Long Term Agreement

It is hereby understood and agreed that We agree to offer renewal at the expiring terms below subject to the following conditions:

1. Your Business is unchanged, and
2. Incurred total claims (paid plus outstanding reserves) does not exceed (50% of premium paid), and
3. Change in Turnover is less than 20%, and
4. No change in law that will have the impact of increasing Our exposure, and
5. No change in Our reinsurance arrangements

Renewal Period: _______________________________

Premium:_____________________