTAL:RB_114: OffText57: NoRB_115: Off