Common use of PROHIBITION OF FUTURE REPRESENTATION Clause in Contracts

PROHIBITION OF FUTURE REPRESENTATION. I understand that by my relationship with Vendor I shall not at any time in the future represent a Citizens policyholder in a claim against Citizens for which I provided services or gained knowledge about as a employee or sub-contractor of Vendor. This would include acting as a consultant, public adjuster, witness or any other capacity related to the policyholder’s claim against Citizens. Acknowledged and Agreed to on the following date: , 20 , by: Exhibit B - Contract between Citizens and Specialty Group, Inc. Contract # 18-18-0031-05 C: Name Start Date Company Name Position Title County of Residence PLEASE NOTE: In order to go to the next line, hold ALT and press ENTER. Associate of Insurance Services (AIS) Certified Insurance Fraud Investigator (CIFI) Chartered Property Casualty Underwriter (CPCU) Associate in Claims (AIC) Fraud Claims Law Associate (FCLA) Fraud Claims Law Specialist (FCLS) Senior Claim Law Associate (SCLA) All Lines 620 Public Adjuster 320 Agent 220 Other Florida License: Fire/ Arson Burglary, Theft, Vandalism Sinkhole Water, Plumbing, Pipe Breaks Weather Related Claims (Roof) Liability (Injury) HO Application/Underwriting Misrepresentation Surveillance Insurance Agent-related Investigation Other: *For an explanation of Proficiency Level, please reference the "Proficiency Level Rating" tab. Proficiency Level Rating must match Attachment C. Exhibit C - Contract between Citizens and Specialty Group, Inc. Contract # 18-18-0031-05 2. Company Name Start Date 3.

PROHIBITION OF FUTURE REPRESENTATION. I understand that by my relationship with Vendor I shall not at any time in the future represent a Citizens policyholder in a claim against Citizens for which I provided services or gained knowledge about as a employee or sub-contractor of Vendor. This would include acting as a consultant, public adjuster, witness or any other capacity related to the policyholder’s claim against Citizens. Acknowledged and Agreed to on the following date: , 20 , by: Exhibit B - Contract between Citizens and Specialty GroupEagle Eye Investigative Solutions, Inc. LLC Contract # 18-18-0031-05 03 C: Name Start Date Company Name Position Title County of Residence PLEASE NOTE: In order to go to the next line, hold ALT and press ENTER. Associate of Insurance Services (AIS) Certified Insurance Fraud Investigator (CIFI) Chartered Property Casualty Underwriter (CPCU) Associate in Claims (AIC) Fraud Claims Law Associate (FCLA) Fraud Claims Law Specialist (FCLS) Senior Claim Law Associate (SCLA) All Lines 620 Public Adjuster 320 Agent 220 Other Florida License: Fire/ Arson Burglary, Theft, Vandalism Sinkhole Water, Plumbing, Pipe Breaks Weather Related Claims (Roof) Liability (Injury) HO Application/Underwriting Misrepresentation Surveillance Insurance Agent-related Investigation Other: *For an explanation of Proficiency Level, please reference the "Proficiency Level Rating" tab. Proficiency Level Rating must match Attachment C. Exhibit C - Contract between Citizens and Specialty GroupEagle Eye Investigative Solutions, Inc. LLC Contract # 18-18-0031-0503 2. Company Name Start Date 3.

PROHIBITION OF FUTURE REPRESENTATION. I understand that by my relationship with Vendor I shall not at any time in the future represent a Citizens policyholder in a claim against Citizens for which I provided services or gained knowledge about as a employee or sub-contractor of Vendor. This would include acting as a consultant, public adjuster, witness or any other capacity related to the policyholder’s claim against Citizens. Acknowledged and Agreed to on the following date: , 20 , by: Exhibit B - Contract between Citizens and Specialty GroupXxxxxxx & Associates, Inc. LLC Contract # 18-18-0031-05 08 Page 31 of 39 C: Name Start Date Company Name Position Title County of Residence PLEASE NOTE: In order to go to the next line, hold ALT and press ENTER. Associate of Insurance Services (AIS) Certified Insurance Fraud Investigator (CIFI) Chartered Property Casualty Underwriter (CPCU) Associate in Claims (AIC) Fraud Claims Law Associate (FCLA) Fraud Claims Law Specialist (FCLS) Senior Claim Law Associate (SCLA) All Lines 620 Public Adjuster 320 Agent 220 Other Florida License: Fire/ Arson Burglary, Theft, Vandalism Sinkhole Water, Plumbing, Pipe Breaks Weather Related Claims (Roof) Liability (Injury) HO Application/Underwriting Misrepresentation Surveillance Insurance Agent-related Investigation Other: *For an explanation of Proficiency Level, please reference the "Proficiency Level Rating" tab. Proficiency Level Rating must match Attachment C. Exhibit C - Contract between Citizens and Specialty GroupXxxxxxx & Associates, Inc. LLC Contract # 18-18-0031-0508 2. Company Name Start Date 3.

PROHIBITION OF FUTURE REPRESENTATION. I understand that by my relationship with Vendor I shall not at any time in the future represent a Citizens policyholder in a claim against Citizens for which I provided services or gained knowledge about as a employee or sub-contractor of Vendor. This would include acting as a consultant, public adjuster, witness or any other capacity related to the policyholder’s claim against Citizens. Acknowledged and Agreed to on the following date: , 20 , by: Exhibit B - Contract between Citizens and Specialty GroupDELTA ASSOCIATED INVESTIGATIONS, Inc. INC. DBA DELTA GROUP Contract # 18-18-0031-05 02 C: Name Start Date Company Name Position Title County of Residence PLEASE NOTE: In order to go to the next line, hold ALT and press ENTER. Associate of Insurance Services (AIS) Certified Insurance Fraud Investigator (CIFI) Chartered Property Casualty Underwriter (CPCU) Associate in Claims (AIC) Fraud Claims Law Associate (FCLA) Fraud Claims Law Specialist (FCLS) Senior Claim Law Associate (SCLA) All Lines 620 Public Adjuster 320 Agent 220 Other Florida License: Fire/ Arson Burglary, Theft, Vandalism Sinkhole Water, Plumbing, Pipe Breaks Weather Related Claims (Roof) Liability (Injury) HO Application/Underwriting Misrepresentation Surveillance Insurance Agent-related Investigation Other: *For an explanation of Proficiency Level, please reference the "Proficiency Level Rating" tab. Proficiency Level Rating must match Attachment C. Exhibit C - Contract between Citizens and Specialty GroupDELTA ASSOCIATED INVESTIGATIONS, Inc. INC. DBA DELTA GROUP Contract # 18-18-0031-0502 2. Company Name Start Date 3.

PROHIBITION OF FUTURE REPRESENTATION. I understand that by my relationship with Vendor I shall not at any time in the future represent a Citizens policyholder in a claim against Citizens for which I provided services or gained knowledge about as a employee or sub-contractor of Vendor. This would include acting as a consultant, public adjuster, witness or any other capacity related to the policyholder’s claim against Citizens. Acknowledged and Agreed to on the following date: , 20 , by: Exhibit B - Contract between Citizens and Specialty Group, Inc. Capinvad LLC d/b/a Capital Investigating Contract # 18-18-0031-05 06 C: Name Start Date Company Name Position Title County of Residence PLEASE NOTE: In order to go to the next line, hold ALT and press ENTER. Associate of Insurance Services (AIS) Certified Insurance Fraud Investigator (CIFI) Chartered Property Casualty Underwriter (CPCU) Associate in Claims (AIC) Fraud Claims Law Associate (FCLA) Fraud Claims Law Specialist (FCLS) Senior Claim Law Associate (SCLA) All Lines 620 Public Adjuster 320 Agent 220 Other Florida License: Fire/ Arson Burglary, Theft, Vandalism Sinkhole Water, Plumbing, Pipe Breaks Weather Related Claims (Roof) Liability (Injury) HO Application/Underwriting Misrepresentation Surveillance Insurance Agent-related Investigation Other: *For an explanation of Proficiency Level, please reference the "Proficiency Level Rating" tab. Proficiency Level Rating must match Attachment C. Exhibit C - Contract between Citizens and Specialty Group, Inc. Capinvad LLC d/b/a Capital Investigating Contract # 18-18-0031-0506 2. Company Name Start Date 3.