FREMONT MUTUAL INSURANCE COMPANY

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PUM Page No. INDEX 1 Application 1 Binding Authority 2 Commercial Exposures 1 Coverage 1 Definitions 5 Discounts 2 Ineligible Risks 1 Introduction 2 Limits Available 3 Minimum Limits of Underlying Insurance 1 Policy Term 2 Professional Liability * 4 Rates 3 Underlying Limits 5/04 PUM-Index-1

FREMONT INSURANCE COMPANY FORM AND ENDORSEMENT LIST FORM NO. UM 0001 IL 1003 REQUIRED FORMS Personal Umbrella Policy Exception to Terrorism Exclusion for Certified Acts of Terrorism; Cap on Losses from Certified Acts of Terrorism; Exclusion of Terrorism Punitive Damages * FM-PUM-A Personal Umbrella Provision Amendment ENDORSEMENTS UM 1000 UM 1100 UM 1101 UM 1102 UM 1103 UM 1104 UM 1105 UM 1110 UM 1111 UM 1112 UM 1113 Auto Liability Following Form Exclusion Auto Liability Exclusion Business Activities Exclusion Auto(s) Exclusion Designated Premises Exclusion Designated Recreational Motor Vehicle(s) Exclusion Designated Watercraft Exclusion General Exclusion Motorcycles Exclusion Rental Dwellings Exclusion Water Skiing 12/06 PUM-Index-2

I. Introduction The Personal Umbrella Liability policy is a catastrophe liability policy designed to cover the excess personal liability of individuals. Persons to consider for this coverage are individual executives, business people and professionals. II. Application and Binding Authority Use ACORD form 83 for all new business. All questions must be answered. The application must be signed and in the Home Office before the proposed effective date. Coverage cannot be bound by the agent. Coverage can only be bound by the Underwriting Department. A renewal questionnaire will be required prior to each third year renewal to determine any changes in exposures. III. IV. Policy Term Personal Umbrellas are written on an annual basis, but may be written for a shorter term to achieve concurrency within an underlying policy. Definitions Automobile Includes private passenger autos, motorcycles licensed for road use, motor homes, vans rated as private passenger autos and ¾ ton or less pickup trucks. V. Coverage A. Coverage is provided in excess of a schedule of underlying insurance (primary insurance) and in excess of a self-insured retention, commonly referred to as a S.I.R. It is catastrophe insurance by design and not a supplement to inadequate first dollar insurance. B. The policy at basic limits provides: 1. $1,000,000 of excess coverage over the insured s Automobile, Comprehensive Personal, Watercraft and Recreational Vehicle Liability policies. 2. $1,000,000 of insurance over a self-insured retention of $250 on a number of perils not usually covered by standard underlying insurance forms. These include: a. personal injury, such as libel, slander, false arrest, false imprisonment, wrongful eviction, defamation of character and invasion of privacy; b. blanket contractual liability; and c. legal defense for the above, when coverage is not provided by the primary underlying liability coverage and is not otherwise excluded. C. Professional Liability and Errors and Omissions coverage is excluded and not available under this policy. 11/99 PUM-1

D. Other Conditions 1. Motorcycles/Mopeds Fremont doesn t write this coverage in our auto program, but it may be acceptable in the Umbrella. Otherwise, coverage will be excluded. Consult your underwriter. 2. Recreational Vehicles The policy excludes racing and stunting. 3. Water Skiing If the primary policy does not cover this exposure, the umbrella policy will exclude it. VI. Ineligible Risks The following are normally not eligible for this coverage: A. Aircraft Liability; B. Anyone (applicant or applicant s spouse or any resident relative) who has an unacceptable driving record or who does not meet Fremont s underwriting standards for Homeowners, Watercraft or Rental Properties. C. Anyone in the public limelight, such as actors, actresses, and professional athletes; D. Anyone owning watercraft if the horsepower exceeds the maximum in the Boatowners section of this manual. E. Anyone we would not wish to insure for the full limits and coverage required by the underlying insurance; F. Anyone who has been sued for libel, slander or discrimination; G. Farming operations; H. Labor leaders; I. Newspaper or magazine editors, publishers or reporters; J. Professional politicians and others who run for public office; K. Public lecturers; L. Radio and TV broadcasters and telecasters. M. Home day care. * N. Swimming pools if a diving board is present. VII. VIII. IX. Professional Liability Professional (Malpractice) excess liability is not available for this policy. Limits Available The policy may be written for limits of: $1,000,000 2,000,000 Commercial Exposures Some commercial exposures owned by the insured or spouse may be eligible. They are: A. Business pursuits eligible under Business Pursuits form HO-71. B. Incidental offices, schools and studios eligible for coverage under Form H-42. C. Rental dwellings (1-4 family). Maximum of 5 dwellings or 7 units, whichever is less. 3/04 PUM-2

X. Minimum Limits of Underlying Insurance * A. All underlying Liability coverages must be written with Fremont. B. The minimum underlying limits are (000 omitted): Bodily Property Coverage Injury Damage C.S.L. Aircraft Liability Coverage is excluded Automobile Liability 500/500 100 500 Employers Liability Accident(ea. accident) 100 Disease (ea. employee) 100 Disease (policy limit) 500 Incidental Business Liability (HO-71) 300 100 300 Motorcycle/Moped Liability 500/500 100 500 Comprehensive Personal Liability 300 Recreational Vehicle Liability 300 100 300 Rental Dwelling Liability (1-4 family) 300 100 300 Watercraft Liability 300 300 300 C. The policy requires that the above underlying limits be maintained. If a gap in coverage exists, notify the company of any gap or exposure. D. If underlying policies include endorsements restricting coverage, please provide details so the Umbrella policy can be endorsed to match the restriction. 3/04 PUM-3

* XI. Rates The premium for the Personal Umbrella is determined by adding the flat charges below, based on the exposures of the risk. Premium Basis (1 st $1,000,000) Territory 1 2 Macomb, Oakland, Remainder of Wayne Counties Michigan Basic Premium (one automobile and 2 residences occupied by the insured) 115 90 Additional owner-occupied residence 5 5 each Additional auto 35 24 each Antique auto 10 8 each Business Pursuits (HO-71) 8 5 each Incidental Office (H-42) 6 4 each Motorcycle 35 25 each Recreational vehicle (including snowmobiles, golf carts, minibikes, trail bikes and other vehicles not licensed for road use) 20 20 each Rental Dwellings 1 family 10 5 each 2 family 20 10 each 3 family 30 15 each 4 family 40 20 each Swimming pool 10 10 each Trampoline 100 100 each Youthful drivers under 25 years old 30 30 flat Watercraft MPH MPH 0-44 45-50 0-44 45-50 Outboards 26HP or more 15 25 15 25 Inboards, inboard-outdrive, 51HP or more 20 30 20 30 Personal Watercraft 20 20 each Sailboats: Under 26 0 0 26-50 20 20 each Minimum Premium Territory Territory Limit Premium 1 2 1 st Million 100% of premium for $1,000,000 115 90 2 nd Million 50% of premium for 1 st million 60 60 5/04 PUM-4

XII. Discounts A Senior Citizen discount of 10% will be applied to the total umbrella premium, including the minimum premiums if at least one named insured is 50 years old or older. 2/02 PUM-5