:@0.120968:0.058560:0.126008:0.058560:0.126008:0.039353:0.120968:0.039353:0.005040
Page 4 of 12 :@0.801075:0.947006:0.882769:0.947006:0.882769:0.934030:0.801075:0.934030:0.009409:0.008065:0.008065:0.008065:0.002688:0.008065:0.002688:0.008065:0.004032:0.002688:0.008065:0.008065:0.003737
 :@0.879032:0.958413:0.882769:0.958413:0.882769:0.945437:0.879032:0.945437:0.003737
 :@0.236559:0.109810:0.244032:0.109810:0.244032:0.082586:0.236559:0.082586:0.007473
 :@0.236559:0.131673:0.244032:0.131673:0.244032:0.104449:0.236559:0.104449:0.007473
Annual Premium :@0.120968:0.153536:0.338118:0.153536:0.338118:0.126312:0.120968:0.126312:0.017473:0.016129:0.016129:0.016129:0.014785:0.006720:0.010753:0.017473:0.010753:0.014785:0.022849:0.006720:0.016129:0.022849:0.007473
 :@0.120968:0.168144:0.125825:0.168144:0.125825:0.150449:0.120968:0.150449:0.004858
Insured Sections A - E:@0.153226:0.188943:0.403234:0.188943:0.403234:0.164441:0.153226:0.164441:0.006726:0.014782:0.013440:0.014782:0.009411:0.014787:0.014782:0.004040:0.016137:0.014785:0.013452:0.008056:0.006726:0.014782:0.013440:0.013452:0.004040:0.017468:0.003998:0.008065:0.006720:0.016137
 :@0.403226:0.188070:0.409952:0.188070:0.409952:0.164715:0.403226:0.164715:0.006726
Payment of the premium as specified below will be deemed acceptance by the :@0.153226:0.207438:0.745252:0.207438:0.745252:0.190570:0.153226:0.190570:0.012097:0.009401:0.009409:0.014784:0.009401:0.009401:0.005377:0.004036:0.009401:0.004033:0.004036:0.005377:0.009401:0.009401:0.004036:0.009401:0.005377:0.009401:0.014784:0.004033:0.009401:0.014786:0.004036:0.009401:0.009409:0.004036:0.009409:0.009401:0.008064:0.009409:0.002687:0.004033:0.004033:0.009401:0.009401:0.004036:0.009401:0.009401:0.004033:0.009401:0.012097:0.004036:0.012097:0.004033:0.004031:0.004033:0.004036:0.009401:0.009401:0.004036:0.009401:0.009401:0.009401:0.014786:0.009401:0.009401:0.004036:0.009401:0.009408:0.009409:0.009401:0.008064:0.005377:0.009401:0.009401:0.008066:0.009401:0.004036:0.009401:0.009409:0.004036:0.005377:0.009401:0.009401:0.004858
public authority:@0.744430:0.208068:0.873961:0.208068:0.873961:0.190373:0.744430:0.190373:0.010753:0.009409:0.010753:0.004031:0.005377:0.009715:0.003918:0.009409:0.010751:0.005377:0.010753:0.009409:0.006720:0.006720:0.006720:0.009715
 :@0.794349:0.207438:0.799207:0.207438:0.799207:0.191089:0.794349:0.191089:0.004858
 :@0.875005:0.207438:0.879863:0.207438:0.879863:0.190570:0.875005:0.190570:0.004858
of the :@0.153226:0.221699:0.201074:0.221699:0.201074:0.204831:0.153226:0.204831:0.009401:0.004031:0.005382:0.005377:0.009401:0.009401:0.004858
policy:@0.200263:0.222329:0.251645:0.222329:0.251645:0.204633:0.200263:0.204633:0.010753:0.010753:0.005375:0.005377:0.009409:0.009715
 terms. :@0.251337:0.221699:0.308614:0.221699:0.308614:0.204831:0.251337:0.204831:0.004036:0.005377:0.009409:0.005382:0.014786:0.009408:0.004022:0.004858
 :@0.153226:0.242607:0.158083:0.242607:0.158083:0.225740:0.153226:0.225740:0.004858
Minimum and Deposit  :@0.165323:0.264152:0.351632:0.264152:0.351632:0.246456:0.165323:0.246456:0.014784:0.005377:0.010753:0.005377:0.016129:0.010753:0.014784:0.004036:0.009405:0.010753:0.010753:0.004036:0.012097:0.009409:0.010753:0.009408:0.008064:0.005377:0.005377:0.004028:0.004858
 :@0.451613:0.264152:0.456470:0.264152:0.456470:0.246456:0.451613:0.246456:0.004858
GBP :@0.508065:0.264152:0.549212:0.264152:0.549212:0.246456:0.508065:0.246456:0.013440:0.012091:0.010759:0.004858
   :@0.704301:0.264152:0.727976:0.264152:0.727976:0.246456:0.704301:0.246456:0.004858:0.013960:0.004858
 :@0.165323:0.277460:0.170180:0.277460:0.170180:0.259764:0.165323:0.259764:0.004858
 :@0.451613:0.277460:0.456470:0.277460:0.456470:0.259764:0.451613:0.259764:0.004858
 :@0.508065:0.277460:0.512922:0.277460:0.512922:0.259764:0.508065:0.259764:0.004858
   :@0.704301:0.277460:0.727976:0.277460:0.727976:0.259764:0.704301:0.259764:0.004858:0.013960:0.004858
Insurance Premium Tax at 12% :@0.165323:0.290768:0.418836:0.290768:0.418836:0.273072:0.165323:0.273072:0.005377:0.010753:0.008064:0.010753:0.006722:0.010751:0.010753:0.009401:0.010753:0.004036:0.012097:0.006720:0.009401:0.014784:0.004033:0.010753:0.014786:0.004036:0.010753:0.009401:0.009401:0.004036:0.009401:0.005377:0.004036:0.009401:0.009401:0.013480:0.004858
 :@0.451613:0.290768:0.456470:0.290768:0.456470:0.273072:0.451613:0.273072:0.004858
GBP :@0.508065:0.290768:0.549212:0.290768:0.549212:0.273072:0.508065:0.273072:0.013440:0.012091:0.010759:0.004858
   :@0.704301:0.290768:0.727976:0.290768:0.727976:0.273072:0.704301:0.273072:0.004858:0.013960:0.004858
 :@0.165323:0.305027:0.170180:0.305027:0.170180:0.287331:0.165323:0.287331:0.004858
 :@0.451613:0.305027:0.456470:0.305027:0.456470:0.287331:0.451613:0.287331:0.004858
 :@0.508065:0.305027:0.512922:0.305027:0.512922:0.287331:0.508065:0.287331:0.004858
   :@0.704301:0.305027:0.727976:0.305027:0.727976:0.287331:0.704301:0.287331:0.004858:0.013960:0.004858
Total Payable :@0.165323:0.318335:0.283083:0.318335:0.283083:0.300639:0.165323:0.300639:0.010753:0.010753:0.005377:0.010753:0.005377:0.004036:0.012097:0.010753:0.009401:0.009401:0.009409:0.005375:0.009420:0.004858
 :@0.451613:0.318335:0.456470:0.318335:0.456470:0.300639:0.451613:0.300639:0.004858
GBP :@0.508065:0.318335:0.549212:0.318335:0.549212:0.300639:0.508065:0.300639:0.013440:0.012091:0.010759:0.004858
   :@0.704301:0.318335:0.727976:0.318335:0.727976:0.300639:0.704301:0.300639:0.004858:0.013960:0.004858
 :@0.130376:0.331643:0.135234:0.331643:0.135234:0.313947:0.130376:0.313947:0.004858
 :@0.153226:0.345271:0.158083:0.345271:0.158083:0.328403:0.153226:0.328403:0.004858
 :@0.372312:0.345901:0.377169:0.345901:0.377169:0.328205:0.372312:0.328205:0.004858
 :@0.120968:0.360160:0.125825:0.360160:0.125825:0.342464:0.120968:0.342464:0.004858
 :@0.120968:0.373469:0.125825:0.373469:0.125825:0.355773:0.120968:0.355773:0.004858
 :@0.120968:0.387729:0.125825:0.387729:0.125825:0.370033:0.120968:0.370033:0.004858
 :@0.120968:0.401038:0.125825:0.401038:0.125825:0.383342:0.120968:0.383342:0.004858
 :@0.120968:0.414347:0.125825:0.414347:0.125825:0.396651:0.120968:0.396651:0.004858
 :@0.120968:0.428607:0.125825:0.428607:0.125825:0.410912:0.120968:0.410912:0.004858
 :@0.120968:0.441916:0.125825:0.441916:0.125825:0.424221:0.120968:0.424221:0.004858
 :@0.120968:0.455225:0.125825:0.455225:0.125825:0.437529:0.120968:0.437529:0.004858
 :@0.120968:0.469486:0.125825:0.469486:0.125825:0.451790:0.120968:0.451790:0.004858
 :@0.120968:0.482795:0.125825:0.482795:0.125825:0.465099:0.120968:0.465099:0.004858
 :@0.120968:0.497055:0.125825:0.497055:0.125825:0.479359:0.120968:0.479359:0.004858
 :@0.120968:0.510364:0.125825:0.510364:0.125825:0.492668:0.120968:0.492668:0.004858
 :@0.120968:0.523673:0.125825:0.523673:0.125825:0.505977:0.120968:0.505977:0.004858
 :@0.120968:0.537933:0.125825:0.537933:0.125825:0.520238:0.120968:0.520238:0.004858
 :@0.120968:0.551242:0.125825:0.551242:0.125825:0.533547:0.120968:0.533547:0.004858
 :@0.120968:0.564551:0.125825:0.564551:0.125825:0.546856:0.120968:0.546856:0.004858
 :@0.120968:0.578812:0.125825:0.578812:0.125825:0.561116:0.120968:0.561116:0.004858
 :@0.120968:0.592121:0.125825:0.592121:0.125825:0.574425:0.120968:0.574425:0.004858
 :@0.120968:0.606381:0.125825:0.606381:0.125825:0.588685:0.120968:0.588685:0.004858
 :@0.120968:0.619690:0.125825:0.619690:0.125825:0.601994:0.120968:0.601994:0.004858
 :@0.120968:0.632999:0.125825:0.632999:0.125825:0.615303:0.120968:0.615303:0.004858
 :@0.120968:0.647260:0.125825:0.647260:0.125825:0.629564:0.120968:0.629564:0.004858
 :@0.120968:0.660568:0.125825:0.660568:0.125825:0.642873:0.120968:0.642873:0.004858
 :@0.120968:0.673877:0.125825:0.673877:0.125825:0.656182:0.120968:0.656182:0.004858
Signed on behalf of the :@0.120968:0.687508:0.299122:0.687508:0.299122:0.670640:0.120968:0.670640:0.012097:0.004033:0.009401:0.009401:0.009401:0.009401:0.004036:0.009401:0.009401:0.004036:0.009401:0.009401:0.009401:0.009401:0.004033:0.004033:0.004036:0.009401:0.004033:0.005377:0.005377:0.009401:0.009401:0.004858
insurer :@0.298301:0.688138:0.362376:0.688138:0.362376:0.670442:0.298301:0.670442:0.005377:0.010753:0.008064:0.010753:0.006720:0.010753:0.006799:0.004858
 :@0.120968:0.701447:0.125825:0.701447:0.125825:0.683751:0.120968:0.683751:0.004858
 :@0.120968:0.800306:0.125825:0.800306:0.125825:0.782610:0.120968:0.782610:0.004858
 :@0.362903:0.800274:0.367761:0.800274:0.367761:0.782578:0.362903:0.782578:0.004858