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1 CLAIMDIRECTOR RESULT REPORT - SAMPLE This Sample is comprised of fictitious data elements A claim report identified by ClaimSearch identification number was received by ISO ClaimSearch on 7/17/2013 as a Replacement of a previously submitted claim. Submission of this replacement claim initiated a search of the ClaimSearch database. The claim(s) listed below appear(s) to be similar to the claim submitted and were used to develop the ClaimDirector score. To simplify your evaluation of these matches, ClaimDirector scores all prior non-duplicate claims and provides a total summary score. The ClaimDirector match report below includes all scored claims up to a maximum of 25. Reasonable procedures have been adopted to maximize the accuracy of this report. Independent investigations should be performed to evaluate the relevant data provided. If you have any questions concerning your report, please contact Customer Support at (800) Score Summary ClaimDirector Score: 761 Raw Adjusted Claim Rules HEATHER L. FERGUSON Score: 761 Claim Characteristics ID Description 30 A VIN reported in this loss failed the edit Score Details Claim Rules : 390 Rules ID Description Hide rule weights Weight 18 The loss state reported in this loss is different than a claimant's state, in this occurrence A VIN reported in this loss failed the edit No police report exists for this loss This loss occurred between 2 and 5:00 am +60 : 317 Involved Party Rules: 230 Rules ID Description Weight 24 Including this loss, this involved party's SSN, XXXXX0000, is linked to 2 or more involved parties in the ClaimSearch database 488 The involved party reported soft tissue or subjective injuries (strains and sprains) +80 s Score: 87 Elements Searched: 2 (/Address, SSN/TIN) The number of contributing s for this Involved Party: Insurance Services Office, Inc., P age

The claim(s) listed below appear(s) to be similar to the claim submitted and were used to develop the ClaimDirector score.

2 All-Claim Date of Coverage Loss Type Reason for Component ID Loss Type Match Score OA33OO /24/2013 Animal, Address, SSN 40 3X /01/2011 Animal, SSN 31 9F /14/ HEATHER L. FERGUSON : 136 Involved Party Rules: 40 Rules ID Description Weight 488 The involved party reported soft tissue or subjective injuries (strains and sprains) +40 s Score: 96 Elements Searched: 1 (/Address) The number of contributing s for this Involved Party: 2 All-Claim Date of Coverage Loss Type Reason for Component ID Loss Type Match Score 1Z /20/ Z /16/2012 Address 47 ISO CLAIMSEARCH REPLACEMENT CLAIM Initiating Claim File Number: Company: INSURANCE SERVICES OFFICE, INC ISO Date/Time of Loss: 07/17/ :00 ISO Inception Date: 05/15/2013 Expiration Date: 05/15/2014 Policy Renewed?: ISO Received Date: 07/17/2013 HEAD ON COLLISION HIGHWAY 77 TOPEKA, KS Driver WALLY, KS Investigation Details > PARTY SUBJECT TO SIU INVESTIGATION Insurance Services Office, Inc., P age

FERGUSON : 136 Involved Party Rules: 40 Rules ID Description Weight 488 The involved party reported soft tissue or subjective injuries (strains and sprains) +40 s Score: 96 Elements Searched: 1

3 Vehicle Type: Open (Fail) 2000 FORD FOCUS Passenger Car Casualty Coverage Information Pip Alleged Injury: Part of Body: Pip Open INSURANCE SERVICES OFFICE, INC STRAIN LOW BACK Lower Back Area - (Lumbar Area and Involved Party Claimant Driver HEATHER L. FERGUSON 11 COZY BUTTERLY WAY DOB: 09/12/1984 PARKER PLACE, IA Open A9373 (Fail) 2008 HONDA ACCORD Vehicle Type: Passenger Car Casualty Coverage Information Pip Alleged Injury: Part of Body: Pip Open INSURANCE SERVICES OFFICE STRAIN LOW BACK Lower Back Area File Number: OA33OO47213 Address SSN XYZ Date/Time of Loss: 06/24/ :00 XYZ Inception Date: 05/15/2013 Expiration Date: 05/15/2014 Assigned Risk?: Insuring Co. No 888 WALLY WAY PO BOX 1 Company Received Date: 07/02/2013 WALLY, KS ANIMAL COLLISION IV HIT A DEER KS Involved Party Both Claimant & Insured WALLY, KS Insurance Services Office, Inc., P age

FERGUSON 11 COZY BUTTERLY WAY DOB: 09/12/1984 PARKER PLACE, IA 39393 Open 2029373629010A9373 (Fail) 2008 HONDA ACCORD Vehicle Type: Passenger Car Casualty Coverage Information Pip Alleged Injury:

4 Home Phone: (700) *** More matches on this Home Phone outside this report *** Animal DEAN, JOHN (Pass) 2003 CHEVROLET TRAILBLAZER File Number: 1B Address PROPERTY AND CASUALTY INS. CO PCC Date/Time of Loss: 05/20/ :00 PCC Inception Date: 05/14/2002 Expiration Date: 08/01/2014 Policy Renewed?: Insuring Co. 100 LOWER MAIN STREET NORWICH, IA Insuring Co. Phone: (830) Company Received Date: 05/22/2011 Agency Notified: VEH 1 PARKED AN NONE IA US Involved Party Claimant Driver MANNY BATES 197 LONE GOOSE ACRES CEDAR RAPIDS, IA US Home Phone: (933) Casualty Coverage Information Closed w/o Payment Date Claim Closed: 07/15/2013 Alleged Injury: PROPERTY AND CASUALTY INS. CO SMITH, ANN INJURY Involved Party Both Claimant & Insured HEATHER L. FERGUSON 11 COZY BUTTERFLY WAY PARKER PLACE, IA US DOB: 09/12/1984 Female Home Phone: (403) Business Phone: (403) Insurance Services Office, Inc., P age

100 LOWER MAIN STREET NORWICH, IA 39373 Insuring Co.

5 XXX-XX-7789 was issued between 1984 and 1986 in IA Occupation: DRIVER Subrogation Pending PROPERTY AND CASUALTY INS. CO BEIBER. PAM AA3 (Pass) *** More matches on this VIN outside this report *** Vehicle Disposition: 2007 FORD FOCUS No Other Settlement Amount: 1,239 Address File Number: 0Z BLUE FLAG INSURANCE COMPANY RFI Date/Time of Loss: 11/16/ :30 RFI Inception Date: 05/30/2012 Expiration Date: 11/30/2012 Insuring Co. RED FLAG PARKWAY 399 MISTY MEADOW AUSTIN, TX Insuring Co. Phone: (900) Company Received Date: 01/10/2013 PH STRUCK CLMT PARKED-OCCUPIED VEH 1010 BRIGHT VIEW LEDGE OAK COURT, IA Involved Party Claimant JAMIE E. DINEEN 1010 BRIGHT VIEW LEDGE OAK COURT, IA Female Closed BLUE FLAG INSURANCE COMPANY VILLA, BEN Adjuster Phone: (800) A (Pass) *** More matches on this VIN outside this report *** Vehicle Color: 2003 FORD EXPLORER No Tan SALVATORE ANGELO PO BOX 772 Insurance Services Office, Inc., P age

INSURANCE COMPANY RFI393983293483249302349 Date/Time of Loss: 11/16/2012 02:30 RFI393983293483249302349 Inception Date: 05/30/2012 Expiration Date: 11/30/2012 Insuring Co.

6 RAPIDS, MT DOB: 10/09/1961 Home Phone: (222) XXX-XX-5337 was issued between 1974 and 1976 in MT File Number: 1Z PROPERTY AND CASUALTY INS. CO PCIC Date/Time of Loss: 05/20/ :00 Insuring Co. PCIC LOWER MAIN STREET NORWICH, IA Insuring Co. Phone: (887) CLAIM IS LOSS TYPE OF PRPD 10 LOWER VALLEY PLACE CEDAR RAPIDS, IA Involved Party Claimant MANNY BATES 197 LONE GOOSE ACRES CEDAR RAPIDS, IA Occupation: CASHIER PROPERTY AND CASUALTY INS. CO PEMPO, SHARRI 0000 PICK UP HEATHER L. FERGUSON 11 COZY BUTTERFLY WAY PARKER PLACE, IA Occupation: ADMIN Address File Number: 3J SSN XYZ Date/Time of Loss: 01/14/ :00 Insuring Co. XYZ WILLOW GATE AVENUE BATAVIA, IL Insuring Co. Phone: (573) Insurance Services Office, Inc., P age

Phone: (887) 206-6666 CLAIM IS LOSS TYPE OF PRPD 10 LOWER VALLEY PLACE CEDAR RAPIDS, IA Involved Party Claimant MANNY BATES 197 LONE GOOSE ACRES CEDAR RAPIDS, IA 52404 Occupation: CASHIER PROPERTY

7 Drivers License: S State: KS Vehicle Disposition: (Pass) 2003 CHEVROLET TRAILBLAZER Damaged RENDA K MARTIN DOB: 10/12/1942 Female XXX-XX-9999 was issued between 1963 and 1963 in KS Drivers License: R State: KS 0000 Driver Drivers License: S State: KS 0000 Insurance Services Office, Inc., P age

was issued between 1963 and 1963 in KS Drivers License: R00000003 State: KS 0000

8 File Number: 9F XYZ Date/Time of Loss: 01/14/ :00 XYZ Inception Date: 05/15/2009 Expiration Date: 05/15/2010 Assigned Risk?: Insuring Co. No 10 WILLOW GATE AVENUE BATAVIA, IL Insuring Co. Phone: (503) Company Received Date: 01/19/2010 IV RAN OFF ROAD HEAVY FOG KS RENDA K MARTIN MARTIN, RENDA K WALLY, KS Home Phone: (700) Involved Party Both Claimant & Insured MARTIN, RENDA K WALLY, KS Home Phone: (700) *** More matches on this Home Phone outside this report *** CEDAR, HARVEY (Pass) 2003 CHEVROLET TRAILBLAZER File Number: 3X SSN XYZ Date/Time of Loss: 10/01/ :00 XYZ Insurance Services Office, Inc., P age

Phone: (503) 404-6666 Company Received Date: 01/19/2010 IV RAN OFF ROAD HEAVY FOG KS RENDA K MARTIN MARTIN, RENDA K WALLY, KS 93773 Home Phone: (700) 123-4567 Involved Party Both Claimant &

9 Inception Date: 05/15/2011 Expiration Date: 05/15/2012 Assigned Risk?: Insuring Co. No 888 WALLY WAY PO BOX 1 Company Received Date: 10/03/2011 WALLY, KS ANIMAL COLLISION; BRENDA SHIPLEY HIT DEER KS Involved Party Both Claimant & Insured MARTIN, RENDA K WALLY, KS Home Phone: (700) *** More matches on this Home Phone outside this report *** Animal BRACK, KAREN (Pass) 2003 CHEVROLET TRAILBLAZER Address File Number: 9J SSN XYZ Date/Time of Loss: 10/01/ :00 Insuring Co. XYZ WILLOW GATE AVENUE BATAVIA, IL Insuring Co. Phone: (573) KENNETH SHIPLEY Drivers License: S State: KS Insurance Services Office, Inc., P age

WALLY, KS 93773 Home Phone: (700) 123-4567 *** More matches on this Home Phone outside this report *** Animal BRACK, KAREN 00100163210004000 (Pass) 2003 CHEVROLET TRAILBLAZER

10 Vehicle Disposition: (Pass) 2003 CHEVROLET TRAILBLAZER Damaged RENDA K MARTIN DOB: 10/12/1942 Female XXX-XX-9999 was issued between 1963 and 1963 in KS Drivers License: R State: KS 0000 Driver RENDA K MARTIN DOB: 10/12/1942 Female XXX-XX-9999 was issued between 1963 and 1963 in KS Drivers License: R State: KS 0000 Insurance Services Office, Inc., P age

R00000003 State: KS 0000 Driver RENDA K MARTIN R00000003 State: KS 0000 Insurance Services

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