Small UAS Drone Insurance Claim - Second Drone Claim Specimen - Date of Loss November 15, 2015

PO BOX 899, PINE, COLORADO 80470 PHONE: 720.208.0844 FAX: 720.208.0845

CLAIM REPORT – FOR SPECIMEN PURPOSES ONLY

THIS TRANSMISSION CONSISTS OF 8 PAGE(S)

DATE: November 15, 2013 TO: ATTN: Claims FROM: Terry Miller RE: Claim Report Date of Loss: November 15, 2013 7:05 AM EST Location of Loss: New York, NY 10002 USA Aircraft: 2013 Cinestar X8 MK MoVi S/N: MR Gimbal Camera: Sony EOS 5D Mark III SN:

Camera Value: $5,900

Use: Aerial Photo/Filming UAS Value: $28,000 Deductible: 5% Each Loss

Liability: $1,000,000

Loss Paid: $6,813.30 – Partial Loss Loss Description/Pilot Statement: “I am just trying to analyze the data - but for some reason one propeller stopped spinning at around 30ft elevation and the copter started yawing and coming down at a rapid speed - even at full throttle it didn't slow down and hit the ground pretty hard. As far as the reason why the propeller shut off, I found out a few things. The low voltage warning went on during my ascent - as I had it set fairly high, there was supposed to still be a good buffer. Long story short even though the flight time was only around 1.5min, the voltage fell extremely during the decent and probably forced the ESC's into a cut-off position. There are a few ways to work around this problem in the future - one is deactivating the low voltage cut off completely, as the Mikrokopter has an Emergency Landing function build into the flight controller and the second one is being aware of how drastically the efficiency of those lipos changes once it hits a certain voltage level.

I am getting a replacement part for the Movi MR gimbal tomorrow, Freefly is sending them via overnight shipping - this will allow me to actually test the electronics and see if the motors, gyros or other electronics got any damage. As far as visible physical damage to the copter the following is what I found so far: I just tested the whole system - the ESC's and motors seem to work fine (at least as far as I can test it on the ground). Though it seems that the GPS is damaged. One of the contacts got bent and it is giving me a GPS error - so I am assuming that the board got permanently damaged. Here is an updated full list of the damaged parts: - 6x propeller: $36.75 for 2pack. Total = 110.25 - 3x 500mm Cinestar booms: $100 each. Total = 300.00 - 1x Canon 5d mk3 w/ 24-105 lens: $3.999 - 2x Movi landing gear: price not yet known - 1x Movi Pan Axis Vertical Tube: price not yet known - Mikrokopter Flight Controller: $460 - Mikrokopter Navi Ctrl: $290.40 - Mikrokopter GPS: $105.95 - Mikrokopter GPS shield: $21.35”