Prem Clause Samples

Prem. Gross substandard premium, i.e., multiple and/or flat extra premiums, if applicable. Base Allow.- Allowance (commission) due on base premium amount. SStd Allow.- Allowance (commission) due on substandard premium amount. Net - Net amount due per coverage. Schedule B cont. Schedule B, Pg 4 C. TRANSACTION TYPES Suggested alpha codes for each of the various transaction types are:

Prem. Type: ____ SMOKER ___NON-SMOKER ____AGGREGATE ___OTHER PREF --------------------------------------------------------------------------------------------------------------------------------- LIFE BASE PLAN TERM RIDER DIS ADB Will Policy Contain: PREVIOUS IN FORCE $__________ $__________ $__________ $__________ ___ Aviation Exclusion Provision PREVIOUS RETAINED ___________ ___________ ___________ ___________ ___ Guaranteed Insurability Option ISSUED THIS POLICY ___________ ___________ ___________ ___________ ___ Increasing Insurance Rider RETAINED THIS POLICY ___________ ___________ ___________ ___________ ___ Term Insurance Dividend Option RATING, IF SUBSTANDARD ___________ ___________ ___________ ___________ (Is option limited to cash value ___ Yes ___ No) RElNSURED THIS CESSION ___________ ___________ ___________ ___________ ___ Check if Applicant has withheld M1B Authorization ================================================================================================================================ FACULTATIVE UNDERWRITING DATA Underwriting Papers: Check Appropriate Column Data Not Attached Outstanding Obtainted -------- ----------- --------- Application ____ ____ ____ Examination ____ ____ ____ HOS ____ ____ ____ EKG (s) ____ ____ ____ X-Ray ____ ____ ____ SMA - Blood Study ____ ____ ____ APS Dr ____________ ____ ____ ____ Dr ____________ ____ ____ ____ IR ____ ____ ____ Questionnaires ____ ____ ____ Financial Data ____ ____ ____ Other (describe) ________________________________________ ------------------------------------------------------------------- Reason for submitting Facultatively: ___ Over Automatic Limit ___ Medical Reasons ___ Financial Reasons ___ Other Non-Medical Describe: _____________________________________________________ Has money been accepted with the Application? ____ Yes ____ No Is risk being submitted to other Reinsurers? ____ Yes ____ No Other companion cases also submitted: ------------------------------------------------------------------- Remarks: TE: Unless otherwise stated, LNL's offer to reinsure is valid for 120 days from date of facultative underwriting action.

Prem. (An)}; – Conc(A) = ψ;

Prem. Net Net Policy AD Total Transaction Number Comm. Prem. Prem. Desc./Eff. Date

Prem. Paving - 6" RCA Sub Base Mix - County/Town Mix /SY 1

Prem. If a Motor Vehicle Technician possesses the and one of the alternate fuel certificates or ICE N certificates, will be paid a premium of cents per hour for all hours worked. This premium is to be included in the base rate effective January Effective January Motor Vehicle Mechanics shall receive a market premium of per hour, as part of the base rate. All Apprentices shall receive a percentage of this as per Article A per hour premium will be paid for hours worked welding by a licensed person or who has training as approved by the City of Burlington. Lead-Hand premium of cents per hour will be paid for those hours worked in the position. Those individuals who are grandfathered who currently have a crew leader premium in their base rate will not receive this additional premium, and this premium will not be paid on top of any other crew leader premium No premium rates in this contract shall be used for the calculation of overtime rates. Probationary employees shall be paid a rate per hour that is of the job rate for the job. Temporary employees shall be paid a rate per hour that is between and of the job rate for the job. A per hour premium will be paid for hours worked doing specialty carpentry work when required by the City of Burlington. Students employed during the school vacation period and who are student Utility Persons shall be paid between and of the Utility Person rate, regardless of years of experience.

Prem. Monsanto Co. Calgene Inc. (Biotech) 1/28/97 242.6 $8.00 43.7% 45.5% 60.0% 45.5% Novartis AG SyStemix Inc. (Biotech) 5/27/96 119.4 $19.50 26.8% 77.3% 59.2% 48.6% Monsanto Co. DeKalb Genetics 5/9/98 3,426.2 $100.00 60.11% 34.91% 41.22% 42.47% ---------------------------------------------------------------------------------------------------------------------------------- Mean 43.5% 52.5% 53.5% 45.5% Median 43.7% 45.5% 59.2% 45.5% Maximum 60.1% 77.3% 60.0% 48.6% Minimum 26.8% 34.9% 41.2% 42.5% Mycogen Corp. Data $20.50 $18.25 $17.00 Implied Share Price Based on Median for Biotech Transactions $29.82 $29.85 $24.73 Implied Share Price Based on Mean for Biotech Transactions $31.27 $28.01 $24.74 ----------------------------------------------------------------------------------------------------------------------------------

Prem. Time,Outside Business Day, Per Tech First Half Hour or Fraction Thereof NRC $150.00 Each Additional Half Hour or Fraction Thereof NRC $125.00 Verizon Provided Cable Rates: Facility Cable DS-O Cable (Connectorized) 100 pair 100 ft. NRC $152.77 DS-1 Cable (Connectorized) 100 ft. NRC $160.60 DS-3 Coax Cable per linear foot NRC $0.41 Shielded Cable (Orange jacket) per linear foot NRC $0.15 Fiber Optic Patchcord - 24 Fiber (Connectorized) per cable run NRC $810.30 Category 5 (Connectorized) per linear foot NRC $1.07 Power Cable Wire Power 1/0 per linear foot NRC $0.75 Wire Power 2/0 per linear foot NRC $1.08 Wire Power 3/0 per linear foot NRC $1.20 Wire Power 4/0 per linear foot NRC $1.47 Wire Power 350 MCM per linear foot NRC $2.52 Wire Power 500 MCM per linear foot NRC $3.51 Wire Power 750 MCM per linear foot NRC $5.41 Wire Ground #6 per linear foot NRC $0.14 Collocation Space Report per premise NRC $1,637.25 The following are non-recurring charges (one-time charges) that apply for specific work activity: