:@0.120943:0.059393:0.125983:0.059393:0.125983:0.040194:0.120943:0.040194:0.005039
Page 4 of 15 :@0.802862:0.947944:0.882814:0.947944:0.882814:0.934909:0.802862:0.934909:0.009070:0.007455:0.007455:0.007455:0.003841:0.007455:0.003836:0.007252:0.003830:0.003827:0.007455:0.007266:0.003754
 :@0.879059:0.958917:0.882814:0.958917:0.882814:0.945881:0.879059:0.945881:0.003754
 :@0.236847:0.100942:0.241499:0.100942:0.241499:0.084001:0.236847:0.084001:0.004651
 :@0.236847:0.123861:0.244300:0.123861:0.244300:0.096715:0.236847:0.096715:0.007453
 :@0.120952:0.145661:0.128405:0.145661:0.128405:0.118515:0.120952:0.118515:0.007453
 :@0.120952:0.167461:0.128405:0.167461:0.128405:0.140315:0.120952:0.140315:0.007453
Annual Premium :@0.120943:0.189568:0.342081:0.189568:0.342081:0.162422:0.120943:0.162422:0.018949:0.016528:0.016541:0.016528:0.014917:0.007458:0.007453:0.017941:0.010482:0.014914:0.023994:0.007458:0.016528:0.023994:0.007453
 :@0.120943:0.203707:0.125594:0.203707:0.125594:0.186766:0.120943:0.186766:0.004651
Insured Sections A - E:@0.152792:0.224343:0.402548:0.224343:0.402548:0.200463:0.152792:0.200463:0.006653:0.014315:0.013101:0.014315:0.009271:0.013103:0.014315:0.006653:0.015721:0.012900:0.013103:0.007860:0.006653:0.014315:0.014315:0.013101:0.006450:0.016528:0.006837:0.007861:0.006652:0.015731
 :@0.402540:0.223493:0.409096:0.223493:0.409096:0.200730:0.402540:0.200730:0.006556
Payment of the premium as specified below will be deemed acceptance by the :@0.152792:0.243725:0.746294:0.243725:0.746294:0.227577:0.152792:0.227577:0.011086:0.009677:0.007860:0.014313:0.009269:0.009269:0.004636:0.005237:0.009269:0.004837:0.005237:0.004636:0.009269:0.009269:0.005237:0.009269:0.005643:0.009269:0.014313:0.003627:0.009269:0.014313:0.005237:0.009071:0.008466:0.005237:0.008467:0.009269:0.009269:0.008466:0.003629:0.004837:0.003629:0.009269:0.009269:0.005237:0.009269:0.009474:0.003627:0.009474:0.011892:0.005444:0.012093:0.003629:0.003830:0.003629:0.005237:0.009474:0.009269:0.005237:0.009269:0.009473:0.009269:0.014311:0.009269:0.009269:0.005237:0.009269:0.008466:0.008466:0.009269:0.009269:0.004636:0.009269:0.009269:0.008466:0.009269:0.005237:0.009675:0.008062:0.005237:0.004636:0.009269:0.009269:0.004651
public authority:@0.746880:0.244328:0.873838:0.244328:0.873838:0.227388:0.746880:0.227388:0.010482:0.010279:0.010281:0.004634:0.004634:0.009302:0.005359:0.009272:0.010281:0.005638:0.010281:0.010279:0.006451:0.004636:0.005846:0.009302
 :@0.796615:0.243725:0.801266:0.243725:0.801266:0.228074:0.796615:0.228074:0.004651
 :@0.873809:0.243725:0.878460:0.243725:0.878460:0.227577:0.873809:0.227577:0.004651
of the :@0.152792:0.257412:0.199358:0.257412:0.199358:0.241264:0.152792:0.241264:0.009269:0.004838:0.004634:0.004636:0.009269:0.009269:0.004651
policy:@0.199341:0.258016:0.247945:0.258016:0.247945:0.241075:0.199341:0.241075:0.010281:0.010279:0.004634:0.004634:0.009473:0.009302
 terms. :@0.247938:0.257412:0.303985:0.257412:0.303985:0.241264:0.247938:0.241264:0.004634:0.004636:0.009269:0.005645:0.014311:0.008466:0.004435:0.004651
 :@0.152792:0.278222:0.157443:0.278222:0.157443:0.262074:0.152792:0.262074:0.004651
Minimum and Deposit  :@0.165289:0.299488:0.349138:0.299488:0.349138:0.282547:0.165289:0.282547:0.014311:0.004435:0.010279:0.004638:0.014915:0.010281:0.014917:0.004634:0.009272:0.010279:0.010281:0.004634:0.012095:0.009272:0.010281:0.010279:0.009274:0.004636:0.005638:0.004846:0.004651
 :@0.451119:0.299488:0.455770:0.299488:0.455770:0.282547:0.451119:0.282547:0.004651
GBP :@0.508164:0.299488:0.549299:0.299488:0.549299:0.282547:0.508164:0.282547:0.013102:0.012096:0.011287:0.004651
   :@0.704293:0.299488:0.727086:0.299488:0.727086:0.282547:0.704293:0.282547:0.004651:0.013490:0.004651
 :@0.165289:0.313171:0.169940:0.313171:0.169940:0.296230:0.165289:0.296230:0.004651
 :@0.451119:0.313171:0.455770:0.313171:0.455770:0.296230:0.451119:0.296230:0.004651
 :@0.508164:0.313171:0.512815:0.313171:0.512815:0.296230:0.508164:0.296230:0.004651
   :@0.704293:0.313171:0.727086:0.313171:0.727086:0.296230:0.704293:0.296230:0.004651:0.013490:0.004651
Insurance Premium Tax at 12% :@0.165289:0.326854:0.417471:0.326854:0.417471:0.309913:0.165289:0.309913:0.004636:0.010281:0.009269:0.010279:0.006451:0.009269:0.010279:0.009474:0.009269:0.004634:0.011288:0.006451:0.009269:0.014917:0.004636:0.010279:0.015118:0.004634:0.010482:0.009269:0.009269:0.004634:0.009473:0.005645:0.004634:0.009269:0.009474:0.014948:0.004651
 :@0.451119:0.326854:0.455770:0.326854:0.455770:0.309913:0.451119:0.309913:0.004651
GBP :@0.508164:0.326854:0.549299:0.326854:0.549299:0.309913:0.508164:0.309913:0.013102:0.012096:0.011287:0.004651
   :@0.704293:0.326854:0.727086:0.326854:0.727086:0.309913:0.704293:0.309913:0.004651:0.013490:0.004651
 :@0.165289:0.340537:0.169940:0.340537:0.169940:0.323596:0.165289:0.323596:0.004651
 :@0.451119:0.340537:0.455770:0.340537:0.455770:0.323596:0.451119:0.323596:0.004651
 :@0.508164:0.340537:0.512815:0.340537:0.512815:0.323596:0.508164:0.323596:0.004651
   :@0.704293:0.340537:0.727086:0.340537:0.727086:0.323596:0.704293:0.323596:0.004651:0.013490:0.004651
Total Payable :@0.165289:0.354078:0.278185:0.354078:0.278185:0.337137:0.165289:0.337137:0.010482:0.010281:0.005638:0.009272:0.004638:0.004634:0.011086:0.009474:0.009071:0.009272:0.010279:0.004636:0.009481:0.004651
 :@0.451119:0.354078:0.455770:0.354078:0.455770:0.337137:0.451119:0.337137:0.004651
GBP :@0.508164:0.354078:0.549299:0.354078:0.549299:0.337137:0.508164:0.337137:0.013102:0.012096:0.011287:0.004651
   :@0.704293:0.354078:0.727086:0.354078:0.727086:0.337137:0.704293:0.337137:0.004651:0.013490:0.004651
 :@0.130014:0.367761:0.134665:0.367761:0.134665:0.350820:0.130014:0.350820:0.004651
 :@0.152792:0.380840:0.157443:0.380840:0.157443:0.364692:0.152792:0.364692:0.004651
 :@0.371901:0.381444:0.376552:0.381444:0.376552:0.364503:0.371901:0.364503:0.004651
 :@0.120943:0.395697:0.125594:0.395697:0.125594:0.378756:0.120943:0.378756:0.004651
 :@0.120943:0.409384:0.125594:0.409384:0.125594:0.392443:0.120943:0.392443:0.004651
 :@0.120943:0.423072:0.125594:0.423072:0.125594:0.406131:0.120943:0.406131:0.004651
 :@0.120943:0.436617:0.125594:0.436617:0.125594:0.419676:0.120943:0.419676:0.004651
 :@0.120943:0.450304:0.125594:0.450304:0.125594:0.433364:0.120943:0.433364:0.004651
 :@0.120943:0.463992:0.125594:0.463992:0.125594:0.447051:0.120943:0.447051:0.004651
 :@0.120943:0.477679:0.125594:0.477679:0.125594:0.460739:0.120943:0.460739:0.004651
 :@0.120943:0.491367:0.125594:0.491367:0.125594:0.474426:0.120943:0.474426:0.004651
 :@0.120943:0.505054:0.125594:0.505054:0.125594:0.488113:0.120943:0.488113:0.004651
 :@0.120943:0.518600:0.125594:0.518600:0.125594:0.501659:0.120943:0.501659:0.004651
 :@0.120943:0.532287:0.125594:0.532287:0.125594:0.515346:0.120943:0.515346:0.004651
Signed on behalf of the :@0.120943:0.545371:0.298099:0.545371:0.298099:0.529223:0.120943:0.529223:0.011086:0.003629:0.009474:0.009269:0.009474:0.009269:0.004634:0.009269:0.009473:0.004634:0.009269:0.009473:0.009269:0.009269:0.003627:0.004838:0.004634:0.009269:0.004838:0.004634:0.004636:0.009269:0.009269:0.004651
insurer :@0.298320:0.545974:0.360022:0.545974:0.360022:0.529034:0.298320:0.529034:0.004636:0.010281:0.009473:0.010281:0.006450:0.009274:0.006657:0.004651
 :@0.120943:0.559662:0.125594:0.559662:0.125594:0.542721:0.120943:0.542721:0.004651
 :@0.120943:0.657722:0.125594:0.657722:0.125594:0.640781:0.120943:0.640781:0.004651
 :@0.362830:0.657669:0.367481:0.657669:0.367481:0.640729:0.362830:0.640729:0.004651