:@0.120943:0.059250:0.125983:0.059250:0.125983:0.040522:0.120943:0.040522:0.005039
Page 4 of 12 :@0.802862:0.947944:0.882814:0.947944:0.882814:0.935234:0.802862:0.935234:0.009070:0.007455:0.007455:0.007455:0.003841:0.007455:0.003836:0.007252:0.003830:0.003827:0.007455:0.007266:0.003754
 :@0.879059:0.958773:0.882814:0.958773:0.882814:0.946063:0.879059:0.946063:0.003754
 :@0.236847:0.110178:0.244300:0.110178:0.244300:0.083752:0.236847:0.083752:0.007453
 :@0.236847:0.131978:0.244300:0.131978:0.244300:0.105552:0.236847:0.105552:0.007453
Annual Premium :@0.120943:0.153935:0.342081:0.153935:0.342081:0.127509:0.120943:0.127509:0.018949:0.016528:0.016541:0.016528:0.014917:0.007458:0.007453:0.017941:0.010482:0.014914:0.023994:0.007458:0.016528:0.023994:0.007453
 :@0.120943:0.168074:0.125594:0.168074:0.125594:0.151583:0.120943:0.151583:0.004651
Insured Sections A - E:@0.152792:0.188710:0.402548:0.188710:0.402548:0.165464:0.152792:0.165464:0.006653:0.014315:0.013101:0.014315:0.009271:0.013103:0.014315:0.006653:0.015721:0.012900:0.013103:0.007860:0.006653:0.014315:0.014315:0.013101:0.006450:0.016528:0.006837:0.007861:0.006652:0.015731
 :@0.402540:0.187860:0.409096:0.187860:0.409096:0.165664:0.402540:0.165664:0.006556
Payment of the premium as specified below will be deemed acceptance by the :@0.152792:0.208092:0.746294:0.208092:0.746294:0.192346:0.152792:0.192346:0.011086:0.009677:0.007860:0.014313:0.009269:0.009269:0.004636:0.005237:0.009269:0.004837:0.005237:0.004636:0.009269:0.009269:0.005237:0.009269:0.005643:0.009269:0.014313:0.003627:0.009269:0.014313:0.005237:0.009071:0.008466:0.005237:0.008467:0.009269:0.009269:0.008466:0.003629:0.004837:0.003629:0.009269:0.009269:0.005237:0.009269:0.009474:0.003627:0.009474:0.011892:0.005444:0.012093:0.003629:0.003830:0.003629:0.005237:0.009474:0.009269:0.005237:0.009269:0.009473:0.009269:0.014311:0.009269:0.009269:0.005237:0.009269:0.008466:0.008466:0.009269:0.009269:0.004636:0.009269:0.009269:0.008466:0.009269:0.005237:0.009675:0.008062:0.005237:0.004636:0.009269:0.009269:0.004651
public authority:@0.746880:0.208696:0.873838:0.208696:0.873838:0.192204:0.746880:0.192204:0.010482:0.010279:0.010281:0.004634:0.004634:0.009302:0.005359:0.009272:0.010281:0.005638:0.010281:0.010279:0.006451:0.004636:0.005846:0.009302
 :@0.796615:0.208092:0.801266:0.208092:0.801266:0.192441:0.796615:0.192441:0.004651
 :@0.873809:0.208092:0.878460:0.208092:0.878460:0.192346:0.873809:0.192346:0.004651
of the :@0.152792:0.221638:0.199358:0.221638:0.199358:0.205892:0.152792:0.205892:0.009269:0.004838:0.004634:0.004636:0.009269:0.009269:0.004651
policy:@0.199341:0.222241:0.247945:0.222241:0.247945:0.205750:0.199341:0.205750:0.010281:0.010279:0.004634:0.004634:0.009473:0.009302
 terms. :@0.247938:0.221638:0.303985:0.221638:0.303985:0.205892:0.247938:0.205892:0.004634:0.004636:0.009269:0.005645:0.014311:0.008466:0.004435:0.004651
 :@0.152792:0.242589:0.157443:0.242589:0.157443:0.226843:0.152792:0.226843:0.004651
Minimum and Deposit  :@0.165289:0.263855:0.349138:0.263855:0.349138:0.247364:0.165289:0.247364:0.014311:0.004435:0.010279:0.004638:0.014915:0.010281:0.014917:0.004634:0.009272:0.010279:0.010281:0.004634:0.012095:0.009272:0.010281:0.010279:0.009274:0.004636:0.005638:0.004846:0.004651
 :@0.451119:0.263855:0.455770:0.263855:0.455770:0.247364:0.451119:0.247364:0.004651
GBP :@0.508164:0.263855:0.549299:0.263855:0.549299:0.247364:0.508164:0.247364:0.013102:0.012096:0.011287:0.004651
   :@0.704293:0.263855:0.727086:0.263855:0.727086:0.247364:0.704293:0.247364:0.004651:0.013490:0.004651
 :@0.165289:0.277538:0.169940:0.277538:0.169940:0.261047:0.165289:0.261047:0.004651
 :@0.451119:0.277538:0.455770:0.277538:0.455770:0.261047:0.451119:0.261047:0.004651
 :@0.508164:0.277538:0.512815:0.277538:0.512815:0.261047:0.508164:0.261047:0.004651
   :@0.704293:0.277538:0.727086:0.277538:0.727086:0.261047:0.704293:0.261047:0.004651:0.013490:0.004651
Insurance Premium Tax at 12% :@0.165289:0.291221:0.417471:0.291221:0.417471:0.274730:0.165289:0.274730:0.004636:0.010281:0.009269:0.010279:0.006451:0.009269:0.010279:0.009474:0.009269:0.004634:0.011288:0.006451:0.009269:0.014917:0.004636:0.010279:0.015118:0.004634:0.010482:0.009269:0.009269:0.004634:0.009473:0.005672:0.004636:0.009269:0.009474:0.014919:0.004651
 :@0.451119:0.291221:0.455770:0.291221:0.455770:0.274730:0.451119:0.274730:0.004651
GBP :@0.508164:0.291221:0.549299:0.291221:0.549299:0.274730:0.508164:0.274730:0.013102:0.012096:0.011287:0.004651
   :@0.704293:0.291221:0.727086:0.291221:0.727086:0.274730:0.704293:0.274730:0.004651:0.013490:0.004651
 :@0.165289:0.304904:0.169940:0.304904:0.169940:0.288413:0.165289:0.288413:0.004651
 :@0.451119:0.304904:0.455770:0.304904:0.455770:0.288413:0.451119:0.288413:0.004651
 :@0.508164:0.304904:0.512815:0.304904:0.512815:0.288413:0.508164:0.288413:0.004651
   :@0.704293:0.304904:0.727086:0.304904:0.727086:0.288413:0.704293:0.288413:0.004651:0.013490:0.004651
Total Payable :@0.165289:0.318445:0.278185:0.318445:0.278185:0.301954:0.165289:0.301954:0.010482:0.010281:0.005638:0.009272:0.004638:0.004634:0.011086:0.009474:0.009071:0.009272:0.010279:0.004636:0.009481:0.004651
 :@0.451119:0.318445:0.455770:0.318445:0.455770:0.301954:0.451119:0.301954:0.004651
GBP :@0.508164:0.318445:0.549299:0.318445:0.549299:0.301954:0.508164:0.301954:0.013102:0.012096:0.011287:0.004651
   :@0.704293:0.318445:0.727086:0.318445:0.727086:0.301954:0.704293:0.301954:0.004651:0.013490:0.004651
 :@0.130014:0.332128:0.134665:0.332128:0.134665:0.315637:0.130014:0.315637:0.004651
 :@0.152792:0.345207:0.157443:0.345207:0.157443:0.329461:0.152792:0.329461:0.004651
 :@0.371901:0.345811:0.376552:0.345811:0.376552:0.329320:0.371901:0.329320:0.004651
 :@0.120943:0.360064:0.125594:0.360064:0.125594:0.343573:0.120943:0.343573:0.004651
 :@0.120943:0.373751:0.125594:0.373751:0.125594:0.357260:0.120943:0.357260:0.004651
 :@0.120943:0.387439:0.125594:0.387439:0.125594:0.370948:0.120943:0.370948:0.004651
 :@0.120943:0.401126:0.125594:0.401126:0.125594:0.384635:0.120943:0.384635:0.004651
 :@0.120943:0.414672:0.125594:0.414672:0.125594:0.398180:0.120943:0.398180:0.004651
 :@0.120943:0.428359:0.125594:0.428359:0.125594:0.411868:0.120943:0.411868:0.004651
 :@0.120943:0.442047:0.125594:0.442047:0.125594:0.425555:0.120943:0.425555:0.004651
 :@0.120943:0.455734:0.125594:0.455734:0.125594:0.439243:0.120943:0.439243:0.004651
 :@0.120943:0.469421:0.125594:0.469421:0.125594:0.452930:0.120943:0.452930:0.004651
 :@0.120943:0.482967:0.125594:0.482967:0.125594:0.466476:0.120943:0.466476:0.004651
 :@0.120943:0.496654:0.125594:0.496654:0.125594:0.480163:0.120943:0.480163:0.004651
 :@0.120943:0.510342:0.125594:0.510342:0.125594:0.493850:0.120943:0.493850:0.004651
 :@0.120943:0.524029:0.125594:0.524029:0.125594:0.507538:0.120943:0.507538:0.004651
 :@0.120943:0.537717:0.125594:0.537717:0.125594:0.521225:0.120943:0.521225:0.004651
 :@0.120943:0.551404:0.125594:0.551404:0.125594:0.534913:0.120943:0.534913:0.004651
 :@0.120943:0.564949:0.125594:0.564949:0.125594:0.548458:0.120943:0.548458:0.004651
 :@0.120943:0.578637:0.125594:0.578637:0.125594:0.562146:0.120943:0.562146:0.004651
 :@0.120943:0.592324:0.125594:0.592324:0.125594:0.575833:0.120943:0.575833:0.004651
 :@0.120943:0.606012:0.125594:0.606012:0.125594:0.589521:0.120943:0.589521:0.004651
 :@0.120943:0.619699:0.125594:0.619699:0.125594:0.603208:0.120943:0.603208:0.004651
 :@0.120943:0.633387:0.125594:0.633387:0.125594:0.616895:0.120943:0.616895:0.004651
 :@0.120943:0.646932:0.125594:0.646932:0.125594:0.630441:0.120943:0.630441:0.004651
 :@0.120943:0.660619:0.125594:0.660619:0.125594:0.644128:0.120943:0.644128:0.004651
 :@0.120943:0.674307:0.125594:0.674307:0.125594:0.657816:0.120943:0.657816:0.004651
 :@0.120943:0.687994:0.125594:0.687994:0.125594:0.671503:0.120943:0.671503:0.004651
 :@0.120943:0.701682:0.125594:0.701682:0.125594:0.685191:0.120943:0.685191:0.004651
 :@0.120943:0.715227:0.125594:0.715227:0.125594:0.698736:0.120943:0.698736:0.004651
 :@0.120943:0.728915:0.125594:0.728915:0.125594:0.712424:0.120943:0.712424:0.004651
Signed on behalf of the :@0.120943:0.741999:0.298099:0.741999:0.298099:0.726253:0.120943:0.726253:0.011086:0.003629:0.009474:0.009269:0.009474:0.009269:0.004634:0.009269:0.009473:0.004634:0.009269:0.009473:0.009269:0.009269:0.003627:0.004838:0.004634:0.009269:0.004838:0.004634:0.004636:0.009269:0.009269:0.004651
insurer :@0.298320:0.742602:0.360022:0.742602:0.360022:0.726111:0.298320:0.726111:0.004636:0.010281:0.009474:0.010279:0.006451:0.009272:0.006657:0.004651
 :@0.120943:0.756289:0.125594:0.756289:0.125594:0.739798:0.120943:0.739798:0.004651
 :@0.120943:0.854491:0.125594:0.854491:0.125594:0.838000:0.120943:0.838000:0.004651
 :@0.362830:0.854363:0.367481:0.854363:0.367481:0.837871:0.362830:0.837871:0.004651