COVERAGES LIMITS

1 PHONE(A/C, No, Ext):GARAGE LIABILITYCAUSES OF LOSSTHIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE REVERSE SIDE OF THIS (MM/DD/YYYY)AGENCYCOMPANYBINDER #EFFECTIVEEXPIRATIONDATETIMEDATETIMECODE :SUB CODE:DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY (Including Location)INSUREDTYPE OF INSURANCECOVERAGE/FORMSDEDUCTIBLECOINS %AMOUNTPROPERTYGENERAL LIABILITYVEHICLE LIABILITYVEHICLE PHYSICAL DAMAGEEXCESS LIABILITYAUTHORIZED REPRESENTATIVEAM12:01 AMPMNOONTHIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMEDCOMPANY PER EXPIRING POLICY #:BASICBROADSPECEACH OCCURRENCE$COMMERCIAL GENERAL LIABILITY$CLAIMS MADEOCCURMED EXP (Any one person)$PERSONAL & ADV INJURY$GENERAL AGGREGATE$PRODUCTS - COMP/OP AGG$RETRO DATE FOR CLAIMS MADE:COMBINED SINGLE LIMIT$ANY AUTOBODILY INJURY (Per person)$ALL OWNED AUTOSBODILY INJURY (Per accident)$SCHEDULED AUTOSPROPERTY DAMAGE$HIRED AUTOSMEDICAL PAYMENTS$NON-OWNED AUTOSPERSONAL INJURY PROT$UNINSURED MOTORIST$$DEDALL VEHICLESSCHEDULED VEHICLESACTUAL CASH VALUECOLLISION:STATED AMOUNT$OTHER THAN COL:AUTO ONLY - EA ACCIDENT$ANY AUTOOTHER THAN AUTO ONLY.

2 EACH ACCIDENT$AGGREGATE$EACH OCCURRENCE$UMBRELLA FORMAGGREGATE$OTHER THAN UMBRELLA FORMRETRO DATE FOR CLAIMS MADE:SELF-INSURED RETENTION$WC STATUTORY EACH ACCIDENT$ DISEASE - EA EMPLOYEE$ DISEASE - POLICY LIMIT$FEES$TAXES$ESTIMATED TOTAL PREMIUM$MORTGAGEEADDITIONAL INSUREDLOSS PAYEELOAN #COVERAGESLIMITSNAME & ADDRESSINSURANCE BINDERFAX(A/C, No):AGENCYCUSTOMER ID:WORKER'S COMPENSATIONANDEMPLOYER'S LIABILITYDAMAGE TORENTED PREMISESSPECIALCONDITIONS/OTHERCOVERAGES ACORD CORPORATION 1993-2007. All rights 1 of 2 The ACORD name and logo are registered marks of ACORDACORD 75 (2007/01) ACORD 75 (2007/01) Page 2 of 2 This binder is effective for only ninety (90) days.

3 Within thirty (30) days of receipt of this binder, you should request aninsurance policy or certificate (if applicable) from your agent and/or insurance in the Virgin IslandsApplicable in ColoradoWith respect to binders issued to renters of residential premises, home owners, condo unit owners and mobile homeowners, the insurer has thirty (30) business days, commencing from the effective date of coverage, to evaluate theissuance of the insurance in FloridaExcept for Auto Insurance coverage, no notice of cancellation or nonrenewal of a binder is required unless theduration of the binder exceeds 60 days.

4 For auto insurance, the insurer must give 5 days prior notice, unlessthe binder is replaced by a policy or another binder in the same Company binds the kind(s) of insurance stipulated on the reverse side. The Insurance is subject to theterms, conditions and limitations of the policy(ies) in current use by the binder may be cancelled by the Insured by surrender of this binder or by written notice to the Companystating when cancellation will be effective. This binder may be cancelled by the Company by notice to theInsured in accordance with the policy conditions. This binder is cancelled when replaced by a policy.

5 If thisbinder is not replaced by a policy, the Company is entitled to charge a premium for the binder according to theRules and Rates in use by the in CaliforniaWhen this form is used to provide insurance in the amount of one million dollars ($1,000,000) or more, the titleof the form is changed from "Insurance Binder" to "Cover Note".Applicable in DelawareThe mortgagee or Obligee of any mortgage or other instrument given for the purpose of creating a lien on realproperty shall accept as evidence of insurance a written binder issued by an authorized insurer or its agent ifthe binder includes or is accompanied by: the name and address of the borrower; the name and address of thelender as loss payee; a description of the insured real property.

6 A provision that the binder may not be canceledwithin the term of the binder unless the lender and the insured borrower receive written notice of the cancel-lation at least ten (10) days prior to the cancellation; except in the case of a renewal of a policy subsequent tothe closing of the loan, a paid receipt of the full amount of the applicable premium, and the amount ofinsurance 21 Title 25 Paragraph 2119 Applicable in NevadaAny person who refuses to accept a binder which provides coverage of less than $1,000, when proof isrequired: (A) Shall be fined not more than $ , and (B) is liable to the party presenting the binder as proofof insurance for actual damages sustained therefrom.