DOCUMENT: IMFILE (CBHD) DATE PRINTED: 10-06-94

1 <<<<< INLAND MARINE IA,-MN, NE, ND, OK, SD >>>>> The alphabetical key listed below shows the letter designation assigned to each line of insurance. These letters are listed under the column titled PROG. USED IN to show which lines of business each form is used in. I = Personal Inland Marine J = Commercial Inland Marine FORM NUMBERS & PROG. EDITION DATES___ COMP. USED IN TITLE_____ Page 1 of 3 CL-100 10-84 AAIS IJ COMMON POLICY CONDITIONS (MN, NE, ND, OK, SD) (Use with monoline policies) CL 0100 03-99 AAIS IJ COMMON POLICY CONDITIONS (IA,WI) (Use with monoline policies) NS-100 03-02 AAIS IJ INLAND MARINE GENERAL TERMS CL-0150 09-01 AAIS J AMENDATORY ENDORSEMENT (OK) (Use with monoline policies) NS-175 05-91 NSM I PERSONAL ARTICLES COVERAGE IM-176 08-84 AAIS I PERSONAL PROPERTY COVERAGE CF-177 02-18 NSM IJ INLAND MARINE APPLICATION CL 0190 01-01 AAIS J AMENDATORY ENDORSEMENT IOWA (IA) (Use with monoline policies)

2 IM-205 11-87 AAIS I GOLD OR SILVER BULLION COVERAGE NS-212 05-91 NSM I GUN COVERAGE NS-215 05-91 NSM I SPORTS EQUIPMENT COVERAGE NS-220 05-91 NSM I ELECTRONIC COMMUNICATIONS DEVICES COVERAGE NS-232 06-96 NSM I RECREATIONAL VEHICLES COVERAGE NS-235 05-91 NSM I SATELLITE ANTENNA SYSTEM COVERAGE CL-251 AAIS IJ AMENDMENT OF COVERAGE TERMS (OK) IM-283 10-85 AAIS I WEDDING PRESENTS COVERAGE CL-300 AAIS IJ AMENDATORY ENDORSEMENT (OK) NS-300 04-16 NSM I WATERCRAFT COVERAGE NS-400-2 05-91 NSM J THEFT COVERAGE (FOR USE WITH MOTOR TRUCK CARGO) NS-405 03-02 NSM J MOTOR TRUCK CARGO COVERAGE - OWNER'S FORM - NAMED PERIL CF-426 11-12 NSM IJ INLAND MARINE JACKET CF-435 07-93 NSM J WAREHOUSEMEN'S LEGAL LIABILITY COVERAGE (SD) NS-435 08-91 NSM J WAREHOUSEMEN'S LEGAL LIABILITY COVERAGE (IA, MN, NE, ND, OK, WI) NS-439 05-91 NSM J BAILEE COVERAGE - NAMED PERIL NS-443 05-91 NSM J LAUNDRY AND DRY CLEANER COVERAGE - NAMED PERIL NS-445 05-91 NSM J COLD STORAGE LOCKER COVERAGE - NAMED PERIL NS-459 05-91 NSM I PORTABLE TOOLS COVERAGE NS-650 10-97 NSM J PHYSICIANS AND DENTISTS EQUIPMENT COVERAGE NS-660 10-97 NSM J ACCOUNTS RECEIVABLE COVERAGE IM-661 06-84 AAIS J VALUABLE PAPERS AND RECORDS COVERAGE NS-663 05-91 NSM J NEON AND ELECTRIC SIGN COVERAGE NS-680 04-95 NSM J TRANSIT AND LOCATION COVERAGE NS-694 03-94 NSM J BUSINESS COMPUTER COVERAGE NS-695 1-08 NSM I HOME COMPUTER COVERAGE CL 0700 10-06 AAIS J VIRUS OR BACTERIA EXCLUSION (IA)

3 NS-703 05-91 NSM J IMPLEMENT DEALERS COVERAGE - NON-REPORTING FORM NS-0814 07-11 NSM I AMENDATORY ENDORSEMENT IOWA (IA) (Use with monoline policies) IM-850 06-84 AAIS I FARM MACHINERY SCHEDULED COVERAGE IM-852 11-87 AAIS I IRRIGATION EQUIPMENT COVERAGE IM-856 10-87 AAIS I REPRODUCTIVE MATERIALS COVERAGE NS-860 03-02 AAIS I SCHEDULED LIVESTOCK COVERAGE IM-860-5 06-84 AAIS I OPTIONAL PERILS COVERAGE IM-860-6 06-84 AAIS I VANDALISM COVERAGE IM-880 11-89 AAIS I COVERAGE FOR PETS <<<<< INLAND MARINE IA,-MN, NE, ND, OK, SD >>>>> The alphabetical key listed below shows the letter designation assigned to each line of insurance. These letters are listed under the column titled PROG. USED IN to show which lines of business each form is used in.

4 I = Personal Inland Marine J = Commercial Inland Marine FORM NUMBERS & PROG. EDITION DATES___ COMP. USED IN TITLE_____ Page 2 of 3 IM-901 08-84 AAIS IJ SCHEDULED PROPERTY COVERAGE NS-902 03-02 NSM IJ SCHEDULED PROPERTY COVERAGE - NAMED PERIL NS-903 04-95 NSM J MISCELLANEOUS PROPERTY COVERAGE NS-904 04-95 NSM J MISCELLANEOUS PROPERTY COVERAGE - NAMED PERIL NS-0914 01-09 NSM I AMENDATORY ENDORSEMENT IOWA (IA) (Use with package policies) NS-917 12-95 NSM I PICK UP CAMPER AND TRAVEL TRAILER COVERAGE CF-1032 03-02 NSM IJ AMENDMENT OF POLICY TERMS - NEBRASKA (NE) (Use with monoline policies) CF-1095 06-90 NSM J CONTRACTORS, SERVICE & APPL. DEALERS SCHEDULE CF-1096 03-02 NSM J CONTRACTORS, SERVICE & APPL.

5 DEALERS FLOATER - NAMED PERIL CF-1122 05-91 NSM J CONTRACTORS, SERVICE & APPL. DEALERS FLOATER(OK) CF-1122 4-15 NSM J CONTRACTORS, SERVICE & APPL. DEALERS FLOATER (IA,MN,NE,ND,SD,WI) CF-1126 03-02 NSM J TRIP TRANSIT COVERAGE - NAMED PERIL CF-1143 05-91 NSM J TAXIDERMISTS COVERAGE - NAMED PERIL CF-1161 05-91 NSM I BREAKAGE EXCLUSION FOR FINE ARTS CF-1163 01-93 NSM I REPLACEMENT VALUE FOR PERSONAL PROPERTY (IA, NE, ND, OK, SD, WI) NSCF-1243 08-11 NSM IJ NOTICE CONCERNING POLICYHOLDER RIGHTS IN AN INSOLVENCY UNDER THE MINNESOTA INSURANCE GUARANTY ASSOCIATION LAW (MN) (This notice must be given with the application. The notice must be given in writing or in the same medium as the application for insurance.)

6 This notice would only be attached to renewal certificates if the renewal increases the dollar amount of a coverage by more than 100%.) (The NSCF-1243 will not show on the dec.!) CF-1311 01-93 NSM I REPLACEMENT VALUE FOR PERSONAL PROPERTY (MN) CF-1323 07-02 NSM I AMENDATORY ENDORSEMENT - MINNESOTA (MN) (Use with monoline policies) CF-1366 10-93 NSM IJ OKLAHOMA NOTICE (OK) (Warning of action by insured that could be a felony.) CF-1411 06-94 NSM J REPLACEMENT COST FOR BUSINESS COMPUTER COVERAGE CF-1450 12-12 NSM I AMENDATORY ENDORSEMENT SOUTH DAKOTA (SD) (Use with monoline policies) CF-1473 12-99 NSM I AMENDATORY ENDORSEMENT (ND) (Use with monoline policies) CF-1549 03-02 NSM J CONTRACTORS, SERVICE & APPL.

7 DEALERS FLOATER - NAMED PERIL (OK) CF-1676 1-08 NSM J AMENDATORY ENDORSEMENT (ND) (Use with monoline policies) CF-1677 1-08 NSM J AMENDATORY ENDORSEMENT (MN) (Use with monoline policies) CF-1710 03-02 NSM J AMENDATORY ENDORSEMENT (ND) (For use with Motor Truck Cargo Coverage ) (Use with monoline policies) CF-1714 4-15 NSM J AMENDATORY ENDORSEMENT SOUTH DAKOTA (Use with monoline policies) CF-1736 01-15 NSM J CERTIFIED TERRORISM LOSS COVERAGE; NON-CERTIFIED TERRORISM LOSS EXCLUSION; NUCLEAR, BIOLOGICAL, CHEMICAL AND RADIOLOGICAL EXCLUSION; WAR AND MILITARY ACTION EXCLUSION (MN, NE, ND, OK, SD) <<<<< INLAND MARINE IA,-MN, NE, ND, OK, SD >>>>> The alphabetical key listed below shows the letter designation assigned to each line of insurance.

8 These letters are listed under the column titled PROG. USED IN to show which lines of business each form is used in. I = Personal Inland Marine J = Commercial Inland Marine FORM NUMBERS & PROG. EDITION DATES___ COMP. USED IN TITLE_____ Page 3 of 3 CF-1848 08-08 NSM IJ OKLAHOMA RURAL FIRE PROTECTION SUPPLEMENT (OK) CF-1895 01-15 NSM J NOTICE OF TERRORISM INSURANCE (MN, NE, ND, OK, SD) CF-1897 01-15 NSM J CERTIFIED TERRORISM LOSS COVERAGE; NON-CERTIFIED TERRORISM LOSS EXCLUSION (WITH LIMITED EXCEPTION); NUCLEAR, BIOLOGICAL, CHEMICAL AND RADIOLOGICAL EXCLUSION; WAR AND MILITARY ACTION EXCLUSION (IA, WI) CF-1898 01-15 NSM J NOTICE OF TERRORISM INSURANCE (IA, WI) CF-1901 01-09 NSM J TERRORISM EXCLUSIONS (WITH LIMITED EXCEPTION) (IA, WI) CF-2004 04-11 NSM IJ NOTICE TO POLICYHOLDERS (OK) CF-2162 04-17 NSM I COMMON LOSS DEDUCTIBLE CF-2181 01-18 NSM IJ AMENDATORY ENDORSEMENT (WI) (use with monoline policies) IM-3025 09-01 AAIS J AMENDATORY ENDORSEMENT (OK) (Use with monoline policies) IM 7854 05-04 AAIS J LOSS PAYABLE OPTIONS (IA)