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PREPARED FOR: JANE DOE 1 MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: 07/22/2011 BCD 234 Risk Managers 234 Main Street Anytown, NJ 07090 [email protected] www.bdc234.com

1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

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Page 1: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

PREPARED FOR:

JANE DOE1 MAIN STREET • CHICAGO, IL, 60603

PREPARED ON:07/22/2011

BCD 234 Risk Managers

234 Main StreetAnytown, NJ [email protected]

Page 2: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

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BCD 234 Risk ManagersWe are proud to be an independent insurance agentand a local business right in your community. Our goal isto bring a wealth of knowledge, experience and helpfulresources to help you select the correct insurance foryour individual needs.

Our agency has been helping individuals like youmanage their personal insurance needs for years. Weare proud to represent many of the very best insurancecompanies, including Chubb. We recommend Chubbto many of our clients because of their outstandingcoverage and exceptional claims service. Chubb goesthe extra mile to take care of their policyholders. We'veobserved it firsthand.

Consider us your one-stop shop for a full range ofpersonal insurance solutions. We look forward to servingyou.

The Cornerstone logo indicates that this agent has earned theChubb Personal Insurance Elite Agency Designation.

Chubb Personal InsuranceRisk can become real at any time. That's why you needChubb Personal Insurance. We offer industry-leadingcoverage, trusted experience, unparalleled service andsolid financial strength.

Chubb receives consistently high ratings for financialstrength from A.M. Best, Moody's and Standard & Poor's,the leading independent analysts for the insuranceindustry.

Our clients are individuals who have more to protect andthey expect a higher level of service. We consistentlystrive to build long-term relationships with our clients andthe 3,500 independent agents and brokers that representus. Since our founding in 1882, we've helped millionsof clients prepare for the future. And we've seen what adifference the right insurance can make-especially forsomeone like you.

Our values are simple: Honesty. Integrity. And the kind ofservice that exceeds expectations.

Page 3: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Personal Insurance Premium Summary

PERSONAL INSURANCE PROPOSAL

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QUOTE NUMBER: 1939707901 PROPOSED EFFECTIVE DATE: 7/1/2011 - 7/1/2012

PREMIUM SUMMARY - HOME

Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

1 MAIN STREET, CHICAGO, IL,60603

$ 4,536 $ 5,009

TOTAL HOMEOWNERSPREMIUM

$ 4,536 $ 5,009

PREMIUM SUMMARY - VEHICLE

Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

1967 / FORD / MUSTANG $ 339 $ 339

2011 / FORD / EXPLORER $ 1,537 $ 1,537

TOTAL VEHICLE PREMIUM $ 1,876 $ 1,876

PREMIUM SUMMARY - VALUABLE ARTICLES

Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

TOTAL VALUABLE ARTICLESPREMIUM

$ 509 $ 509

PREMIUM SUMMARY - YACHT

2010 39' Beneteau $ 1,139

TOTAL YACHT PREMIUM $ 1,139

Total Premium $ 8,062 $ 8,535

Page 4: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Deluxe Home Coverage

PERSONAL HOME INSURANCE PROPOSAL

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1 MAIN STREET, CHICAGO, IL, 60603 - Residence Type: House

Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

Writing Company Federal Insurance Company Federal Insurance Company

Dwelling Coverage Type Deluxe Deluxe

Dwelling Amount $800,000 $800,000

Contents Amount $400,000 $400,000

Type of Contents Deluxe Deluxe

Personal Liability $1,000,000 $1,000,000

Deductible $ 1,000 $ 500

Add'l Mold Remediation N/A N/A

Water Backup Deductible $ 2,500 $ 2,500

Family Protection Yes Yes

Fire Station within 5 miles Yes Yes

Fire hydrant within 1000 feet Yes Yes

Central Station Burglar Alarm Yes Yes

Central Station Fire Alarm Yes Yes

Portfolio Discount - Home withValuable Articles

Yes Yes

Residence Premium $ 4,536 $ 5,009

TOTAL HOMEOWNERSPREMIUM

$ 4,536 $ 5,009

Page 5: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Deluxe Home Coverage

PERSONAL HOME INSURANCE PROPOSAL

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Click here to learn more information about Masterpiece Homeowners.The total premium may include state mandated surcharges, taxes and fees. This quote may include location(s) with wind, wind/hail or seasonalhurricane deductibles. Please consult your agent for information about these coverages and deductibles.

Page 6: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Deluxe Vehicle Coverage

PERSONAL VEHICLE INSURANCE PROPOSAL

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1967 / FORD / MUSTANG - Garaged Location: CHICAGO, IL, 60603

Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

Writing Company Federal Insurance Company Federal Insurance Company

Type of Vehicle Collector Vehicle Collector Vehicle

Agreed Value $ 15,000 $ 15,000

Vehicle Liability $1,000,000 $1,000,000

UM/UIM UM/UIM $1,000,000 UM/UIM $1,000,000

Credits

Vehicle Premium $ 339 $ 339

2011 / FORD / EXPLORER - Garaged Location: CHICAGO, IL, 60603

Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

Writing Company Federal Insurance Company Federal Insurance Company

Type of Vehicle Private Passenger Vehicle Private Passenger Vehicle

Agreed Value $ 33,190 $ 33,190

Market Value No No

Comprehensive Deductible $ 500 $ 500

Collision Deductible $ 500 $ 500

Vehicle Liability $1,000,000 $1,000,000

UM/UIM UM/UIM $1,000,000 UM/UIM $1,000,000

Credits

Anti-Lock Brakes Yes Yes

Portfolio Discount - Auto withHome

Yes Yes

Vehicle Premium $ 1,537 $ 1,537

TOTAL VEHICLES PREMIUM $ 1,876 $ 1,876

Page 7: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Deluxe Vehicle Coverage

PERSONAL VEHICLE INSURANCE PROPOSAL

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Click here to learn more information about Masterpiece Vehicles. Download Our Free Classic Car Price Guide, App For iPhone and App For iPad

The total premium may include state mandated surcharges, taxes and fees.

Page 8: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Deluxe Valuable Articles Coverage

VALUABLE ARTICLES INSURANCE PROPOSAL

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Quote Version 1 2

Version Description $500 HOMEOWNERS DEDUCTIBLE

Writing Company Federal Insurance Company Federal Insurance Company

Jewelry Blanket $ 5,000 $ 5,000

Itemized $ 20,000 $ 20,000

In Vault N/A N/A

Premium $ 428 $ 428

Fine Arts Blanket $ 25,000 $ 25,000

Itemized N/A N/A

Premium $ 81 $ 81

TOTAL VALUABLEARTICLES PREMIUM

$ 509 $ 509

Click here to learn more about Masterpiece Valuable Articles.The total premium may include state mandated surcharges, taxes and fees.

Page 9: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

Yacht

YACHT INSURANCE PROPOSAL

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2010 39' BENETEAU

Vessel Description 2010 39' Beneteau

Quote Number 123456

Writing Company Federal Insurance Company

Hull Value $200,000

Liability $500,000

Yacht Premium $ 1,139

TOTAL YACHT PREMIUM $ 1,139

Click here to learn more about Yacht.

Page 10: 1 MAIN STREET • CHICAGO, IL, 60603 JANE DOE MAIN STREET • CHICAGO, IL, 60603 PREPARED ON: ... Central Station Fire Alarm Yes Yes Portfolio Discount - Home with

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Total Premium $ 8,062 $ 8,535

Comments

Thank you for considering Chubb insurance. The following are a few highlights of Chubb’sMasterpiece® coverages that may be available in your state:

Copyright © Chubb & Son a division of Federal Insurance Company. All Rights Reserved.

These insurance premium quotations are only for listed Policy Type(s), are non-binding and do not obligate Chubb to issue a binder or policy. The quotations are based upon theinformation submitted and rates in effect on this date and do not take into account certain underwriting restrictions or rating rules that may apply. The terms and conditions above may

be subject to change or withdrawal by Chubb, and are subject to verification of underwriting information and acceptance by Chubb. If any of the information on these quotations isaltered, we reserve the right to change these quotations accordingly. Actual coverage afforded is subject to the terms and conditions of the policy as issued. Coverages and servicesmay not be available in all jurisdictions. These quotations do not apply to the extent that trade or economic sanctions or other laws prohibit us from offering or providing insurance.

Chubb, Box 1615, Warren, NJ 07061-1615