SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Filing at a Glance Company: State National Insurance Company, Inc. Product Name: Businessowners State: California TOI: 05.0 CMP Liability and Non-Liability Sub-TOI: 05.0002 Businessowners Filing Type: New Program Date Submitted: 07/15/2019 SERFF Tr Num: STNA-132004682 SERFF Status: Closed-Approved State Tr Num: 19-2644 State Status: Approved Co Tr Num: SNIC-VOUCH-CMP-BP-CA-1901

Effective Date On Approval Requested (New): Effective Date On Approval Requested (Renewal): Author(s): Neresa Torres, Kathleen Risko, Mollie Mason, Shary Agha Raad Reviewer(s): Betty Wong (primary), David Li Disposition Date: 09/27/2019 Disposition Status: Approved Effective Date (New): 09/27/2019 Effective Date (Renewal): 09/27/2019

This filing was provided as part of The California Insurance ADVISOR Subscribe @ www.martincompanyus.com or call 800-896-8000

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

General Information Project Name: Status of Filing in Domicile: Project Number: Domicile Status Comments: Reference Organization: Insurance Service Organization (ISO) Reference Number: Reference Title: Advisory Org. Circular: Filing Status Changed: 09/27/2019 State Status Changed: 09/27/2019 Deemer Date: 10/01/2019 Created By: Mollie Mason Submitted By: Mollie Mason

Corresponding Filing Tracking Number: Filing Description: State National Insurance Company, Inc. (“SNIC” or “the Company”), is pleased to introduce its new Vouch Technology Package Program, filed under the Commercial Multi Peril (CMP Liability and Non-Liability) line of business. The Vouch Technology Package Program is a multi peril program targeting small and mid-sized technology companies.

Please refer to the Filing Memorandum for additional information.

Enclosed is authorization for Perr&Knight to submit this filing on behalf of the Company. All correspondence related to this filing should be directed to Perr&Knight. If there are any requests for additional information related to items prepared by the Company, we will forward the request immediately to the Company contact. The Company’s response will be submitted to your attention as soon as we receive it.

Company and Contact Filing Contact Information Mollie Mason, [email protected] 1200 N. Federal Hwy, # 309 561-922-7033 [Phone] Boca Raton, FL 33432

Filing Company Information State National Insurance CoCode: 12831 State of Domicile: Texas Company, Inc. Group Code: 785 Company Type: Property & 1900 L. Don Dodson Drive Group Name: Markel Corporation Casualty Bedford, TX 76021 FEIN Number: 75-1980552 State ID Number: (800) 877-4567 ext. [Phone]

Filing Fees Fee Required? No Retaliatory? No Fee Explanation: State Specific Variance Requested? (Yes/No): No

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Correspondence Summary Dispositions Status Created By Created On Date Submitted Approved Betty Wong 09/27/2019 09/27/2019

Objection Letters and Response Letters Objection Letters Response Letters

Status Created By Created On Date Submitted Responded By Created On Date Submitted Pending Betty Wong 09/25/2019 09/25/2019 Mollie Mason 09/26/2019 09/26/2019 company response Respond Betty Wong 09/24/2019 09/24/2019 Mollie Mason 09/24/2019 09/24/2019 immediately Respond Betty Wong 09/23/2019 09/23/2019 Mollie Mason 09/24/2019 09/24/2019 immediately Pending Betty Wong 09/20/2019 09/20/2019 Mollie Mason 09/24/2019 09/24/2019 company response Pending Betty Wong 09/19/2019 09/19/2019 Mollie Mason 09/24/2019 09/24/2019 company response Pending Betty Wong 09/19/2019 09/19/2019 Mollie Mason 09/24/2019 09/24/2019 company response Pending Betty Wong 09/19/2019 09/19/2019 Mollie Mason 09/20/2019 09/20/2019 company response Pending Betty Wong 09/19/2019 09/19/2019 Mollie Mason 09/20/2019 09/20/2019 company response Pending Betty Wong 08/22/2019 08/22/2019 Mollie Mason 08/30/2019 08/30/2019 company response Pending Jesse Rivera 07/22/2019 07/22/2019 Mollie Mason 07/23/2019 07/23/2019 company response

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Amendments Schedule Schedule Item Name Created By Created On Date Submitted Supporting ISO Lists Mollie Mason 09/24/2019 09/24/2019 Document Supporting ISO Lists Mollie Mason 09/03/2019 09/03/2019 Document Supporting Filing Memorandum Mollie Mason 07/29/2019 07/29/2019 Document

Filing Notes Subject Note Type Created By Created On Date Submitted Extension Request Note To Reviewer Mollie Mason 08/30/2019 08/30/2019

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Disposition

Disposition Date: 09/27/2019 Effective Date (New): 09/27/2019 Effective Date (Renewal): 09/27/2019 Status: Approved Comment: Only the changes specifically indicated in the application set forth above, as it may have been amended, are approved. Nothing in this letter shall constitute approval of any other application, whether incorporated by reference, or filed prior or subsequent to the application set forth above. The insurer shall begin issuing policies pursuant to this approval within 90 days of the date of this approval, provided that the insurer is licensed in California to transact the line of insurance for which the approval is given. The insurer may implement this approval earlier if it is able to do so. Regardless of the implementation date, the insurer shall implement this approval with the same effective date for both new and renewal business and shall offer this product to all eligible applicants as of the implementation date. This approval shall continue to have full force and effect until such time as a subsequent change for the referenced lines or programs may be approved or ordered by the Insurance Commissioner.

If any portion of the application or related documentation conflicts with California law, that portion is specifically not approved. This approval does not constitute an approval of underwriting guidelines nor the specific language, coverages, terms, covenants and conditions contained in any forms, or the forms themselves. Policy forms and underwriting guidelines included in this filing were reviewed only insofar as they relate to rates contained in this filing or currently on file with the California Department of Insurance. Any subsequent changes to underwriting guidelines or coverage, terms, covenants and conditions contained in any forms must be submitted with supporting documentation where those changes result in any rating impact. The Commissioner may at any time take any action allowed by law if he determines that any underwriting guidelines, forms or procedures for application of rates, or any other portions of the application conflict with any applicable laws or regulations.

Overall % Overall % Written Premium Number of Policy Written Maximum % Minimum % Company Indicated Rate Change for Holders Affected Premium for Change Change Name: Change: Impact: this Program: for this Program: this Program: (where req'd): (where req'd): State National Insurance 0.000% 0.000% $0 0 $0 0.000% 0.000% Company, Inc.

Schedule Schedule Item Schedule Item Status Public Access Supporting Document (revised) New Prior Approval Rate Application Yes Supporting Document New Prior Approval Rate Application Yes Supporting Document New Prior Approval Rate Application Yes Supporting Document (revised) Filing Memorandum Yes Supporting Document Filing Memorandum Yes

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Schedule Schedule Item Schedule Item Status Public Access Supporting Document Exhibit 16 Yes Supporting Document (revised) ISO Lists Yes Supporting Document ISO Lists Yes Supporting Document ISO Lists Yes Supporting Document ISO Lists Yes Supporting Document ISO Lists Yes Supporting Document ISO Lists Yes Supporting Document Third Party Authorization Yes Supporting Document Support Yes Form NUCLEAR ACTIVITIES EXCLUSION Yes Form NON-STACKING EXCLUSION Yes Form DATA PRIVACY PROTECTION EXCLUSION Yes Form BODILY INJURY TO EMPLOYEES EXCLUSION Yes Form CROSS SUITS EXCLUSION Yes Form ASBESTOS EXCLUSION Yes Form LEAD EXCLUSION Yes Form WEAPONS EXCLUSION Yes Form (revised) PUNITIVE DAMAGES EXCLUSION – CALIFORNIA Yes Form PUNITIVE DAMAGES EXCLUSION Yes Form LIQUOR LIABILITY EXCLUSION Yes Form DELIVERY ACTIVITY EXCLUSION FOR HIRED AND Yes NON-OWNED Form TECHNOLOGY PACKAGE DECLARATIONS Yes Form AMEND DUTIES IN THE EVENT OF LOSS OR DAMAGE Yes Form AMEND WHO IS AN INSURED Yes Form DISCLOSURE PURSUANT TO TERRORISM RISK Yes INSURANCE ACT (Coverage Included) Form DISCLOSURE PURSUANT TO TERRORISM RISK Yes INSURANCE ACT(Coverage Excluded) Form EXCLUSION OF TERRORISM - HIRED AND NON- Yes OWNED AUTO LIABILITY Form MODIFICATION TO SPECIFIED BUSINESS PERSONAL Yes PROPERTY TEMPORARILY AWAY FROM PREMISES

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Schedule Schedule Item Schedule Item Status Public Access Rate DIVISION TEN – BUSINESSOWNERS MULTISTATE Yes RULES Rate Program Underwriting Guidelines Yes Rate (revised) CALIFORNIA EXCEPTION PAGE Yes Rate CALIFORNIA EXCEPTION PAGE Yes Rate CALIFORNIA EXCEPTION PAGE Yes

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 09/25/2019 Submitted Date 09/25/2019 Respond By Date 09/30/2019 Dear Mollie Mason, Introduction:

Objection 1 Comments: The rule page indicates an LCM of 1.54.

The template reflects a Property LCM of 1.53 and Liability LCM of 1.55.

Please provide a weighted LCM.

Objection 2 Comments: 1. Please clarify what is a "Channel Partner". 2. Please clarify what is a "Premier Channel Partner".

Objection 3 Comments: Please provide a list of "risk mitigation tools".

Conclusion: I would appreciate a response by Monday. Sincerely, Betty Wong

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Respond immediately Objection Letter Date 09/24/2019 Submitted Date 09/24/2019 Respond By Date 09/24/2019 Dear Mollie Mason, Introduction: Thank you for the waiver, however because it was received today, the numbers change. Therefore, please provide another waiver.

Objection 1 Comments: Regarding the above-referenced rate application, State National Insurance Company ("applicant") hereby waives all deemer provisions of California Insurance Code Section 1861.05, specifically, the 60-day deemer and the 180-day deemer. If the applicant wishes to reactivate the deemer provisions, the applicant will make its request in writing to the Department of Insurance Rate Filing Bureau, San Francisco, California. Upon reactivation, the 60-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 53, and the 180-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 71.

Conclusion: I would appreciate a response by today. Sincerely, Betty Wong

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Respond immediately Objection Letter Date 09/23/2019 Submitted Date 09/23/2019 Respond By Date 09/23/2019 Dear Mollie Mason, Introduction: Additional time is needed to continue review of the filing. Please provide the waiver of deemer by responding with the following verbiage.

Objection 1 Comments: Regarding the above-referenced rate application, State National Insurance Company ("applicant") hereby waives all deemer provisions of California Insurance Code Section 1861.05, specifically, the 60-day deemer and the 180-day deemer. If the applicant wishes to reactivate the deemer provisions, the applicant will make its request in writing to the Department of Insurance Rate Filing Bureau, San Francisco, California. Upon reactivation, the 60-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 52, and the 180-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 70.

Conclusion: I would appreciate a response by today. Sincerely, Betty Wong

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 09/20/2019 Submitted Date 09/20/2019 Respond By Date 09/24/2019 Dear Mollie Mason, Introduction:

Objection 1 - AMEND DUTIES IN THE EVENT OF LOSS OR DAMAGE, PROP BP 1017, 05 19 (Form) Comments: This form broadens coverage. Please clarify if this form has a rate charge. If there is none, please explain when this form will and will not be attached.

Objection 2 - MODIFICATION TO SPECIFIED BUSINESS PERSONAL PROPERTY TEMPORARILY AWAY FROM PREMISES, PROP BP 1024, 05 19 (Form) Comments: This form does not broaden or restrict coverage. Please clarify if there is a rate charge. If there is not, please clarify when this form will and will not be attached to a policy.

Objection 3 Comments: BP 04 01 01 06 - Thank you for your explanation.

However, the form is still an exclusion. Either provide a rate offset or make the form mandatory. If risk eligibility is an issue, then please update the underwriting guidelines.

Conclusion: I would appreciate a response by Tuesday. Sincerely, Betty Wong

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 09/19/2019 Submitted Date 09/19/2019 Respond By Date 09/24/2019 Dear Mollie Mason, Introduction:

Objection 1 - PUNITIVE DAMAGES EXCLUSION, PROP BP 1008, 05 19 (Form) Comments: Punitive damages is not insurable in California. Please update the form to include the following in bold.

AS SET FORTH IN CALIFORNIA INSURANCE CODE SECTION 533.5, THIS ENDORSEMENT DOES NOT PROVIDE PUNITIVE DAMAGE COVERAGE IN THE STATE OF CALIFORNIA.

Conclusion: I would appreciate a response by Tuesday. Sincerely, Betty Wong

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 09/19/2019 Submitted Date 09/19/2019 Respond By Date 09/24/2019 Dear Mollie Mason, Introduction:

Objection 1 - NON-STACKING EXCLUSION, PROP BP 1001, 05 19 (Form) Comments: The optional form restricts coverage with no rate offset. Please either provide a rate offset or make it mandatory. The previous version showed the form being mandatory.

Conclusion: I would appreciate a response by Tuesday. Sincerely, Betty Wong

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 09/19/2019 Submitted Date 09/19/2019 Respond By Date 09/24/2019 Dear Mollie Mason, Introduction:

Objection 1 Comments: Please be advised that with the adoption of ISO forms, rules and loss costs, if the adoption includes "refer to company" rating, you must file the rates with the Department prior to usage.

Objection 2 Comments: BP 04 01 01 06 - This form is an optional form with no rate offset. Please either provide a rate offset or make it mandatory.

Objection 3 Comments: Per your response, the Incubator program has a $200 minimum premium due to lower overheard, etc., compared with the standard program of $300 minimum premium. Please explain why the incubatory program has a higher fixed expense compared to the standard program when there is lower marketing overheard, etc.

Conclusion: I would appreciate a response by Tuesday. Sincerely, Betty Wong

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 09/19/2019 Submitted Date 09/19/2019 Respond By Date 09/24/2019 Dear Mollie Mason, Introduction:

Objection 1 Comments: 1. Please clarify what is the difference between "standard" program and "incubator" program. 2. What criteria is used to determine if the an insured would qualify for the "standard" program or the "incubator" program?

Conclusion: I would appreciate a response by Tuesday. Sincerely, Betty Wong

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 08/22/2019 Submitted Date 08/22/2019 Respond By Date 09/13/2019 Dear Mollie Mason, Introduction:

Objection 1 Comments: Each program should only have one policy writing minimum premium.

1. Please justify the proposed minimum premium. 2. Please explain why there are two different minimum premiums for this program.

Objection 2 Comments: Since you are adopting the Employee Benefit Liability loss costs from Chubb, please include those rates into your rules page.

Objection 3 - DATA PRIVACY PROTECTION EXCLUSION, PROP BP 1002, 05 19 (Form) - DELIVERY ACTIVITY EXCLUSION FOR HIRED AND NON-OWNED, PROP BP 1010, 05 19 (Form) - EXCLUSION OF TERRORISM - HIRED AND NON-OWNED AUTO LIABILITY, PROP BP 1022, 05 19 (Form) Comments: These forms are optional with no rate offset. Please either make them mandatory or provide a rate offset.

Objection 4 Comments: Thank you for providing the ISO list of forms that you wish to adopt. Please advise if each form is mandatory or optioanl. Please be advised that exclusions should be mandatory or optional with a rate offset.

Conclusion: I would appreciate a response by Friday. Sincerely, Betty Wong

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Objection Letter Objection Letter Status Pending company response Objection Letter Date 07/22/2019 Submitted Date 07/22/2019 Respond By Date Dear Mollie Mason, Introduction:

Thank you for your application. However, to meet basic compliance for this filing, please respond to the objection(s) below.

Objection 1 - ISO Lists (Supporting Document) Comments: Provide also the title of the form that are being adopted.

Conclusion:

Sincerely, Jesse Rivera

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/26/2019 Submitted Date 09/26/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: Weighted LCM = ($100k*1.53 + $250k*1.55)/($100k+$250k) = 1.54 which can be found on Exhibit 16.

Related Objection 1 Comments: The rule page indicates an LCM of 1.54.

The template reflects a Property LCM of 1.53 and Liability LCM of 1.55.

Please provide a weighted LCM.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 2 Comments: 1. A "Channel Partner" (also called a "Referral Partner" or "Affinity Partner") is an entity that is active in the startup community with whom State National has entered an agreement for the Channel Partner to refer prospective insureds to State National, for the purpose of reducing marketing and sales expenses. Channel Partners are not licensed insurance producers in the state and do not solicit, negotiate, or effect contracts of insurance.

2. A "Premier Channel Partner" (also called a "Premier Referral Partner" or "Premier Affinity Partner") is a Channel Partner (as defined above) who has also entered into a data sharing arrangement with State National that is directly used to improve underwriting. Premium Channel Partners are not licensed insurance producers in the state and do not solicit, negotiate, or effect contracts of insurance.

Related Objection 2 Comments: 1. Please clarify what is a "Channel Partner". 2. Please clarify what is a "Premier Channel Partner".

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response 3 Comments: Risk mitigation may include tools such as taking a formal risk assessment, subscription to approved risk management services, validated use of approved tools and services, educational training utilization, and other delivery methods of risk mitigation practices. All risk mitigation will be developed with the goal of reducing loss related to bodily injury, property damage, commercial auto liability, or product liability.

Related Objection 3 Comments: Please provide a list of "risk mitigation tools".

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/24/2019 Submitted Date 09/24/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: Regarding the above-referenced rate application, State National Insurance Company ("applicant") hereby waives all deemer provisions of California Insurance Code Section 1861.05, specifically, the 60-day deemer and the 180-day deemer. If the applicant wishes to reactivate the deemer provisions, the applicant will make its request in writing to the Department of Insurance Rate Filing Bureau, San Francisco, California. Upon reactivation, the 60-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 53, and the 180-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 71.

Related Objection 1 Comments: Regarding the above-referenced rate application, State National Insurance Company ("applicant") hereby waives all deemer provisions of California Insurance Code Section 1861.05, specifically, the 60-day deemer and the 180-day deemer. If the applicant wishes to reactivate the deemer provisions, the applicant will make its request in writing to the Department of Insurance Rate Filing Bureau, San Francisco, California. Upon reactivation, the 60-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 53, and the 180-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 71.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/24/2019 Submitted Date 09/24/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: Regarding the above-referenced rate application, State National Insurance Company ("applicant") hereby waives all deemer provisions of California Insurance Code Section 1861.05, specifically, the 60-day deemer and the 180-day deemer. If the applicant wishes to reactivate the deemer provisions, the applicant will make its request in writing to the Department of Insurance Rate Filing Bureau, San Francisco, California. Upon reactivation, the 60-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 52, and the 180-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 70.

Related Objection 1 Comments: Regarding the above-referenced rate application, State National Insurance Company ("applicant") hereby waives all deemer provisions of California Insurance Code Section 1861.05, specifically, the 60-day deemer and the 180-day deemer. If the applicant wishes to reactivate the deemer provisions, the applicant will make its request in writing to the Department of Insurance Rate Filing Bureau, San Francisco, California. Upon reactivation, the 60-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 52, and the 180-day deemer will resume five days after the Department's receipt of the applicant's request to reactivate the deemer, on day 70.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/24/2019 Submitted Date 09/24/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: This form has a rate charge, please refer to the amended Prior Approval Rate App and Rule Exception.

Related Objection 1 Applies To: - AMEND DUTIES IN THE EVENT OF LOSS OR DAMAGE, PROP BP 1017, 05 19 (Form) Comments: This form broadens coverage. Please clarify if this form has a rate charge. If there is none, please explain when this form will and will not be attached.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 2 Comments: This form has a rate charge, please refer to the amended Prior Approval Rate App and Rule Exception.

Related Objection 2 Applies To: - MODIFICATION TO SPECIFIED BUSINESS PERSONAL PROPERTY TEMPORARILY AWAY FROM PREMISES, PROP BP 1024, 05 19 (Form) Comments: This form does not broaden or restrict coverage. Please clarify if there is a rate charge. If there is not, please clarify when this form will and will not be attached to a policy.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 3 Comments: A rate offset has been provided, please refer to the amended Prior Approval Rate App and Rule Exception.

Related Objection 3

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Comments: BP 04 01 01 06 - Thank you for your explanation.

However, the form is still an exclusion. Either provide a rate offset or make the form mandatory. If risk eligibility is an issue, then please update the underwriting guidelines.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/24/2019 Submitted Date 09/24/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: To comply with the state requirement, please find the state specific PROP BP 1008 CA attached.

Related Objection 1 Applies To: - PUNITIVE DAMAGES EXCLUSION, PROP BP 1008, 05 19 (Form) Comments: Punitive damages is not insurable in California. Please update the form to include the following in bold.

AS SET FORTH IN CALIFORNIA INSURANCE CODE SECTION 533.5, THIS ENDORSEMENT DOES NOT PROVIDE PUNITIVE DAMAGE COVERAGE IN THE STATE OF CALIFORNIA.

Changed Items:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Supporting Document Schedule Item Changes Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 9-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 7-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Forms Filings Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Form Schedule Item Changes Item Form Form Edition Form Form Action Readability No. Name Number Date Type Action Specific Score Attachments Submitted Data 1 PUNITIVE PROP BP 1008 05 19 END New 0.000 PROP BP 1008 Date Submitted: DAMAGES CA CA 05 19.pdf 09/24/2019 EXCLUSION – By: Mollie CALIFORNIA Mason Previous Version 1 PUNITIVE PROP BP 1008 05 19 END New 0.000 PROP BP 1008 Date Submitted: DAMAGES 05 19.pdf 07/15/2019 EXCLUSION By: Mollie Mason

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/24/2019 Submitted Date 09/24/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: A rate offset has been provided, please refer to the amended Prior Approval Rate App and Rule Exception.

Related Objection 1 Applies To: - NON-STACKING EXCLUSION, PROP BP 1001, 05 19 (Form) Comments: The optional form restricts coverage with no rate offset. Please either provide a rate offset or make it mandatory. The previous version showed the form being mandatory.

Changed Items:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Supporting Document Schedule Item Changes Satisfied - Item: New Prior Approval Rate Application Comments: PriorAppRateTl_Ed04-30-2019.pdf Attachment(s): PriorAppRateTl_Ed04-30-2019.xlsm PriorAppRateAPL_Ed04-30-2019 (9.23.19).pdf PriorAppRateAPL_Ed04-30-2019 (9.23.19).xlsm Previous Version Satisfied - Item: New Prior Approval Rate Application Comments: PriorAppRateTl_Ed04-30-2019.pdf Attachment(s): PriorAppRateTl_Ed04-30-2019.xlsm PriorAppRateAPL_Ed04-30-2019 (8.29.19).pdf PriorAppRateAPL_Ed04-30-2019 (8.29.19).xlsm Previous Version Satisfied - Item: New Prior Approval Rate Application Comments: PriorAppRateAPL_Ed04-30-2019.pdf Attachment(s): PriorAppRateAPL_Ed04-30-2019.xlsm PriorAppRateTl_Ed04-30-2019.pdf PriorAppRateTl_Ed04-30-2019.xlsm

No Form Schedule items changed. Rate Schedule Item Changes Item Previous State Filing No. Exhibit Name Rule # or Page # Rate Action Number Date Submitted 1 CALIFORNIA EXCEPTION Pages 1-4 New 09/24/2019 PAGE By: Mollie Mason Previous Version 1 CALIFORNIA EXCEPTION Pages 1-3 New 08/30/2019 PAGE By: Mollie Mason Previous Version 1 CALIFORNIA EXCEPTION Page 1 New 07/15/2019 PAGE By: Mollie Mason Conclusion:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/20/2019 Submitted Date 09/20/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: We acknowledge this. We are only planning to use a subset of coverages in the ISO plan. Those that we are planning to use, and which ISO listed as "Refer to Company" in their Premium Modification rules, had premium modifications included in our rules exception documents. We did not include premium modification rules in our exception document for coverages that we will not be using.

Related Objection 1 Comments: Please be advised that with the adoption of ISO forms, rules and loss costs, if the adoption includes "refer to company" rating, you must file the rates with the Department prior to usage.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 2 Comments: This endorsement excludes business liability for designated premises operations or products. We would attach this endorsement to exclude a particularly high risk aspect of an insured's operation that would otherwise render the whole risk uninsurable. We don't intend to offer a rate modification when this endorsement is selectively attached, but not attaching it would require us to decline the risk in its entirety. As such, the absence of a rate offset is not unfairly discriminatory because it serves to clarify coverage on particularly high risk operations. If desired, we can make this form mandatory and simply not list any excluded high risk operations if none exist, effectively leaving the mandatory form blank.

Related Objection 2 Comments: BP 04 01 01 06 - This form is an optional form with no rate offset. Please either provide a rate offset or make it mandatory.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 3 Comments:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Less variable effort is required to write incubator risks on a policy-by-policy basis because the businesses in an incubator are more homogenous than non-incubator risks. But the relationship with the incubator itself needs to be maintained, which is of a more fixed nature.

Related Objection 3 Comments: Per your response, the Incubator program has a $200 minimum premium due to lower overheard, etc., compared with the standard program of $300 minimum premium. Please explain why the incubatory program has a higher fixed expense compared to the standard program when there is lower marketing overheard, etc.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 09/20/2019 Submitted Date 09/20/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: 1. We are partnering with tech startup incubators (eg Y-Combinator) to refer business to us. Policies from these channels are typically for very small businesses, often with little to no short term revenue. The partnership means that these risks can be acquired with lower variable sales and marketing effort than would be the case for 'standard' risks, and therefore justify a lower minimum premium.

2. Business referred to us through tech startup incubators would qualify as "incubator". All other risks are "standard".

Related Objection 1 Comments: 1. Please clarify what is the difference between "standard" program and "incubator" program. 2. What criteria is used to determine if the an insured would qualify for the "standard" program or the "incubator" program?

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 08/30/2019 Submitted Date 08/30/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: It is our understanding that minimum premiums can vary within a program if the expenses required to issue the policy vary for certain classes of business and distribution methods. The attached minimum premium support exhibit (refer to State National Min Prem Support Exhibit BOP - Standard and Incubator Program (GL and BPP) California 20190828) shows the fixed percentage varies for the incubator vs standard program. Policies sold through the incubator program will, compared to other policies, have lower marketing overhead, lower sales overhead, and will not require the same amount of service.

We also note that other carriers with who also had differing levels of fixed overhead per policy by channel also had multiple minimum premiums approved. These filings are: - Hiscox charges an annual minimum premium of $500 for certain classes and $350 for all others (CDI# 17-6407) - Nova Charges a minimum premium of $500 for low exposure, $1,000 for Moderate exposure, and $1,500 for High exposure (CDI# 17-1482) - Allstate charges a policy minimum premium of $1,000 for contractors, $225 for other home based business, and $350 for all others (CDI# 18-4818, approved 11/26/2018) - American Reliable charges a minimum premium of $275 for Class 16405, $475 for Class 14100, $250 for Class 09904, and $600 for other CGL Farm Liability classes (CDI# 18-5259, approved 12/19/2018) - General Casualty charges a minimum premium of $35 for Class 72610, $50 for Class 65550, $150 for Printers Errors and Omissions Liability (CDI# 18-5234, approved 12/20/2018)

Related Objection 1 Comments: Each program should only have one policy writing minimum premium.

1. Please justify the proposed minimum premium. 2. Please explain why there are two different minimum premiums for this program.

Changed Items:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Supporting Document Schedule Item Changes Satisfied - Item: Support Comments: Attachment(s): State National Min Prem Sup Exh BOP - Stnd and Incub Prog (GL BPP) CA 20190828.xlsx

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 2 Comments: Please refer to Rule 29.B.6.a.(3) of the Multistate Rule Exception Pages in our initial filing as the this information was included.

Related Objection 2 Comments: Since you are adopting the Employee Benefit Liability loss costs from Chubb, please include those rates into your rules page.

Changed Items:

No Supporting Documents changed.

No Form Schedule items changed. Rate Schedule Item Changes Item Previous State Filing No. Exhibit Name Rule # or Page # Rate Action Number Date Submitted 1 CALIFORNIA EXCEPTION Pages 1-3 New 08/30/2019 PAGE By: Mollie Mason Previous Version 1 CALIFORNIA EXCEPTION Page 1 New 07/15/2019 PAGE By: Mollie Mason

Response 3 Comments:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Endorsements that are optional have been updated to reflect an appropriate premium adjustment. Further, the filing is being revised to reflect the forms below being optional as opposed to mandatory. Please refer to tab 9.Forms of the PriorAppRateAPL_Ed04-30-2019 (8.29.19) and Rule Exceptions BOP California 20190829.

-PROP BP 1007 05 19 - Weapons Exclusion -PROP BP 1001 05 10 - Non-Stacking Exclusion -PROP BP 1009 05 19 - Liquor Liability Exclusion

Related Objection 3 Applies To: - DATA PRIVACY PROTECTION EXCLUSION, PROP BP 1002, 05 19 (Form) - DELIVERY ACTIVITY EXCLUSION FOR HIRED AND NON-OWNED, PROP BP 1010, 05 19 (Form) - EXCLUSION OF TERRORISM - HIRED AND NON-OWNED AUTO LIABILITY, PROP BP 1022, 05 19 (Form) Comments: These forms are optional with no rate offset. Please either make them mandatory or provide a rate offset.

Changed Items:

Supporting Document Schedule Item Changes Satisfied - Item: New Prior Approval Rate Application Comments: PriorAppRateTl_Ed04-30-2019.pdf Attachment(s): PriorAppRateTl_Ed04-30-2019.xlsm PriorAppRateAPL_Ed04-30-2019 (8.29.19).pdf PriorAppRateAPL_Ed04-30-2019 (8.29.19).xlsm Previous Version Satisfied - Item: New Prior Approval Rate Application Comments: PriorAppRateAPL_Ed04-30-2019.pdf Attachment(s): PriorAppRateAPL_Ed04-30-2019.xlsm PriorAppRateTl_Ed04-30-2019.pdf PriorAppRateTl_Ed04-30-2019.xlsm

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

Response 4 Comments:

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

The ISO based forms list has been updated to reflect all ISO forms being used for this program and the relevant charge for each form, unless a clarifying form mandatory. Further, the filing is amended to change BP 05 15 01 15 to optional from mandatory. Please refer to CA ISO Forms List BOP 8-30-19.

Related Objection 4 Comments: Thank you for providing the ISO list of forms that you wish to adopt. Please advise if each form is mandatory or optioanl. Please be advised that exclusions should be mandatory or optional with a rate offset.

Changed Items:

Supporting Document Schedule Item Changes Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 7-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Forms Filings Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf

No Form Schedule items changed.

No Rate/Rule Schedule items changed. Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Response Letter Response Letter Status Submitted to State Response Letter Date 07/23/2019 Submitted Date 07/23/2019 Dear Betty Wong, Introduction: Thank you for your continued review of this filing.

Response 1 Comments: Please see the ISO Forms List BOP.

Related Objection 1 Applies To: - ISO Lists (Supporting Document) Comments: Provide also the title of the form that are being adopted.

Changed Items:

Supporting Document Schedule Item Changes Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 7-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Forms Filings Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf

No Form Schedule items changed.

No Rate/Rule Schedule items changed.

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Conclusion: Should you have any further concerns, please do not hesitate to contact us. Sincerely, Mollie Mason

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Amendment Letter

Submitted Date: 09/24/2019 Comments: We have removed the "CA BOP Forms Filing Approvals" document from the filing as the new one is the most relevant and comprehensive. Changed Items: No Form Schedule Items Changed.

No Rate Schedule Items Changed.

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Supporting Document Schedule Item Changes Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 9-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 9-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 7-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Forms Filings Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Amendment Letter

Submitted Date: 09/03/2019 Comments: Please see the updated ISO Forms List. Changed Items: No Form Schedule Items Changed.

No Rate Schedule Items Changed.

Supporting Document Schedule Item Changes Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf Previous Version Satisfied - Item: ISO Lists Comments: CA BOP Forms Filings Approvals.pdf Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 7-23-19.pdf Previous Version Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Forms Filings Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Amendment Letter

Submitted Date: 07/29/2019 Comments: Please see the updated Filing Memorandum. Changed Items: No Form Schedule Items Changed.

No Rate Schedule Items Changed.

Supporting Document Schedule Item Changes Satisfied - Item: Filing Memorandum Comments: Attachment(s): Explanatory Memo (BOP) - Combined.pdf Previous Version Satisfied - Item: Filing Memorandum Comments: Attachment(s): Explanatory Memo (BOP) - CA (6.28.19) ad.pdf

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State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Note To Reviewer

Created By: Mollie Mason on 08/30/2019 01:07 PM Last Edited By: Mollie Mason Submitted On: 08/30/2019 01:07 PM Subject: Extension Request Comments: Good afternoon. Thank you for your 8/22/2019 letter. We would like to respectfully request an extension of additional two weeks in order to address your concerns accordingly. Please advise if this request is acceptable and what will be the new due date.

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Form Schedule

Item Schedule Item Form Form Edition Form Form Action Specific Readability No. Status Name Number Date Type Action Data Score Attachments 1 NUCLEAR ACTIVITIES PROP BP 05 19 END New 0.000 PROP BP 1000 EXCLUSION 1000 05 19.pdf 2 NON-STACKING PROP BP 05 19 END New 0.000 PROP BP 1001 EXCLUSION 1001 05 19.pdf 3 DATA PRIVACY PROP BP 05 19 END New 0.000 PROP BP 1002 PROTECTION 1002 05 19.pdf EXCLUSION 4 BODILY INJURY TO PROP BP 05 19 END New 0.000 PROP BP 1003 EMPLOYEES 1003 05 19.pdf EXCLUSION 5 CROSS SUITS PROP BP 05 19 END New 0.000 PROP BP 1004 EXCLUSION 1004 05 19.pdf 6 ASBESTOS EXCLUSION PROP BP 05 19 END New 0.000 PROP BP 1005 1005 05 19.pdf 7 LEAD EXCLUSION PROP BP 05 19 END New 0.000 PROP BP 1006 1006 05 19.pdf 8 WEAPONS EXCLUSION PROP BP 05 19 END New 0.000 PROP BP 1007 1007 05 19.pdf 9 PUNITIVE DAMAGES PROP BP 05 19 END New 0.000 PROP BP 1008 EXCLUSION – 1008 CA CA 05 19.pdf CALIFORNIA 10 LIQUOR LIABILITY PROP BP 05 19 END New 0.000 PROP BP 1009 EXCLUSION 1009 05 19.pdf 11 DELIVERY ACTIVITY PROP BP 05 19 END New 0.000 PROP BP 1010 EXCLUSION FOR HIRED 1010 05 19.pdf AND NON-OWNED 12 TECHNOLOGY PROP BP 05 19 DEC New 0.000 PROP BP 1016 PACKAGE 1016 05 19.pdf DECLARATIONS 13 AMEND DUTIES IN THE PROP BP 05 19 END New 0.000 PROP BP 1017 EVENT OF LOSS OR 1017 05 19.pdf DAMAGE 14 AMEND WHO IS AN PROP BP 05 19 END New 0.000 PROP BP 1018 INSURED 1018 05 19.pdf

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Item Schedule Item Form Form Edition Form Form Action Specific Readability No. Status Name Number Date Type Action Data Score Attachments 15 DISCLOSURE PROP BP 05 19 DSC New 0.000 PROP BP 1019 PURSUANT TO 1019 05 19.pdf TERRORISM RISK INSURANCE ACT (Coverage Included) 16 DISCLOSURE PROP BP 05 19 DSC New 0.000 PROP BP 1020 PURSUANT TO 1020 05 19.pdf TERRORISM RISK INSURANCE ACT(Coverage Excluded) 17 EXCLUSION OF PROP BP 05 19 END New 0.000 PROP BP 1022 TERRORISM - HIRED 1022 05 19.pdf AND NON-OWNED AUTO LIABILITY 18 MODIFICATION TO PROP BP 05 19 END New 0.000 PROP BP 1024 SPECIFIED BUSINESS 1024 05 19.pdf PERSONAL PROPERTY TEMPORARILY AWAY FROM PREMISES

Form Type Legend: ABE Application/Binder/Enrollment ADV Advertising BND Bond CER Certificate CNR Canc/NonRen Notice DEC Declarations/Schedule DSC Disclosure/Notice END Endorsement/Amendment/Conditions ERS Election/Rejection/Supplemental Applications OTH Other

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM BUSINESSOWNERS PROP BP 1007 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WEAPONS EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II - LIABILITY, B. of a person for whom any insured is or Exclusions, 1. Applicable To Business Liability was at any time legally responsible and Coverage: whose conduct would be excluded by Paragraph (1), (2) or (3) above. Weapons

This insurance does not apply to "bodily injury", "property We have no duty to defend any insured against damage", or "personal and advertising injury” arising out any claims or “suits” seeking damages for “bodily of: injury”, “property damage”, “personal and advertising injury”, medical payments or “injury” in "Bodily injury", "property damage", “personal and regard to the matters covered by this exclusion advertising injury”, or medical payments arising in and we have no duty to pay damages in regard to whole or in part out of: the matters covered by this exclusion. If a "suit” or claim is brought against any insured which contains allegations relating in any way to the (1) The ownership, use, handling, possession, matters covered by this exclusion, we will have no control or discharge of any “weapon”; obligation or liability to pay sums or perform acts (2) The ownership, use, handling, or services. Such lack of coverage, lack of duty to possession, control or discharge of any defend and lack of duty to pay damages may “weapon” whether caused by, directly or result in financial loss to the named insured and/or indirectly, or at the instigation of or to those persons insured under this policy. direction of any insured or an employee, contractor, temporary worker, agent or B. For purposes of this endorsement, the following representative of an insured; definition is added: (3) The failure or omission of any insured or "Weapons" means any instrument, substance, anyone else for whom any insured is material or device designed or used for legally responsible to prevent, suppress inflicting bodily harm, including death to a or control in any manner the use of any person, or physical damage to real or personal “weapon”; or property of another in an attempt to gain an (4) The negligent or improper: advantage or defend oneself in a conflict. (a) Employment; Weapons include but are not limited to: (b) Contracting; 1. Any type of knives, blades or sharp (c) Investigation; instruments; (d) Supervision; (e) Training; or 2. Mace, pepper spray or other noxious sprays; (f) Retention 3. Any pistols, semi-automatic pistols, revolvers, shotguns, rifles, assault rifles, flamethrowers, or

Effective Date: Includes copyrighted material of Insurance Page 1 of 2 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1007 05 19

firearm as defined in the Gun Control Act, 18 USC § 921(a)(3) and any amendment thereto, including toy guns such as air-soft guns, pellet guns and paintball guns;

4. Any tasers, stun guns or electronic weapons; or

5. Any nunchucks, brass knuckles, daggers or throwing stars.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 2 of 2 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1006 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LEAD EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage:

Lead This insurance does not apply to: a. "Bodily injury" arising out of the ingestion, inhalation or absorption of lead in any form; or b. "Property damage" arising from any form of lead; or c. "Personal and advertising injury" arising from any form of lead; or d. Any loss, cost or expense arising out of any request, demand or order that any insured or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, assess the effects of lead; or e. Any loss, cost or expense arising out of any claim or suit by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to, or assessing the effects of lead.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1005 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ASBESTOS EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage:

Asbestos This insurance does not apply to "bodily injury", "property damage", or "personal and advertising injury” arising out of:

a. Inhaling, ingesting or prolonged physical exposure to asbestos or goods or products containing asbestos; or

b. The use of asbestos in constructing or manufacturing any good, product or structure; or

c. The removal of asbestos from any good, product or structure; or

d. The manufacture, transportation, storage or disposal of asbestos or goods or products containing asbestos.

The coverage afforded by the policy does not apply to payment for the investigation or defense of any loss, injury or damage or any cost, fine or penalty or for any expense or claim or suit related to any of the above.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1004 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CROSS SUITS EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage:

Cross Suits "Bodily injury", “property damage” or “personal and advertising injury” arising from claims or “suits” brought by any named insured against any other named insured.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1003 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. BODILY INJURY TO EMPLOYEES EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following replaces Paragraph B.1.e. Applicable to Business Liability Coverage in SECTION II – LIABILITY: e. Employer's Liability "Bodily injury" to: (1) An "employee" of the insured arising out of and in the course of: (a) Employment by any insured; or (b) Performing duties related to the conduct of the insured's business; or (2) The spouse, child, parent, brother or sister of that "employee" as a consequence of Paragraph (1) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1002 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DATA PRIVACY PROTECTION EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage:

Data Privacy Protection Damages related to "bodily injury" or "property damage" related to or arising out of: (1) Your loss of, loss of use of, unauthorized release or access, protection of any of your personal identifiable information (PII), or (2) Your lack of generally accepted security practices and processes related to protection of personal identifiable information (PII)

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1001 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NON-STACKING EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION I – PROPERTY, C. Limits Of Insurance:

If two or more policies issued by apply to the same “claim” or “suit”, we will not pay more than the highest applicable Limit of Insurance or Limit of Liability available under one of the policies. In no event will one policy apply in excess of another policy unless such policy was bought specifically to apply as an Umbrella or Excess Policy.

The following is added to SECTION II – LIABILITY, D. Liability And Medical Expenses Limits Of Insurance, 4. Aggregate Limits:

If two or more policies issued by apply to the same “claim” or “suit”, we will not pay more than the highest applicable Limit of Insurance or Limit of Liability available under one of the policies. In no event will one policy apply in excess of another policy unless such policy was bought specifically to apply as an Umbrella or Excess Policy.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1000 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. NUCLEAR ACTIVITIES EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

SECTION I – PROPERTY and SECTION II – LIABILITY are amended as follows: The following definition is added and applies under this endorsement wherever the term terrorism is enclosed in quotation marks. "Nuclear Activities" means any activities related to: 1. The dispersal or application of radioactive material through the use of a nuclear weapon, nuclear radiation or radioactive contamination; or 2. Radioactive material.

The following is added to SECTION I – PROPERTY, B. Exclusions:

Nuclear Activities We will not pay for loss or damage caused directly or indirectly by "nuclear activities". Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss.

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage:

Nuclear Activities We will not pay for loss or damage caused directly or indirectly by "nuclear activities". Such loss or damage is excluded regardless of any other cause or event that contributes concurrently or in any sequence to the loss.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1024 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

MODIFICATION TO SPECIFIED BUSINESS PERSONAL PROPERTY TEMPORARILY AWAY FROM PREMISES

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

SCHEDULE

Limit Of Insurance: $ Deductible: $

Type(s) Or Item(s) Of Business Personal Property:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Subject to the terms of this endorsement, you may c. Property in the care, custody or control of a extend the insurance that applies to your Business common or contract carrier or bailee for Personal Property to apply to property indicated in hire; or the Schedule while such property is: d. Property while airborne or waterborne. 1. Temporarily away from the described premises e. Missing property where the only proof of in the course of your daily business activities; loss is unexplained or mysterious and disappearance of covered property, or 2. In your care, custody or control or in the care, shortage of property discovered on taking custody or control of your employees (including inventory, or any other instance where temporary or leased employees) as authorized there is no physical evidence to show what by you. happened to the covered property. But this extension does not apply to: a. "Stock", samples of "stock" or any of your products unless such property is at a fair, trade show or exhibition;

b. Employee (including temporary or leased employees) owned property; b. Property in the care, custody or control of your salespersons unless the property is in such care, custody or control at a fair, trade show or exhibition;

Effective Date: Includes copyrighted material of Insurance Page 1 of 2 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1024 05 19

B. If Theft is a Covered Cause of Loss and is not otherwise excluded, the following limitation applies: Theft from a land motor vehicle is not covered unless there is forced entry into a securely locked body or compartment of the vehicle, with visible marks of the forced entry. C. The coverage provided under this endorsement does not apply to property while outside the of America (including its territories or possessions), Puerto Rico or Canada. D. The Limit Of Insurance shown in the Schedule is the most we will pay in any one occurrence for the total of all loss or damage covered under this endorsement. But if the Coverage Form places a limitation on the amount of coverage for a certain type of property, the amount payable for such property will not exceed such limitation regardless of the Limit Of Insurance shown in the Schedule. E. If loss covered under this endorsement is also covered under the Personal Property Off-premises Coverage Extension, or under any other provision of the Coverage Form, you can elect to be paid under the provision that affords the most coverage, but we will not pay under more than one such provision.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 2 of 2 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1022 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EXCLUSION OF TERRORISM – HIRED AND NON- OWNED AUTO LIABILITY

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. segment thereof, or to disrupt any segment Exclusions, 1. Applicable To Business Liability of the economy; or Coverage and applies only to any coverage added to this (2) It appears that the intent is to intimidate or Policy that extends Hired Auto or Non-Owned Auto coerce a government, or to further political, Liability: ideological, religious, social or economic objectives or to express (or express This insurance does not apply to: opposition to) a philosophy or ideology.

Terrorism "bodily injury" or "property damage" resulting from “terrorism” and arising out of: All other terms and conditions of the policy remain the same. a. The maintenance or use of a “hired auto” by you or your “employees” in the course of your business; or

b. The use of a “non-owned auto” by any person in the course of your business.

For purpose of this endorsement, “terrorism” means the following:

Activities against persons, organizations or property of any nature: a. That involve the following or preparation for the following: (1) Use or threat of force or violence; or (2) Commission or threat of a dangerous act; or (3) Commission or threat of an act that interferes with or disrupts an electronic, communication, information or mechanical system; and b. When one or both of the following apply: (1) The effect is to intimidate or coerce a government or the civilian population or any

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1020 05 19

DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT(Coverage Excluded)

POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE

You are hereby notified that under the Terrorism Risk Insurance Act, as amended, you have a right to purchase insurance coverage for losses resulting from acts of terrorism. As defined in Section 102(1) of the Act: The term “act of terrorism” means any act or acts that are certified by the Secretary of the Treasury—in consultation with the Secretary of Homeland Security, and the Attorney General of the United States—to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion.

YOU SHOULD KNOW THAT WHERE COVERAGE IS PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 85% THROUGH 2015; 84% BEGINNING ON JANUARY 1, 2016; 83% BEGINNING ON JANUARY 1, 2017; 82% BEGINNING ON JANUARY 1, 2018; 81% BEGINNING ON JANUARY 1, 2019 and 80% BEGINNING ON JANUARY 1, 2020, OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT.

YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS’ LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100

BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED.

Acceptance or Rejection of Terrorism Insurance Coverage <> I hereby elect to purchase terrorism coverage for a prospective premium of $ . <> I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand that I will have no coverage for losses resulting from certified acts of terrorism.

Policyholder/Applicant’s Signature Date

Print Name

Name of Insurer: Policy Number:

© 2015 National Association of Insurance Commissioners Page 1 of 1

BUSINESSOWNERS PROP BP 1019 05 19

DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE ACT (Coverage Included)

POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE

Coverage for acts of terrorism is included in your policy. You are hereby notified that under the Terrorism Risk Insurance Act, as amended in 2015, the definition of act of terrorism has changed. As defined in Section 102(1) of the Act: The term “act of terrorism” means any act or acts that are certified by the Secretary of the Treasury—in consultation with the Secretary of Homeland Security, and the Attorney General of the United States—to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure; to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. Under your coverage, any losses resulting from certified acts of terrorism may be partially reimbursed by the United States Government under a formula established by the Terrorism Risk Insurance Act, as amended. However, your policy may contain other exclusions which might affect your coverage, such as an exclusion for nuclear events. Under the formula, the United States Government generally reimburses 85% through 2015; 84% beginning on January 1, 2016; 83% beginning on January 1, 2017; 82% beginning on January 1, 2018; 81% beginning on January 1, 2019 and 80% beginning on January 1, 2020, of covered terrorism losses exceeding the statutorily established deductible paid by the insurance company providing the coverage. The Terrorism Risk Insurance Act, as amended, contains a $100 billion cap that limits U.S. Government reimbursement as well as insurers’ liability for losses resulting from certified acts of terrorism when the amount of such losses exceeds $100 billion in any one calendar year. If the aggregate insured losses for all insurers exceed $100 billion, your coverage may be reduced.

The portion of your annual premium that is attributable to coverage for acts of terrorism is, $ and does not include any charges for the portion of losses covered by the United States government under the Act.

I ACKNOWLEDGE THAT I HAVE BEEN NOTIFIED THAT UNDER THE TERRORISM RISK INSURANCE ACT, AS AMENDED, ANY LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM UNDER MY POLICY COVERAGE MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT AND MAY BE SUBJECT TO A $100 BILLION CAP THAT MAY REDUCE MY COVERAGE, AND I HAVE BEEN NOTIFIED OF THE PORTION OF MY PREMIUM ATTRIBUTABLE TO SUCH COVERAGE.

Policyholder/Applicant’s Signature Date

Print Name

Name of Insurer: Policy Number:

© 2015 National Association of Insurance Commissioners Page 1 of 1

BUSINESSOWNERS PROP BP 1018 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMEND WHO IS AN INSURED

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following replaces SECTION II – LIABILITY, C. Who other than a partnership, joint venture or limited is An Insured liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or C. Who Is An Insured while performing duties related to the conduct 1. If the Named Insured listed in the Declarations is of your business. However, none of these established as: "employees" or "volunteer workers" are insureds for: a. An individual, you and your spouse are insureds, but only with respect to the conduct (1) "Bodily injury" or "personal and advertising of a business of which you are the sole owner. injury": b. A partnership or joint venture, you are an (a) To you, to your partners or members (if insured. Your members, your partners and their you are a partnership or joint venture), to spouses are also insureds, but only with your members (if you are a limited respect to the conduct of your business. liability company), or to a co-"employee" while in the course of his or her c. A limited liability company, you are an insured. employment or performing duties related Your members are also insureds, but only with to the conduct of your business, or to respect to the conduct of your business. Your your other "volunteer workers" while managers are insureds, but only with respect to performing duties related to the conduct their duties as your managers. of your business; d. An organization other than a partnership, joint (b) To the spouse, child, parent, brother or venture or limited liability company, you are an sister of that co-"employee" as a insured. Your "executive officers" and directors consequence of Paragraph (a) above; are insureds, but only with respect to their duties as your officers or directors. Your (c) For which there is any obligation to share stockholders are also insureds, but only with damages with or repay someone else respect to their liability as stockholders. who must pay damages because of the injury described in e. A trust, you are an insured. Your trustees are Paragraph (a) or (b); or also insureds, but only with respect to their duties as trustees. (d) Arising out of his or her providing or failing to provide professional health care services. 2. Each of the following is also an insured: (2) "Property damage" to property: a. Your "volunteer workers" only while performing (a) Owned, occupied or used by; duties related to the conduct of your business, (b) Rented to, in the care, custody or control or your "employees", other than either your of, or over which physical control is "executive officers" (if you are an organization being exercised for any purpose by;

Effective Date: Includes copyrighted material of Insurance Page 1 of 2 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1018 05 19

you, any of your "employees", "volunteer workers", any partner or member (if you are a partnership or joint venture), or any member (if you are a limited liability company). b. Any person (other than your "employee" or "volunteer worker"), or any organization while acting as your real estate manager. c. Any person or organization having proper temporary custody of your property if you die, but only: (1) With respect to liability arising out of the maintenance or use of that property; and (2) Until your legal representative has been appointed. d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this policy. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited liability company that is not shown as a Named Insured in the Declarations.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 2 of 2 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1017 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. AMEND DUTIES IN THE EVENT OF LOSS OR DAMAGE

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following replaces SECTION I – PROPERTY, E. Also permit us to take samples of damaged Property Loss Conditions, E. Property Loss and undamaged property for inspection, Conditions: testing and analysis, and permit us to make

copies from your books and records. 3. Duties In The Event Of Loss Or Damage (7) Send us a signed, sworn proof of loss a. You must see that the following are done in the containing the information we request to event of loss or damage to Covered Property: investigate the claim. You must do this within 60 days after our request. We will (1) Notify the police if a law may have been supply you with the necessary forms. broken. (8) Cooperate with us in the investigation or (2) Give us prompt notice of the loss or damage. settlement of the claim. Include a description of the property involved. (9) Resume all or part of your "operations" as quickly as possible. (3) As soon as possible, give us a description of how, when and where the loss or damage occurred. Provided, however, for any Covered Cause of Loss to (4) Take all reasonable steps to protect the Covered Property valued at less than $5,000 per item Covered Property from further damage, and or $10,000 per Loss, SECTION I – PROPERTY, keep a record of your expenses necessary Condition 3.a. (1) does not apply and is replaced with: to protect the Covered Property, for consideration in the settlement of the claim. This will not increase the Limits of Insurance 1. Furnish “us” with a signed affidavit attesting to, of Section I – Property. However, we will and providing information related to, the events not pay for any subsequent loss or damage surrounding the Loss and Damage. resulting from a cause of loss that is not a Covered Cause of Loss. Also, if feasible, set All other terms and conditions of the policy the damaged property aside and in the best remain the same. possible order for examination. (5) At our request, give us complete inventories of the damaged and undamaged property. Include quantities, costs, values and amount of loss claimed. (6) As often as may be reasonably required, permit us to inspect the property proving the loss or damage and examine your books and records.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

POLICY NUMBER: BUSINESSOWNERS PROP BP 1016 05 19

STATE NATIONAL INSURANCE COMPANY, INC. Administered by: (a stock insurance company) Vouch Insurance Services, LLC 1900 L Don Dodson Dr. 831 Montgomery St San Francisco, CA 94133 Bedford, Texas 76021 www.vouch.us (800) 877-4567

TECHNOLOGY PACKAGE DECLARATIONS

Producer Name:

Named Insured:

Mailing Address:

Policy Period From: To: At 12:01 AM* Standard Time at your mailing address shown above *Exceptions: 12:00 PM in Michigan and North Carolina

Premises Information

Premises Building Premises Address: Number Number

Premises Building Mortgageholder Name: Mortgageholder Address: Number Number

Premises Building Premises Address: Number Number

Premises Building Mortgageholder Name: Mortgageholder Address: Number Number

Revision Date: Includes copyrighted material of Insurance Page 1 of 5 Services Office, Inc., with its permission.

IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY.

SECTION I - PROPERTY

Property Coverage Limits of Insurance

Business Actual Cash Personal Type Of Property Value Of Automatic Property – (Building Or Building Increase Seasonal Premises Building Business Personal Option Building Limit Increase Number Number Property) (Yes Or No) (Percentage)** (Percentage) Limit Of Insurance* % % $

% % $

% % $

*Includes Automatic Increase Building Limit Percentage **This percentage can only vary by premises, not by building.

Blanket Insurance

Indicate the type of property to be blanketed and the blanket limit of insurance. Type Of Property Limit Of Insurance $

Deductibles (Apply Per Location, Per Occurrence)

Optional Coverage (Other Than Equipment Breakdown Premises Protection Coverage) Windstorm Or Hail Number Property Deductible Deductible Percentage Deductible $ $ % $ $ % $ $ %

Revision Date: Includes copyrighted material of Insurance Page 2 of 5 Services Office, Inc., with its permission.

Optional Coverage – Equipment Breakdown Protection Coverage Deductibles

Location:

Optional Deductible: $ Optional Revised Time Deductible:

Earthquake/Volcanic Action Percentage Deductible

Location: %

Additional Coverages – Optional Higher Limits (Applicable only if an “X” is shown in the boxes below)

Coverage Limit Of Insurance

1. Or Alteration – Increased Limit $ Per Occurrence

2. Order and “ Money” – $ Per Occurrence Increased Limit

3. Electronic Data – Increased Limit $ Per Occurrence

4. Other Specify:

Optional Coverage (Applicable only if an “X” is shown in the boxes below)

Coverage Limit Of Insurance

1. Money And Securities-Outside the Premises $ Per Occurrence

2. Money And Securities-Inside the Premises $ Per Occurrence

3. Employee Dishonesty $ Per Occurrence

4. Other Specify:

Revision Date: Includes copyrighted material of Insurance Page 3 of 5 Services Office, Inc., with its permission.

POLICY NUMBER: BUSINESSOWNERS PROP BP 1016 05 19

SECTION II – LIABILITY AND MEDICAL EXPENSES

Each paid claim for the following coverages reduces the amount of insurance we provide during the applicable annual period. Please refer to Section II – Liability in the Businessowners Coverage Form and any attached endorsements.

Location:

Coverage Limit Of Insurance Liability And Medical Expenses $ Per Occurrence Medical Payments $ Per Person Damage To Premises Rented To You $ Any One Premises Other Than Products/Completed Operations $ Aggregate Products/Completed Operations Aggregate $

Deductible

Property Damage Liability Deductible: $

Per Claim (Refer to BP 07 03); or Per Occurrence (Refer to BP 07 04)

Premium

The Total Annual Premium is $ , and is payable $ at inception, and $ at each anniversary, if applicable.

Revision Date: Includes copyrighted material of Insurance Page 4 of 5 Services Office, Inc., with its permission.

. Endorsement Applicable Per Policy Endorsement Number Endorsement Title Effective Date

Revision Date: Includes copyrighted material of Insurance Page 5 of 5 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1010 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DELIVERY ACTIVITY EXCLUSION FOR HIRED AND NON-OWNED

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage and applies to any coverage added to this Policy that extends Hired Auto or Non-Owned Auto Liability:

Delivery Activities This insurance does not apply to "bodily injury" or "property damage" arising out of:

a. The maintenance or use of a “hired auto” by you or your “employees” in the course of delivery activities that are also in the course of your business; or

b. The use of a “non-owned auto” by any person in the course of delivery activities that are also in the course of your business.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1009 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. LIQUOR LIABILITY EXCLUSION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following replaces Paragraph B.1.c. Applicable to Business Liability Coverage in SECTION II – LIABILITY: c. Liquor Liability "Bodily injury" or "property damage" for which any insured may be held liable by reason of: (1) Causing or contributing to the intoxication of any person, including causing or contributing to the intoxication of any person because alcoholic beverages were permitted to be brought on your premises, for consumption on your premises; (2) The furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol; or (3) Any statute, ordinance or regulation relating to the sale, gift, distribution or use of alcoholic beverages. This exclusion applies even if the claims allege negligence or other wrongdoing in: (a) The supervision, hiring, employment, training or monitoring of others by an insured; or (b) Providing or failing to provide transportation with respect to any person that may be under the influence of alcohol; if the "occurrence" which caused the "bodily injury" or "property damage", involved that which is described in Paragraph (1), (2) or (3) above. This exclusion applies whether the insured may be liable as an employer or in any other capacity and to any obligation to share damages with or repay someone else who must pay damages because of the injury.

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

BUSINESSOWNERS PROP BP 1008 CA 05 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. PUNITIVE DAMAGES EXCLUSION – CALIFORNIA

AS SET FORTH IN CALIFORNIA INSURANCE CODE SECTION 533.5, THIS ENDORSEMENT DOES NOT PROVIDE PUNITIVE DAMAGE COVERAGE IN THE STATE OF CALIFORNIA.

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

The following is added to SECTION II – LIABILITY, B. Exclusions, 1. Applicable To Business Liability Coverage:

Punitive Damages Any punitive damages, exemplary damages or the multiplied portion of any award, based on any "bodily injury", "property damage" or "personal and advertising injury".

All other terms and conditions of the policy remain the same.

Effective Date: Includes copyrighted material of Insurance Page 1 of 1 Services Office, Inc., with its permission.

SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Rate Information Rate data applies to filing.

Filing Method: Prior Approval Rate Change Type: Neutral Overall Percentage of Last Rate Revision: 0.000% Effective Date of Last Rate Revision: Filing Method of Last Filing: N/A new program SERFF Tracking Number of Last Filing: N/A new program

Company Rate Information Overall % Overall % Written Premium Number of Policy Written Maximum % Minimum % Company Indicated Rate Change for Holders Affected Premium for Change Change Name: Change: Impact: this Program: for this Program: this Program: (where req'd): (where req'd): State National Insurance 0.000% 0.000% $0 0 $0 0.000% 0.000% Company, Inc.

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Rate/Rule Schedule

Item Schedule Item Previous State No. Status Exhibit Name Rule # or Page # Rate Action Filing Number Attachments 1 DIVISION TEN Pages 1-7 New Rule Exceptions BOP BUSINESSOWNERS Multistate 20190714.pdf MULTISTATE RULES 2 Program Underwriting Page 1 New Underwriting_Guidelines Guidelines BOP.pdf 3 CALIFORNIA EXCEPTION Pages 1-4 New Rule Exceptions BOP PAGE California 20190923.pdf

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM

STATE NATIONAL INSURANCE COMPANY

COMMERCIAL LINES MANUAL DIVISION TEN – BUSINESSOWNERS CALIFORNIA EXCEPTION PAGE

The following will supplement the Insurance Services Offices, Inc. multistate rules:

CALIFORNIA EXCEPTIONS TO THE MULTISTATE RULES

RULE 7. POLICY WRITING MINIMUM PREMIUM

Rule 7.A is replaced by the following:

7.A Minimum Premium Applicable

Program Minimum Written Premium Standard $300 Incubator Program $200

RULE 16. MANDATORY FORMS, COVERAGE AND LIMITS

Rule 16.B.10 is replaced by:

Non-Stacking Exclusion PROP BP 1001 may be attached, with a premium credit of 0.5% of the Liability premium.

Rule 16.B.15 is replaced by:

Weapons Exclusion PROP BP 1007 may be attached, with a premium credit of 0.5% of the Liability premium.

Rule 16.B.17 is replaced:

Liquor Liability Exclusion PROP BP 1009 may be attached, with a premium credit of 0.5% of the Liability premium.

Rule 16.B.19 is replaced by:

Amend Duties in the Event of Loss or Damage PROP BP 1017 may be attached, with a premium loading of 0.5% of the Liability premium.

Rule 16.B.20 is added:

Modification to Specified Business Personal Property Temporarily Away From Premises PROP BP 1024 may be attached, with a premium loading of 0.5% of the Liability premium.

RULE 29. ENDORSEMENTS

Rule 29.A.7.d.(1).(b) is replaced:

If California Limited Earthquake Endorsement (Residential Property – Lessor's Risk) BP 10 47 is attached apply a 0.05% loading to the Buildings premium.

Rule 29.A.7.d.(2).(c) is replaced:

If California Additional Earthquake Coverage Endorsement BP 01 10 is attached apply a 0.05% loading to the Buildings premium.

Rule 29.A.10.c is added:

If Fire Department Service Contract Endorsement BP 12 02 is attached apply a 0.05% loading to the Buildings and Business Personal Property premium.

Rule 29.A.33.c.(6) is replaced:

If Flood Coverage Endorsement BP 10 79 is attached apply a 0.05% loading to the Buildings and Business Personal Property premium

Rule 29.B.3.c is added:

If Comprehensive Business Liability Exclusion Endorsement BP 04 01 is added apply a premium credit of 0.5% of the Liability premium.

Rule 29.B.7.a.(2) is added:

If Employment-related Practices Exclusion Endorsement BP 04 17 is added apply a premium credit of 0.05% of the Liability premium.

Rule 29.B.11.b is replaced by:

Use California – Hired Auto And Non-owned Auto Liability Endorsement BP 06 86. If endorsement BP 06 86 is attached then Exclusion Of Terrorism – Hired And Non-Owned Auto Liability PROP BP 1022 and Delivery Activity Exclusion For Hired And Non-Owned PROP BP 1010 may also be attached.

Rule 29.B.11.c.(3) is added:

If PROP BP 1010 is attached then multiply the Hired Auto And Non-owned Auto premium adopted in Paragraphs (1) and (2) by 0.995.

Rule 29.B.11.c.(4) is added:

If PROP BP 1022 is attached then multiply the Hired Auto And Non-owned Auto premium adopted in Paragraphs (1), (2) and (3) by 0.995.

Rule 29.B.12.c is added:

If Limitation Of Coverage To Designated Premises, Project Or Operation Endorsement BP 04 12 is added apply a premium loading of 0.05% of the Liability premium.

Rule 29.B.13.c is replaced by:

If Amendment – Liquor Liability Exclusion – Exception For Scheduled Premises Or Activities Endorsement BP 04 19 is added apply a premium loading of 0.05% of the Liability premium.

If Liquor Liability Coverage Endorsement BP 04 89 is added apply a premium loading of 0.05% of the Liability premium.

Rule 29.B.18.e.(3) is replaced by:

If Limited Pollution Liability Extension Endorsement BP 04 94 is added apply a premium loading of 0.05% of the Liability premium.

Rule 29.B.24.c is replaced by:

If Exclusion – Designated Work Endorsement BP 14 21 is added apply a premium credit of 0.05% of the Liability premium.

Rule 29.B.26.c is replaced by:

If Exclusion – Designated Products Endorsement BP 14 23 is added apply a premium credit of 0.05% of the Liability premium.

Rule 29.B.33.c is replaced by:

If Amendment Of Personal And Advertising Injury Definition Endorsement BP 14 91 is added apply a premium loading of 0.5% of the Liability premium.

Rule 29.B.34.a.(3) is replaced by:

If Exclusion – Access Or Disclosure Of Confidential Or Personal Information And Data-related Liability – Limited Bodily Injury Exception Not Included Endorsement BP 15 05 is added apply a premium credit of 0.5% of the Liability premium.

Rule 29.B.34.d is added: d. Data Privacy Protection Exclusion

(1) Description Of Coverage This endorsement excludes liability arising out of a breach of data privacy.

(2) Endorsement Use Data Privacy Protection Exclusion PROP BP 1002.

(3) Premium Determination A premium credit equal to 0.5% of the Liability premium is applied if Data Privacy Protection Exclusion PROP BP 1002 is used.

TERRORISM RISK INSURANCE ACT (‘TRIA’) & AMENDMENTS - PREMIUM RULE

Attach Disclosure Pursuant To Terrorism Risk Insurance Act BP 05 15.

If Terrorism coverage is not included then attach Disclosure Pursuant to Terrorism Risk Insurance Act (Coverage Excluded) PROP BP 1020.

If Terrorism Coverage is included attach Disclosure Pursuant to Terrorism Risk Insurance Act (Coverage Included) PROP BP 1019. The Terrorism premium modification charge as a percentage of the Property Premium and Liability Premium is depicted in the following table:

California Rating Territory Property Loading Liability Loading 13 7% 5% 14 7% 1% 17 7% 1% 18 7% 1% 19 7% 1% 20 7% 1% 26 7% 1% 27 7% 1% 28 7% 1% 30 7% 1% All other territories 1% 1%

State National Insurance Company, Inc (NAIC # 12831) Vouch Technology Growth Package

Program Underwriting Guidelines

Eligible risks include commercial businesses operating in technology innovation sectors. Specifically, those risks operating in software, hardware and life sciences.

The size of a risk that would be eligible includes: • $0 ‐ $100 million in revenue • 0 – 500 employees

STATE NATIONAL INSURANCE COMPANY

COMMERCIAL LINES MANUAL DIVISION TEN – BUSINESSOWNERS MULTISTATE RULES

The following will supplement the Insurance Services Offices, Inc. multistate rules:

MULTISTATE RULES

RULE 1. APPLICATION OF THIS DIVISION

Rule 1.F. Company Rates/ISO Loss Costs are modified to add the following:

To convert the applicable loss costs to rates, multiply the loss costs by the Company Loss Cost Multiplier of 1.540.

RULE 4. POLICY TERM

Rule 4. is modified to provide to the following:

Monthly and quarterly instalment billing will be offered for continuous policies. Continuous policies paid by instalment are to be rerated each anniversary using the rates in effect at that time. There is no additional administration charge for monthly or quarterly instalment billing.

RULE 6. ROUNDING

Rule 6.B is modified to provide the following:

The final premium is to be rounded to the nearest whole . Rounding is to apply to the final premium after all loadings, including the Terrorism loading and Loss Cost Multiplier.

RULE 7. POLICY WRITING MINIMUM PREMIUM

Rule 7 is modified to provide the following:

7.A Minimum Premium Applicable

Program Minimum Written Premium Standard $300 Incubator Program $200

B. Minimum premium rules apply to prepaid policies annual premium payment plan and continuous policies for the policy term.

D. Minimum premium adjustments apply after application of the LCM and Terrorism loading, but before application of the Individual Risk Premium Modification Plan

RULE 8. ADDITIONAL PREMIUM CHANGES

Rule 8. is modified to provide the following:

B. Waiver of Premium – No premium will be waived.

Rule 8.D is added:

D.1 If the insured was referred by a Channel Partner multiply the final premium by 0.95. D.2 If the insured was referred by a Premier Channel Partner multiply the final premium by 0.9.

Rule 8.E is added:

If approved risk mitigation and assessment tools are used then apply discount factor from Table 8.E

Risk Mitigation Tools Factor None 0% One tool -5% Two tools -10% Three tools -12% Four tools -15% Table 8.E Risk Mitigation and Assessment Tool Discount

RULE 16. MANDATORY FORMS, COVERAGE AND LIMITS

Rule 16 is modified to provide the following:

Rule 16.A.1 is replaced by

Coverage on all Business Personal Property. Buildings coverage will not be offered.

Rule 16.B.9 is added:

Nuclear Energy Liability Exclusion PROP BP 1000 must be attached.

Rule 16.B.10 is added:

Non-Stacking PROP BP 1001 must be attached.

Rule 16.B.11 is added:

Bodily Injury to Employees Exclusion PROP BP 1003 must be attached.

Rule 16.B.12 is added:

Cross Suits Exclusion PROP BP 1004 must be attached.

Rule 16.B.13 is added:

Asbestos Exclusion PROP BP 1005 must be attached.

Rule 16.B.14 is added:

Lead Exclusion PROP BP 1006 must be attached.

Rule 16.B.15 is added:

Weapons Exclusion PROP BP 1007 must be attached.

Rule 16.B.16 is added:

Punitive Damages Exclusion PROP BP 1008 must be attached.

Rule 16.B.17 is added:

Liquor Liability Exclusion PROP BP 1009 must be attached.

Rule 16.B.18 is added:

Amend Who Is An Insured PROP BP 1018 must be attached.

Rule 16.B.19 is added:

Amend Duties in the Event of Loss or Damage PROP BP 1017 must be attached.

RULE 22. ELIGIBILITY

Rule 22. is modified to provide the following:

Only technology focused businesses are eligible. Technology focused businesses are defined as businesses that offer a web-based service, or produce software or hardware. Examples of technology focused businesses include: - Consumer e-commerce - Online marketplaces - Digital content and media - Digital gaming - Applications and productivity tools - Fintech and insurtech - Advertising technology - Enterprise and consumer software publishers - Consumer hardware - Business hardware

Lessor risks are ineligible.

RULE 23. PREMIUM DEVELOPMENT – MANDATORY COVERAGES

Rule 23.C.1 is replaced by the following:

23.C.1 Risk Classification

Refer to the Businessowners Classification Table below to obtain: a. Classification group description b. Business Personal Property relativity c. Liability relativity d. Liability exposure base for each risk classification

BPP Liability Liab. Exp. Class Group Relativity Relativity Base Consumer commerce (Posting physical goods) 1.70 1.75 SALES Consumer commerce (Not posting physical goods) 1.00 1.25 SALES Education 1.00 0.75 SALES Digital Content, Media, Software and Advertising 1.00 1.00 SALES Consumer Software Involving Human Activity 1.00 1.00 SALES FinTech 1.00 0.50 SALES Hardware Manufacturer 2.00 2.00 SALES Business Hardware (Non-manufacturing) 2.00 1.00 SALES Consumer Hardware (Non-manufacturing) 2.00 1.25 SALES

Businessowners Classification Table

Rule 23.C.3 (Building Construction) does not apply.

Rule 23.C.4 (Community Mitigation Classifications) does not apply.

Rule 23.C.5 (Sprinklered Property – Automatic Sprinkler System) does not apply.

Rule 23.C.6.a.(2).(c).(i) is replaced by the following:

Multiply the Business Personal Property state base rate by the BPP relativity from the Businessowners Classification Table

Rule 23.C.6.a.(2).(c).(ii) does not apply.

Rule 23.C.6.a.(2).(c).(iv) does not apply.

Rule 23.C.6.a.(2).(c).(v) does not apply.

Rule 23.C.6.a.(2).(c).(vi) does not apply.

Rule 23.C.6.b.(1).(b) is replaced by the following:

Occupant Liability (per $10,000 of annual gross sales)

Rule 23.C.6.b.(2).(b).(i) is replaced by the following:

Based on the Class Group assigned in the Businessowners Classification Table, multiply the liability state base rate by the Class Group Liability Relativity.

Table 23.C.6.b.(2).(b).(ii)(RF) is replaced by the following:

Liability Aggregate Aggregate And Limit For Limit For Medical Products/ Liability And Expenses Completed Medical Increased Limit Operations Expenses Limits (000's) (000's) (000's) Factor 300 600 600 1.000 300 900 600 1.001 500 1,000 1,000 1.032 500 1,500 1,000 1.033 1,000 2,000 2,000 1.074 1,000 3,000 2,000 1.076 2,000 4,000 4,000 1.117 2,000 6,000 4,000 1.118 4,000 8,000 8,000 1.161 4,000 12,000 8,000 1.162

Rule 23.C.6.b.(3).(a) is replaced by:

Annual gross sales (per $10,000)

Rule 23.C.6.b.(3).(b) does not apply.

Rule 23.C.6.b.(3).(c) does not apply.

RULE 29. ENDORSEMENTS

Rule 29.B.1.c is replaced by:

Abuse Or Molestation Exclusion Endorsement BP 04 39 must be attached. No premium modification applies.

Rule 29.B.5.a.(3) is replaced by:

A loading equal to 5.0% of the Liability premium is applied if Electronic Data Liability – Limited Coverage Endorsement BP 05 95 is used.

Rule 29.B.6.a.(3) is replaced by:

Based on the number of employees insured by the business and the selected Employee Benefits Limit, the following table contains the Employee Benefits Liability loss costs when Employee Benefits Liability Coverage Endorsement BP 04 98 is used:

Employee Benefits Liability Limits (Occurrence/Aggregate) Employee $25/$50 $100/$200 $300/$600 $500/$1,000 $1,000/$2,000 $2,000/$4,000 Count (000's) (000's) (000's) (000's) (000's) (000's) 1 ‐ 5 $27 $33 $41 $46 $54 $65 6 ‐ 20 $41 $54 $68 $81 $95 $109 21 ‐ 50 $54 $68 $81 $109 $136 $163 51 ‐ 100 $136 $176 $217 $272 $326 $380

Note that these are loss costs (before application of LCM).

A $1000 deductible applies to the Employee Benefits coverage.

Rule 29.B.8.c is replaced by:

A premium credit equal to 10% of the Liability premium is applied if Exclusion – Personal And Advertising Injury Endorsement BP 04 37 is used.

Rule 29.B.9.b is replaced by:

Exclusion – Silica And Silica-related Dust Endorsement BP 05 17 must be attached.

Rule 29.B.10.b is replaced by:

Exclusion – Volunteer Workers Endorsement BP 04 71 must be attached.

Rule 29.B.11.b is replaced by:

Use Hired Auto And Non-owned Auto Liability Endorsement BP 04 04. If endorsement BP 04 04 is attached then Exclusion Of Terrorism – Hired And Non-Owned Auto Liability PROP BP 1022 and Delivery Activity Exclusion For Hired And Non-Owned PROP BP 1010 must also be attached.

Rule 29.B.15.c.(3) is replaced by:

Fungi Or Bacteria Exclusion (Liability) Endorsement BP 05 77 must be attached. No premium modification applies.

Rule 29.B.18.c.(3) is replaced by:

Total Pollution Exclusion Endorsement BP 04 92 must be attached. No premium modification applies.

Rule 29.B.10.b is replaced by:

Waiver Of Transfer Of Rights Of Recovery Against Others To Us Endorsement BP 04 97 must be attached.

Rule 29.B.25.c is replaced by:

A premium credit equal to 20% of the Liability premium is applied if Exclusion – Products-completed Operations Hazard BP 14 22 is used.

Rule 29.B.34.b.(3) is replaced by:

A loading equal to 2.5% of the Liability Premium is applied if Exclusion – Access Or Disclosure Of Confidential Or Personal Information (Personal And Advertising Injury Only) Endorsement BP 15 06 is used.

Rule 29.C.11.c is replaced by:

No premium modification applies if Additional Insured – Designated Person Or Organization Endorsement BP 04 48 is used.

Rule 29.E.2.a.(2) is replaced by:

Exclusion – Unmanned Aircraft Endorsement BP 15 11 must be attached. No premium modification applies.

INDIVIDUAL RISK PREMIUM MODIFICATION PLAN – MULTISTATE

The Insurance Services Office, Inc. Individual Risk Premium Modification Plan is amended as follows:

RULE 3. RATING MODIFICATION

The company final premium for the risk may be modified in accordance with the following rating table to recognize such special characteristics of the risk as are not fully reflected in the basic company premium or company rates.

Risk Range of Modifications Description Characteristics Credits Debits Cooperation in matters of safeguarding and proper handling Management 8% to 8% of the property covered. Location Accessibility, congestion and exposures. 7% to 7% Building Features Age, condition and unusual structural features. 5% to 5% Premises and Care, condition and type. 5% to 5% Equipment Employees Selection, training, supervision and experience. 3% to 3% Protection Not otherwise recognized. 2% to 2% Classification Peculiarities of classification 10% to 10%

Table 3. Rating Modifications

The total credits or debits under the following table shall not exceed +/-25%. SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Supporting Document Schedules Satisfied - Item: New Prior Approval Rate Application Comments: PriorAppRateTl_Ed04-30-2019.pdf Attachment(s): PriorAppRateTl_Ed04-30-2019.xlsm PriorAppRateAPL_Ed04-30-2019 (9.23.19).pdf PriorAppRateAPL_Ed04-30-2019 (9.23.19).xlsm Item Status: Status Date:

Satisfied - Item: Filing Memorandum Comments: Attachment(s): Explanatory Memo (BOP) - Combined.pdf Item Status: Status Date:

Satisfied - Item: Exhibit 16 Comments: Attachment(s): Exhibit 16 BOP.pdf Item Status: Status Date:

Satisfied - Item: ISO Lists Comments: Attachment(s): CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 9-23-19.pdf Item Status: Status Date:

Satisfied - Item: Third Party Authorization Comments: Attachment(s): FAL SNIC VCH CA CMP BOP 7-10-19-RRF.pdf Item Status: Status Date:

Satisfied - Item: Support Comments:

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Attachment(s): State National Min Prem Sup Exh BOP - Stnd and Incub Prog (GL BPP) CA 20190828.xlsx Item Status: Status Date:

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM

Exhibit 16 State National Insurance Company, Inc (NAIC # 12831) Technology Growth Package – BOP (Program administered by Vouch Insurance Services, LLC) New Program Filing – Rates, Rules, and Forms ‐ California

Explanatory Memorandum

On behalf of State National Insurance Company, Inc. (“SNIC” or “the Company”), we are submitting this filing to introduce its new “Technology Growth Package”. This is a Businessowners (“BOP”) program targeting small and mid‐size technology companies. This new program has not yet been written in any state by the insurer or an affiliated company. Hence, there is no impact of current policyholders. State National does not have loss experience for this program to independently develop rates. State National will utilize Insurance Services Office (“ISO”) forms, rules and loss costs. Rule Filing 18-766 (BP-2018- RRU1) and Loss Cost filing 19-409 (BP-2019-RLA1) are to be adopted.

Enclosed is authorization for Perr & Knight to submit this filing on behalf of the Company. All correspondence related to this filing should be directed to Perr & Knight.

See the accompanying list of California approved ISO BOP Rules, Loss Costs and Forms.

State National is filing material deviations from ISO’s program, including deviations in Increased Limit Factors, classification code structure, the liability exposure base and the adoption of Employee Benefit Liability premiums. The material deviations include:

- An LCM of 1.55 for Liability and 1.53 for Property, with an overall LCM of 1.540 - Minimum written premiums of $300 for the Standard program and $200 for the incubator program - No minimum earned premium - Extension of the Liability ILF curve to higher limits - Custom class codes to better reflect State National’s tech-focused target market - Liability exposure to be Occupant Liability Gross Sales - Extension of the Employee Liability coverage to higher limits - Affinity Partner Discounts - Discount for use of Risk Mitigation and Assessment tools

Loss Cost Multiplier (LCM) - Overall

Commissions 17.0% Other Acquisition Expenses 2.0% General Expenses 8.0% Taxes, Licenses and Fees 3.0% Underwriting Profit and Contingencies 5.0% Total 35.0% Expected Loss Ratio (ELR = 100% - Total) 65.0% Loss Cost Multiplier (LCM = 1 / ELR) 1.54

Liability ILF Extension

The Liability ILF curve has been extended beyond that in the default ISO BOP program, with a Liability and Medical Expenses Limit level of $4,000,000 being added. The ILF table is shown below, with the original ISO values depicted in black and the extended values depicted in blue and italicized.

Aggregate Limit Aggregate Limit Liability And For For Liability And Medical Products/Compl Medical Expenses Limit eted Operations Expenses Increased Limit (000's) (000's) (000's) Factor 300 600 600 1 300 900 600 1.001 500 1,000 1,000 1.032 500 1,500 1,000 1.033 1,000 2,000 2,000 1.074 1,000 3,000 2,000 1.076 2,000 4,000 4,000 1.117 2,000 6,000 4,000 1.118 4,000 8,000 8,000 1.161 4,000 12,000 8,000 1.162

The ISO BOP Liability ILF curve follows the following pattern:

- Doubling of the Liability And Medical Expenses Limit from $500,000 to $1,000,000 involves an increase in the ILF of 0.42 (=1.074-1). The Aggregate Limit is always double the Liability And Medical Expenses Limit - The Aggregate Limit For Products/Completed Operations is offered at values of both double and triple that of the Liability And Medical Expenses Limit - The option where Aggregate Limit For Products/Completed Operations is triple that of the Liability And Medical Expenses Limit is 0.01 higher than the option where it is double

The extension imposed on the Liability And Medical Expenses Limit to $4,000,000 followed this same pattern. The chart below demonstrates that the ILF at this level is a natural extension of the existing curve.

The ILFs attached to the added higher limit options are not excessive, inadequate, or unfairly discriminatory.

Custom Class Codes

State National's target market consists of nine tech-focused classes. The table below illustrates the ISO BOP class codes to which State National's nine class codes would map. In all but one case they map to ISO BOP class codes with both property and liability relativities of 1.0.

State National Class ISO BOP ISO BOP Class ISO BOP ISO BOP ISO BOP ISO BOP ISO BOP ISO BOP Group Class Property Liability Building BPP Liability Liab. Code Class Class Group Relativity Relativity Relativity Exp. Group Base

Consumer commerce 59999 Mail Order Houses 9 8 1.467 1.788 5.343 LOI (Posting physical – Retail Only goods)

Consumer commerce 65171 Offices - Not 1 1 1.0 1.0 1.0 LOI (Not posting physical Otherwise goods) Classified

Education 65171 Offices - Not 1 1 1.0 1.0 1.0 LOI Otherwise Classified

Digital Content, 63651 Offices - 1 1 1.0 1.0 1.0 LOI Media, Software and Advertising and Advertising Related Services

64011 Offices - Payroll 1 1 1.0 1.0 1.0 LOI Accounting Services

65171 Offices - Not 1 1 1.0 1.0 1.0 LOI Otherwise Classified

Consumer Software 65171 Offices - Not 1 1 1.0 1.0 1.0 LOI Involving Human Otherwise Activity Classified

FinTech 63851 Offices - Insurance 1 1 1.0 1.0 1.0 LOI Agents

64061 Offices - Real 1 1 1.0 1.0 1.0 LOI Estate Agents

65171 Offices - Not 1 1 1.0 1.0 1.0 LOI Otherwise Classified

Hardware No equivalent class code Manufacturer

Business Hardware 65171 Offices - Not 1 1 1.0 1.0 1.0 LOI (Non-manufacturing) Otherwise Classified

Consumer Hardware 65171 Offices - Not 1 1 1.0 1.0 1.0 LOI (Non-manufacturing) Otherwise Classified

Given the lack of tech-specific class codes in the ISO BOP program, instead of the ISO BOP class codes and associated class groups, State National will adopt the property and liability relativities displayed in the table below for each of their nine tech-focused class codes. The adopted relativities for these nine class codes are not excessive, inadequate or unfairly discriminatory.

State National Class Group State National Building State National State National and BPP Relativity Liability Relativity Liab. Exp. Base

Consumer commerce (Posting physical goods) 1.7 1.75 SALES

Consumer commerce (Not posting physical goods) 1.0 1.25 SALES

Education 1.0 0.75 SALES

Digital Content, Media, Software and Advertising 1.0 1.00 SALES

Consumer Software Involving Human Activity 1.0 1.00 SALES

FinTech 1.0 0.50 SALES

Hardware Manufacturer 2.0 2.00 SALES

Business Hardware (Non-manufacturing) 2.0 1.00 SALES

Consumer Hardware (Non-manufacturing) 2.0 1.25 SALES

Liability Exposure Base Deviation

As discussed above, under the default ISO program, most tech startups would be classified under the "Offices (Not Otherwise Classified)" class code and, for an Occupant insured, the Liability exposure base is the BPP limit (divided by $100). The Liability loss cost is computed by multiplying the Liability rate by this exposure base.

For most tech startups the true liability exposure scales closer to Gross Sales rather than BPP. As such, State National's Liability premium will use the "Occupant Liability Per $1,000 Of Annual Gross Sales" loss cost value in the ISO BOP State Loss Costs manual, rather than the "Occupant Liability Per $100 Of Limit Of Ins." Furthermore, given the relatively low capital investment of most tech startups compared to traditional "brick and mortar" businesses, in order to arrive at a loss cost that is comparable with what the default ISO program would have been, the loss costs will be treated as if they were "Occupant Liability Per $10,000 Of Annual Gross Sales", rather than "Occupant Liability Per $1,000 of Annual Gross Sales".

A few worked examples will illustrate. Consider an insured risk in Territory 13 in California (in which San Francisco sits). The following table shows the default ISO loss costs applicable to this territory.

PROPERTY LIABILITY

Building Per Business Occupant Occupant Occupant Lessors $100 of Limit Personal Liability Per Liability Per Liability Per Liability Per of Ins. Property Per $100 of Limit $1,000 of $1,000 of $100 of Limit $100 of Limit of Ins. Annual Annual of Ins. of Ins. Gross Sales Payroll

13 0.145 0.408 0.116 2.127 14.507 0.016

For simplicity, consider the Liability ILF to be 1.0, with the BPP limit being $185,000 in each example and revenue varying in each case.

Example 1 (low revenue relative to BPP):

Business Personal Property: $185,000

Gross Sales: $750,000

Under the traditional ISO exposure calculation for an Offices (Not Otherwise Classified) risk, the Liability Loss Cost would be $185,000/100 * $0.116 = $214.60

Under State National's approach the Liability Loss Cost would be: $750,000/10,000 * $2.127 = $159.53

Example 2 (medium revenue relative to BPP):

Business Personal Property: $185,000

Gross Sales: $1,000,000 Under the traditional ISO exposure calculation for an Offices (Not Otherwise Classified) risk, the Liability Loss Cost would be $185,000/100 * $0.116 = $214.60

Under State National's approach the Liability Loss Cost would be: $1,000,000/10,000 * $2.127 = $212.70

Example 3 (high revenue relative to BPP):

Business Personal Property: $185,000

Gross Sales: $1,500,000

Under the traditional ISO exposure calculation for an Offices (Not Otherwise Classified) risk, the Liability Loss Cost would be $185,000/100 * $0.116 = $214.60

Under State National's approach the Liability Loss Cost would be: $1,500,000/10,000 * $2.127 = $319.05

In each case, the default ISO Liability Loss Cost would have been $214.60. The State National Liability Loss Cost is anchored to the ISO Loss Cost while still scaling with Gross Sales.

Switching the Liability exposure from the BPP limit divided by 100 to Sales divided by 10,000 better reflects the underlying liability risk of a tech startup and results in loss costs that are not excessive, inadequate, or unfairly discriminatory.

Employee Benefits Liability Loss Costs

The ISO BOP program requires “Refer to Company” for Employee Benefit Liability loss costs. Loss costs adopted by Chubb in their BOP program (SERFF Tracking: ACEH-131579243) will be used. The premiums (inclusive of LCM) in Chubb’s program are depicted in black text in the table below.

Employee Benefits Liability Premiums Liability Limits (Occurrence/Aggregate) Employee $25/$50 $100/$200 $300/$600 $500/$1,000 $1,000/$2,000 $2,000/$4,000 Count (000's) (000's) (000's) (000's) (000's) (000's) 1 ‐ 5 $50 $60 $75 $85 $100 $120 6 ‐ 20 $75 $100 $125 $150 $175 $200 21 ‐ 50 $100 $125 $150 $200 $250 $300 51 ‐ 100 $250 $325 $400 $500 $600 $700

Two adjustments were made to these premiums before being adopted by State National.

- The maximum occurrence/aggregate limit in Chubb’s program was $1M/$2M, so this was extended to $2M/$4M (depicted in blue text in the above table). The chart below, shows that the premiums associated with the extension to this higher limit are consistent with the premium pattern at lower limits. - The Chubb premiums include a Loss Cost Multiplier at a target loss ratio 54.3%. To convert these premiums to an equivalent loss cost we multiply by 0.543

After making these two adjustments, the adopted loss costs for the Employee Benefits Liability coverage are shown below. These loss costs are not excessive, inadequate, or unfairly discriminatory.

Employee Benefits Liability Adopted Loss Costs Liability Limits (Occurrence/Aggregate) Employee $25/$50 $100/$200 $300/$600 $500/$1,000 $1,000/$2,000 $2,000/$4,000 Count (000's) (000's) (000's) (000's) (000's) (000's)

1 ‐ 5 $27 $33 $41 $46 $54 $65

6 ‐ 20 $41 $54 $68 $81 $95 $109

21 ‐ 50 $54 $68 $81 $109 $136 $163

51 ‐ 100 $136 $176 $217 $272 $326 $380

Discount for Affinity-Driven Partnerships

State National insureds rely on their investors, advisors, service providers, and other founders for advice. State National is partnering with leaders in each category to provide better solutions. A 5% discount would apply when a company has entered into an agreement with State National and have indicated that they are affiliated with a partner entity. This discount is applicable for affinity-driven partnerships such as founder communities, investors, and service providers that allow State National to reduce acquisition costs based on the channel of their customers to State National. A 10% discount would apply when a company has entered into a formal channel and data sharing or data facilitation agreement with State National. This discount is applicable for affinity-driven partnerships such as founder communities, investors and service providers that allow State National to reduce acquisition costs based on the channel of their customers to State National as well as providing data that can improve underwriting.

Discount for Use of Risk Mitigation and Assessment Tools

A tiered discount of up to 15% will be applied for the use of up to four risk mitigation and assessment tools. This serves as an incentive to encourage positive risk mitigation behavior by insureds of State National. State National insureds will be given opportunities to reduce risk, and discounts will incentivize them for doing so. The percentage discount applied will be based on the number of tools and actions leveraged by an insured as per the table below

Risk Mitigation Tools Factor

None 0%

One tool -5%

Two tools -10%

Three tools -12%

Four tools -15%

Risk mitigation may include tools such as taking a formal risk assessment, subscription to approved risk management services, validated use of approved tools and services, educational training utilization, and other delivery methods of risk mitigation practices. All risk mitigation will be developed with the goal of reducing loss related to bodily injury, property damage, commercial auto liability, or product liability.

Mandatory/ Broadening or Form Number Title Filing ID CDI File # Optional Exclusionary Rate Impact BP DS 06 07 13 FLOOD COVERAGE SCHEDULE BP-2012-OFR12 12-6167 Optional N/A None BP IN 01 07 13 BUSINESSOWNERS COVERAGE FORM INDEX BP-2012-OFR12 12-6168 Optional N/A None BP 00 03 07 13 BUSINESSOWNERS COVERAGE FORM BP-2012-OFR12 12-6093 Mandatory N/A None BP 01 10 01 06 CALIFORNIA ADDITIONAL EARTHQUAKE COVERAGE BP-2004-OFR04 05-996 Optional Broadening 0.05% BP 01 55 05 17 CALIFORNIA CHANGES CL-2016-OCH1 16-5290 Mandatory N/A None BP 03 12 01 10 WINDSTORM OR HAIL PERCENTAGE DEDUCTIBLES BP-2009-OFR09 09-3245 Optional Exclusionary Using ISO factors BP 04 01 01 06 COMPREHENSIVE BUSINESS LIABILITY EXCLUSION (ALL BP-2004-OFR04 05-999 HAZARDS IN CONNECTION WITH DESIGNATED PREMISES OR OPERATIONS) Optional Clarifies coverage -0.50% BP 04 02 07 13 ADDITIONAL INSURED - MANAGERS OR LESSORS OF BP-2012-OFR12 12-6094 PREMISES Optional Clarifies coverage No rate impact BP 04 07 07 13 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY BP-2012-OFR12 12-6097 OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS RELATING TO PREMISES Optional Clarifies coverage No rate impact BP 04 08 01 06 ADDITIONAL INSURED - TOWNHOUSE ASSOCIATIONS BP-2004-OFR04 05-1004 Optional Clarifies coverage No rate impact BP 04 09 07 13 ADDITIONAL INSURED - MORTGAGEE, ASSIGNEE OR BP-2012-OFR12 12-6098 RECEIVER Optional Clarifies coverage No rate impact BP 04 10 07 13 ADDITIONAL INSURED - OWNERS OR OTHER INTERESTS BP-2012-OFR12 12-6099 FROM WHOM LAND HAS BEEN LEASED Optional Clarifies coverage No rate impact BP 04 11 07 13 ADDITIONAL INSURED - CO-OWNER OF INSURED PREMISES BP-2012-OFR12 12-6100 Optional Clarifies coverage No rate impact BP 04 12 04 17 LIMITATION OF COVERAGE TO DESIGNATED PREMISES, CL-2016-ODPFR 16-5934 PROJECT OR OPERATION Optional Exclusionary -0.05% BP 04 16 07 13 ADDITIONAL INSURED - LESSOR OF LEASED EQUIPMENT BP-2012-OFR12 12-6103 Optional Broadening Using ISO loss costs BP 04 17 01 10 EMPLOYMENT-RELATED PRACTICES EXCLUSION BP-2009-OFR09 09-3248 Optional Clarifies coverage -0.05% BP 04 19 07 13 AMENDMENT - LIQUOR LIABILITY EXCLUSION - EXCEPTION BP-2012-OFR12 12-6104 FOR SCHEDULED PREMISES OR ACTIVITIES Optional Broadening 0.05% BP 04 37 07 02 EXCLUSION - PERSONAL AND ADVERTISING INJURY B-2001-OFR01 01-9801 Optional Exclusionary % discount to liability premium BP 04 38 01 06 MEDICAL EXPENSES - EXCLUSION BP-2004-OFR04 05-1016 Optional Exclusionary Using ISO factors BP 04 39 07 02 ABUSE OR MOLESTATION EXCLUSION B-2001-OFR01 01-9803 Mandatory Exclusionary No rate impact BP 04 41 07 13 BUSINESS INCOME CHANGES - TIME PERIOD BP-2012-OFR12 12-6107 Optional Broadening Using ISO loss costs BP 04 47 07 13 ADDITIONAL INSURED - VENDORS BP-2012-OFR12 12-6108 Optional Clarifies coverage No rate impact BP 04 48 07 13 ADDITIONAL INSURED - DESIGNATED PERSON OR BP-2012-OFR12 12-6109 ORGANIZATION Optional Clarifies coverage No rate impact BP 04 50 07 13 ADDITIONAL INSURED - OWNERS, LESSEES OR BP-2012-OFR12 12-6111 CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION Optional Clarifies coverage No rate impact BP 04 51 07 13 ADDITIONAL INSURED - OWNERS, LESSEES OR BP-2012-OFR12 12-6112 CONTRACTORS - WITH ADDITIONAL INSURED REQUIREMENT IN CONSTRUCTION CONTRACT Optional Clarifies coverage No rate impact BP 04 52 07 13 ADDITIONAL INSURED - STATE OR GOVERNMENTAL AGENCY BP-2012-OFR12 12-6113 OR SUBDIVISION OR POLITICAL SUBDIVISION - PERMITS OR AUTHORIZATIONS Optional Clarifies coverage No rate impact BP 04 53 07 13 WATER BACK-UP AND SUMP OVERFLOW BP-2012-OFR12 12-6114 Optional Broadening Using ISO loss costs BP 04 54 01 06 NEWLY ACQUIRED ORGANIZATIONS BP-2004-OFR04 05-1026 Optional Broadening Using ISO loss costs BP 04 55 01 06 BROADENED COVERAGE FOR DAMAGE TO PREMISES RENTED BP-2004-OFR04 05-1027 TO YOU Optional Broadening Using ISO loss costs BP 04 56 07 13 UTILITY SERVICES - DIRECT DAMAGE BP-2012-OFR12 12-6115 Optional Broadening Using ISO loss costs BP 04 57 07 13 UTILITY SERVICES - TIME ELEMENT BP-2012-OFR12 12-6116 Optional Broadening Using ISO loss costs BP 04 71 07 02 EXCLUSION - VOLUNTEER WORKERS B-2001-OFR01 01-9838 Mandatory Clarifies coverage No rate impact BP 04 89 01 10 LIQUOR LIABILITY COVERAGE BP-2009-OFR09 09-3254 Optional Broadening 0.05% BP 04 92 07 02 TOTAL POLLUTION EXCLUSION B-2001-OFR01 01-9848 Mandatory Exclusionary No rate impact BP 04 94 01 06 LIMITED POLLUTION LIABILITY EXTENSION BP-2004-OFR04 05-1042 Optional Broadening 0.05% BP 04 97 01 06 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST BP-2004-OFR04 05-1043 OTHERS TO US Mandatory Broadening No rate impact BP 04 98 07 13 EMPLOYEE BENEFITS LIABILITY COVERAGE BP-2012-OFR12 12-6117 Optional Broadening b rates as described in rules and Exhibit 16 BP 05 01 07 02 CALCULATION OF PREMIUM B-2001-OFR01 01-9854 Mandatory N/A BP 05 15 01 15 DISCLOSURE PURSUANT TO TERRORISM RISK INSURANCE CL-2015-OTRFO 15-716 ACT Optional Clarifies coverage Rates by territory as filed BP 05 17 01 06 EXCLUSION - SILICA OR SILICA-RELATED DUST BP-2004-OFR04 05-1047 Mandatory Exclusionary BP 05 23 01 15 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CL-2015-OTRFO 15-727 Optional Exclusionary Using ISO loss costs BP 05 24 01 15 EXCLUSION OF CERTIFIED ACTS OF TERRORISM CL-2015-OTRFO 15-730 Optional Exclusionary Using ISO loss costs BP 05 26 01 15 EXCLUSION OF CERTIFIED ACTS OF TERRORISM INVOLVING CL-2015-OTRFO 15-785 NUCLEAR, BIOLOGICAL, CHEMICAL OR RADIOLOGICAL TERRORISM; CAP ON COVERED CERTIFIED ACTS LOSSES Optional Exclusionary Using ISO loss costs BP 05 27 01 15 LIMITATIONS OF COVERAGE FOR CERTIFIED ACTS OF CL-2015-OTRFO 15-787 TERRORISM Optional Exclusionary Using ISO loss costs

Page 1 of 3 Mandatory/ Broadening or Form Number Title Filing ID CDI File # Optional Exclusionary Rate Impact BP 05 38 01 15 EXCLUSION OF OTHER ACTS OF TERRORISM COMMITTED CL-2015-OTRFO 15-788 OUTSIDE THE UNITED STATES; CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM Optional Exclusionary Using ISO loss costs BP 05 41 01 15 EXCLUSION OF CERTIFIED ACTS OF TERRORISM AND CL-2015-OTRFO 15-789 EXCLUSION OF OTHER ACTS OF TERRORISM COMMITTED OUTSIDE THE UNITED STATES Optional Exclusionary Using ISO loss costs BP 05 42 01 15 EXCLUSION OF PUNITIVE DAMAGES RELATED TO A CERTIFIED CL-2015-OTRFO 15-790 ACT OF TERRORISM Optional Broadening Using ISO loss costs BP 05 47 07 13 COMPUTER AND FUNDS TRANSFER FRAUD BP-2012-OFR12 12-6119 Optional Broadening Using ISO loss costs BP 05 64 01 15 CONDITIONAL EXCLUSION OF TERRORISM (RELATING TO CL-2015-OTRFO 15-791 DISPOSITION OF FEDERAL TERRORISM RISK INSURANCE ACT) Optional Exclusionary Using ISO loss costs BP 05 65 01 15 CONDITIONAL EXCLUSION OF TERRORISM INVOLVING CL-2015-OTRFO 15-793 NUCLEAR, BIOLOGICAL OR CHEMICAL TERRORISM (RELATING TO DISPOSITION OF FEDERAL TERRORISM RISK INSURANCE ACT) Optional Exclusionary Using ISO loss costs BP 05 66 01 15 CONDITIONAL LIMITATION OF COVERAGE FOR TERRORISM - CL-2015-OTRFO 15-794 SUB-LIMIT ON ANNUAL AGGREGATE BASIS (RELATING TO DISPOSITION OF FEDERAL TERRORISM RISK INSURANCE ACT) Optional Exclusionary Using ISO loss costs BP 05 67 01 06 EXCLUSION OF TERRORISM BP-2004-OTIPP 04-4213 Optional Exclusionary Using ISO loss costs BP 05 68 01 06 EXCLUSION OF TERRORISM INVOLVING NUCLEAR, BP-2004-OTIPP 04-4214 BIOLOGICAL OR CHEMICAL TERRORISM Optional Exclusionary Using ISO loss costs BP 05 69 01 06 LIMITATION OF COVERAGE FOR TERRORISM - SUB-LIMIT ON BP-2004-OTIPP 04-4215 ANNUAL AGGREGATE BASIS Optional Exclusionary Using ISO loss costs BP 05 71 01 15 DISCLOSURE OF PREMIUM AND ESTIMATED PREMIUM FOR CL-2015-OTRFO 15-723 CERTIFIED ACTS OF TERRORISM COVERAGE (PURSUANT TO TERRORISM RISK INSURANCE ACT) Optional N/A Using ISO loss costs BP 05 76 01 10 CHANGES - LIMITED FUNGI COVERAGE BP-2009-OFR09 09-3258 Optional Broadening Using ISO loss costs BP 05 77 01 06 FUNGI OR BACTERIA EXCLUSION (LIABILITY) BP-2004-OFR04 05-1051 Mandatory Exclusionary BP 05 78 01 10 LIMITED FUNGI OR BACTERIA COVERAGE (LIABILITY) BP-2009-OFR09 09-3259 Optional Broadening 0.50% BP 05 89 01 10 EMPLOYMENT-RELATED PRACTICES LIABILITY BP-2009-OFR09 09-3260 ENDORSEMENT Optional Broadening Using ISO loss costs BP 05 95 05 14 ELECTRONIC DATA LIABILITY - LIMITED COVERAGE BP-2013-ODBFR 13-6674 Optional Broadening % loading on liability premium BP 06 47 07 13 CALIFORNIA - FUNCTIONAL BUILDING VALUATION COVERAGE BP-2012-OFR12 12-6174 Optional Broadening Using ISO loss costs BP 06 48 04 06 CALIFORNIA - FUNCTIONAL BUSINESS PERSONAL PROPERTY BP-2005-ORCF1 05-5624 VALUATION COVERAGE Optional Broadening Using ISO loss costs BP 06 86 05 17 CALIFORNIA - HIRED AUTO AND NON-OWNED AUTO LIABILITY CL-2016-OCH1 16-5291 Optional Broadening Using ISO loss costs BP 07 01 07 13 CONTRACTORS' INSTALLATION, TOOLS AND EQUIPMENT BP-2012-OFR12 12-6126 COVERAGE Optional Broadening Using ISO loss costs BP 07 02 07 02 AMENDMENT - AGGREGATE LIMITS OF INSURANCE (PER B-2001-OFR01 01-9856 PROJECT) Optional Broadening Using ISO loss costs BP 07 04 01 06 BUSINESS LIABILITY COVERAGE - PROPERTY DAMAGE BP-2004-OFR04 05-1063 LIABILITY DEDUCTIBLE (PER OCCURRENCE BASIS) Mandatory unless BP 07 03 is attached Clarifies Coverage Using ISO loss costs BP 07 07 01 06 BUSINESS LIABILITY COVERAGE - AMENDMENT OF LIABILITY BP-2004-OFR04 05-1064 AND MEDICAL EXPENSES LIMITS OF INSURANCE Optional Broadening Using ISO factors BP 07 11 01 06 MOTEL - LIABILITY FOR GUESTS' PROPERTY IN SAFE DEPOSIT BP-2004-OFR04 05-1071 BOXES Optional Broadening Using ISO factors BP 07 12 01 10 SELF-STORAGE FACILITIES BP-2009-OFR09 09-3265 Optional Broadening Using ISO loss costs BP 07 75 07 13 APARTMENT BUILDINGS BP-2012-OFR12 12-6128 Optional Broadening Using ISO loss costs BP 07 76 07 13 APARTMENT BUILDINGS - LOSS OR DAMAGE TO TENANTS' BP-2012-OFR12 12-6129 AUTOS (LEGAL LIABILITY COVERAGE) Optional Broadening Using ISO loss costs BP 07 77 08 06 FINE ARTS COVERAGE BP-2005-OABFO 06-168 Optional Broadening Using ISO loss costs BP 07 78 07 13 RESTAURANTS BP-2012-OFR12 12-6130 Optional Broadening Using ISO loss costs BP 07 79 07 13 RESTAURANTS - LOSS OR DAMAGE TO CUSTOMERS' AUTOS BP-2012-OFR12 12-6131 (LEGAL LIABILITY COVERAGE) Optional Broadening Using ISO loss costs BP 07 81 07 13 RESIDENTIAL CLEANING SERVICES BP-2012-OFR12 12-6132 Optional Broadening Using ISO loss costs BP 07 83 07 13 PHOTOGRAPHY BP-2012-OFR12 12-6169 Optional Broadening Using ISO loss costs BP 07 87 07 13 PHOTOGRAPHY - AMENDMENT OF COVERAGE TERRITORY BP-2012-OFR12 12-6171 FOR "PHOTOGRAPHIC EQUIPMENT" - WORLDWIDE COVERAGE Optional Broadening Using ISO loss costs BP 08 05 01 10 VETERINARIANS PROFESSIONAL LIABILITY BP-2009-OFR09 09-3273 Optional Broadening Using ISO loss costs BP 08 07 07 13 PHARMACISTS BP-2012-OFR12 12-6135 Optional Broadening Using ISO loss costs BP 10 03 07 13 EARTHQUAKE BP-2012-OFR12 12-8103 Optional Broadening Using ISO loss costs BP 10 09 07 13 NAMED PERILS BP-2012-OFR12 12-6138 Optional Exclusionary Using ISO factors

Page 2 of 3 Mandatory/ Broadening or Form Number Title Filing ID CDI File # Optional Exclusionary Rate Impact BP 10 10 07 02 SPRINKLER LEAKAGE - EARTHQUAKE EXTENSION B-2001-OFR01 01-9923 Optional Broadening Using ISO loss costs BP 10 11 07 13 EARTHQUAKE AND VOLCANIC ERUPTION (SUB-LIMIT) BP-2012-OFR12 12-6139 Optional Broadening Using ISO loss costs BP 10 47 01 06 CALIFORNIA LIMITED EARTHQUAKE ENDORSEMENT BP-2004-OFR04 05-1082 (RESIDENTIAL PROPERTY - LESSOR'S RISK) Optional Broadening 0.05% BP 10 79 07 13 FLOOD COVERAGE BP-2012-OFR12 12-6140 Optional Broadening 0.05% BP 10 80 02 14 OFF-PREMISES INTERRUPTION OF BUSINESS - VEHICLES AND BP-2013-OBIFR 13-5939 MOBILE EQUIPMENT Optional Broadening Using ISO loss costs BP 12 01 08 10 BUSINESSOWNERS POLICY CHANGES BP-2009-OBPFO 09-9804 Optional N/A No rate impact BP 12 02 07 13 FIRE DEPARTMENT SERVICE CONTRACT BP-2012-OFR12 12-6141 Optional Broadening 0.05% BP 12 03 01 10 LOSS PAYABLE CLAUSES BP-2009-OFR09 09-3279 Optional Clarifies coverage No rate impact BP 12 31 01 10 ADDITIONAL INSURED - BUILDING OWNER BP-2009-OFR09 09-3280 Optional Clarifies coverage No rate impact BP 14 01 01 10 IDENTITY FRAUD EXPENSE COVERAGE BP-2009-OFR09 09-3281 Optional Broadening Using ISO loss costs BP 14 02 07 13 ADDITIONAL INSURED - OWNERS, LESSEES OR BP-2012-OFR12 12-6142 CONTRACTORS - COMPLETED OPERATIONS Optional Clarifies coverage No rate impact BP 14 03 01 10 THEFT OF CLIENTS' PROPERTY COVERAGE BP-2009-OFR09 09-3283 Optional Broadening Using ISO loss costs BP 14 04 07 13 WINDSTORM OR HAIL LOSSES TO ROOF SURFACING - ACTUAL BP-2012-OFR12 12-6143 CASH VALUE LOSS SETTLEMENT Optional Exclusionary Using ISO loss costs BP 14 05 07 13 ADDITIONAL INSURED - GRANTOR OF FRANCHISE BP-2012-OFR12 12-6144 Optional Clarifies coverage No rate impact BP 14 06 01 10 BUSINESS INCOME, EXTRA EXPENSE AND RELATED BP-2009-OFR09 09-3286 COVERAGES LIMIT OF INSURANCE Optional Exclusionary Using ISO factors BP 14 07 01 10 BUSINESS INCOME AND EXTRA EXPENSE - REVISED PERIOD BP-2009-OFR09 09-3287 OF INDEMNITY Optional Broadening Using ISO loss costs BP 14 09 07 13 DEBRIS REMOVAL ADDITIONAL INSURANCE BP-2012-OFR12 12-6145 Optional Broadening Using ISO loss costs BP 14 10 01 10 BRANDS AND LABELS BP-2009-OFR09 09-3290 Optional Broadening Using ISO loss costs BP 14 21 01 10 EXCLUSION - DESIGNATED WORK BP-2009-OFR09 09-3304 Optional Exclusionary -0.05% BP 14 22 01 10 EXCLUSION - PRODUCTS-COMPLETED OPERATIONS HAZARD BP-2009-OFR09 09-3305 Optional Exclusionary % discount on liability premium BP 14 23 01 10 EXCLUSION - DESIGNATED PRODUCTS BP-2009-OFR09 09-3306 Optional Exclusionary -0.05% BP 14 75 07 13 INCREASED COST OF LOSS AND RELATED EXPENSES FOR BP-2012-OFR12 12-6147 GREEN UPGRADES Optional Broadening Using ISO loss costs BP 14 78 07 13 EXCLUSION OF LOSS DUE TO BY-PRODUCTS OF PRODUCTION BP-2012-OFR12 12-6148 OR PROCESSING OPERATIONS (RENTAL PROPERTIES) Optional Exclusionary Using ISO loss costs BP 14 79 07 13 SPECIFIED BUSINESS PERSONAL PROPERTY TEMPORARILY BP-2012-OFR12 12-6152 AWAY FROM PREMISES Optional Broadening Using ISO loss costs BP 14 81 07 13 LIMITATIONS ON COVERAGE FOR ROOF SURFACING BP-2012-OFR12 12-6154 Optional Exclusionary Using ISO loss costs BP 14 82 07 13 INCREASE IN REBUILDING EXPENSES FOLLOWING DISASTER BP-2012-OFR12 12-6155 (ADDITIONAL EXPENSE COVERAGE ON ANNUAL AGGREGATE BASIS) Optional Broadening Using ISO loss costs BP 14 84 07 13 WINDSTORM OR HAIL EXCLUSION BP-2012-OFR12 12-6157 Optional Exclusionary Using ISO loss costs BP 14 87 07 13 ADDITIONAL INSURED - OWNERS, LESSEES OR BP-2012-OFR12 12-6159 CONTRACTORS - WITH ADDITIONAL INSURED REQUIREMENT FOR OTHER PARTIES IN CONSTRUCTION CONTRACT Optional Clarifies coverage No rate impact BP 14 88 07 13 PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE BP-2012-OFR12 12-6160 CONDITION Optional Clarifies coverage No rate impact BP 14 91 07 13 AMENDMENT OF PERSONAL AND ADVERTISING INJURY BP-2012-OFR12 12-6162 DEFINITION Optional Broadening 0.50% BP 15 04 05 14 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR BP-2013-ODBFR 13-6678 Mandatory unless BP PERSONAL INFORMATION AND DATA-RELATED LIABILITY - 15 06 or BP 05 95 are WITH LIMITED BODILY INJURY EXCEPTION attached Exclusionary No rate impact BP 15 05 05 14 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR BP-2013-ODBFR 13-6681 PERSONAL INFORMATION AND DATA-RELATED LIABILITY - LIMITED BODILY INJURY EXCEPTION NOT INCLUDED Optional Exclusionary -0.50% BP 15 06 05 14 EXCLUSION - ACCESS OR DISCLOSURE OF CONFIDENTIAL OR BP-2013-ODBFR 13-6685 PERSONAL INFORMATION (PERSONAL AND ADVERTISING INJURY ONLY) Optional Broadening % loading on liability premium BP 15 07 03 15 INFORMATION SECURITY PROTECTION ENDORSEMENT BP-2014-OISFR 14-4639 Optional Broadening Using ISO loss costs BP 15 09 03 15 PAYMENT CARD INDUSTRY (PCI) - PROVIDE COVERAGE FOR BP-2014-OISFR 14-4640 DEFENSE EXPENSES Optional Broadening Using ISO loss costs BP 15 10 03 15 PROVIDE COVERAGE FOR DISHONEST, MALICIOUS OR BP-2014-OISFR 14-4641 FRAUDULENT ACTS COMMITTED BY EMPLOYEES Optional Broadening Using ISO loss costs

Page 3 of 3 CALIFORNIA MANUAL INFORMATION BUSINESSOWNERS As Of: 04/22/2019

RULE FILINGS CDI # ISO Filing # Filed Date Circular # Approved Date Circular # 97-5307 B-97-RMAN1 06/06/1997 LI-ML-97-138 08/26/1997 LI-ML-97-175 98-238 B-97-OBGS1 12/31/1997 LI-ML-1998-005 02/17/1998 LI-ML-1998-085 98-1130 B-97-OY2KR 02/02/1998 LI-ML-1998-061 03/09/1998 LI-ML-1998-105 98-5355 B-98-OY2KR 05/04/1998 LI-ML-1998-159 06/02/1998 LI-ML-1998-179 99-1981 CL-99-OACV2 02/17/1999 LI-ML-1999-030 03/12/1999 LI-ML-1999-066 99-8529 B-99-R99SF 07/12/1999 LI-ML-1999-124 09/23/1999 LI-ML-1999-185 00-1772 CL-99-O99CT 11/17/1999 LI-ML-1999-209 03/16/2000 LI-ML-2000-117 01-5302 B-2001-O01BU 04/20/2001 LI-BP-2001-084 05/02/2001 LI-BP-2001-117 01-10872 AL-2001-RPPC1 07/18/2001 LI-BP-2001-263 08/20/2001 LI-BP-2001-290 01-10964 CL-2001-OCMF2 07/25/2001 LI-BP-2001-233 08/09/2001 LI-BP-2001-270 01-11222 CL-2001-OCT01 07/26/2001 LI-BP-2001-254 10/22/2001 LI-BP-2001-323 01-17302 RP-2001-RIR01 10/31/2001 LI-BP-2001-309 02/04/2002 LI-BP-2002-066 01-9518 B-2001-RRU01 06/29/2001 LI-BP-2001-132 09/17/2001 LI-BP-2002-114 01-18532 B-2001-RRU01 (A) 11/14/2001 LI-BP-2001-318 02/22/2002 LI-BP-2002-114 01-19462 B-2001-RRU01 (A2) 11/28/2001 LI-BP-2002-114 03/04/2002 LI-BP-2002-114 02-38676 BP-2002-OTERU 12/11/2002 LI-BP-2002-277 05/14/2003 LI-BP-2003-121 02-38677 BP-2002-OTRRU 12/11/2002 LI-BP-2002-277 12/11/2002 LI-BP-2002-277 03-932 BP-2003-OWLE2 01/28/2003 LI-BP-2003-016 05/23/2003 LI-BP-2003-121 03-1340 BP-2003-RSR02 02/20/2003 LI-BP-2003-039 07/24/2003 LI-BP-2003-155 04-1532 BP-2004-OTEMU 02/19/2004 LI-BP-2004-031 05/19/2004 LI-BP-2004-112 04-4217 BP-2004-RTIPP 06/02/2004 LI-BP-2004-131 08/12/2004 LI-BP-2004-177 04-6236 BP-2004-RTER1 08/25/2004 LI-BP-2004-194 11/22/2004 LI-BP-2004-263 04-6702 BP-2004-RPTRU 09/09/2004 LI-BP-2004-188 12/06/2004 LI-BP-2004-267 04-8873 BP-2004-ORDP2 11/30/2004 LI-BP-2004-247 02/28/2005 LI-BP-2005-230 05-1177 BP-2004-RRU04 01/14/2005 LI-BP-2005-019 04/20/2005 LI-BP-2005-455 05-1572 BP-2005-OMORU 02/08/2005 LI-BP-2005-215 04/13/2005 LI-BP-2005-274 05-5619 BP-2005-ORCR1 07/12/2005 LI-BP-2005-332 10/06/2005 LI-BP-2005-457 05-8382 BP-2005-OTERU 11/23/2005 LI-BP-2005-523 01/11/2006 LI-BP-2006-171 06-121 BP-2005-RABRU 12/20/2005 LI-BP-2006-007 03/03/2006 LI-BP-2006-125 06-1553 BP-2006-OTR01 02/08/2006 LI-BP-2006-063 05/25/2006 LI-BP-2006-216 06-2063 BP-2006-REL06 03/20/2006 LI-BP-2006-139 06/19/2006 LI-BP-2006-231 06-4511 BP-2006-RRSRU 06/30/2006 LI-BP-2006-236 10/04/2006 LI-BP-2006-377 06-4839 BP-2006-OVBER 07/18/2006 LI-BP-2006-287 09/06/2006 LI-BP-2006-332 07-652 BP-2006-RRFZC 01/15/2007 LI-BP-2007-001 04/10/2008 LI-BP-2008-075 (Amendment) LI-BP-2007-015 08-221 BP-2007-RTRP1 12/21/2007 LI-BP-2007-334 01/14/2008 LI-BP-2008-037 08-5253 BP-2008-RTOAP 03/20/2008 LI-BP-2008-062 04/28/2008 LI-BP-2008-108 08-10598 BP-2008-OWERU 08/07/2008 LI-BP-2008-147 10/03/2008 LI-BP-2008-274

© Insurances Services Office, Inc., 2019 CALIFORNIA MANUAL INFORMATION BUSINESSOWNERS As Of: 04/22/2019

RULE FILINGS - cont'd CDI # ISO Filing # Filed Date Circular # Approved Date Circular # 08-11865 BP-2008-ORU1 08/19/2008 LI-CL-2008-124 11/14/2008 LI-CL-2008-143 09-1025 BP-2009-OAIE2 01/16/2009 LI-BP-2009-015 04/23/2009 LI-BP-2009-195 09-1107 BP-2009-RRU1 01/16/2009 LI-BP-2009-007 04/21/2009 LI-BP-2009-192 09-1623 BP-2009-RPTRU 02/05/2009 LI-BP-2009-041 05/07/2009 LI-BP-2009-208 09-3404 BP-2009-RRU09 04/17/2009 LI-BP-2009-079 09/21/2009 LI-BP-2009-310 10-161 BP-2009-RBPRU 12/21/2009 LI-BP-2010-022 03/12/2010 LI-BP-2010-069 10-5826 BP-2010-RCPR1 07/30/2010 LI-BP-2010-207 11/19/2010 LI-BP-2010-257 11-824 BP-2010-OCAN2 01/12/2011 LI-BP-2011-020 04/04/2011 LI-BP-2011-192 11-3770 BP-2011-RWTRU 04/05/2011 LI-BP-2011-097 06/08/2011 LI-BP-2011-181 12-5500 BP-2012-OCAN2 07/03/2012 LI-BP-2012-083 09/27/2012 LI-BP-2012-234 12-6069 BP-2012-RRU12 08/06/2012 LI-BP-2012-134 11/29/2012 LI-BP-2013-014 13-67 AL-2012-RCMC 12/21/2012 LI-BP-2013-018 03/27/2013 LI-BP-2014-021 13-118 AL-2012-FSRS 12/21/2012 LI-BP-2013-001 03/27/2013 LI-BP-2013-058 13-3234 BP-2013-RPPC 04/22/2013 LI-BP-2013-091 07/11/2013 LI-BP-2014-032 13-5921 BP-2013-RBIRU 08/08/2013 LI-BP-2013-142 10/30/2013 LI-BP-2013-202 13-6650 BP-2013-ODBRU 09/12/2013 LI-BP-2013-164 12/04/2013 LI-BP-2014-028 13-7608 BP-2013-ORU1 10/10/2013 LI-BP-2013-182 12/13/2013 LI-BP-2013-233 14-3217 BP-2014-OCSP2 04/25/2014 LI-BP-2014-067 07/14/2014 LI-BP-2014-124 14-4644 BP-2014-OISRU 06/25/2014 LI-BP-2014-135 09/17/2014 LI-BP-2014-200 15-7045 CL-2015-OCAN2 08/18/2015 LI-BP-2015-120 10/27/2015 LI-BP-2015-135 16-194 CL-2015-OTRRU 12/30/2015 LI-CL-2016-008 03/17/2016 LI-CL-2016-046 16-4006 BP-2016-ODNRU 06/28/2016 LI-BP-2016-099 09/15/2016 LI-BP-2016-148 16-5949 CL-2016-ODPRU 09/19/2016 LI-BP-2016-142 11/23/2016 LI-BP-2016-180 18-766 BP-2018-RRU1 01/30/2018 LI-BP-2018-012 03/28/2018 LI-BP-2018-025

© Insurances Services Office, Inc., 2019 CALIFORNIA MANUAL INFORMATION BUSINESSOWNERS As Of: 04/22/2019

LOSS COST FILINGS CDI # ISO Filing # Filed Date Circular # Approved Date Circular # 97-5307 B-97-RMAN1 06/06/1997 LI-ML-97-138 08/26/1997 LI-ML-97-175 00-1091 B-2000-RLA1 01/26/2000 LI-ML-2000-036 04/26/2000 LI-ML-2000-116 00-15459 B-2000-RLA2 12/07/2000 LI-BP-2000-045 03/16/2001 LI-BP-2001-044 01-9517 B-2001-RLC01 06/29/2001 LI-BP-2001-161 10/01/2001 LI-BP-2002-113 02-33475 BP-2002-RLA1 09/11/2002 LI-BP-2002-248 12/16/2002 LI-BP-2003-025 03-1509 BP-2003-RSL02 02/20/2003 LI-BP-2003-039 07/24/2003 LI-BP-2003-155 04-6235 BP-2004-RLA1 08/25/2004 LI-BP-2004-193 11/03/2004 LI-BP-2004-261 04-6710 BP-2004-RPTLC 09/09/2004 LI-BP-2004-188 12/06/2004 LI-BP-2004-267 05-573 BP-2004-RLC04 01/14/2005 LI-BP-2005-124 03/29/2005 LI-BP-2005-454 05-1573 BP-2005-RLCMO 02/08/2005 LI-BP-2005-216 04/13/2005 LI-BP-2005-274 05-6310 BP-2005-RLC04 08/08/2005 LI-BP-2005-458 10/12/2005 LI-BP-2005-458 05-6972 BP-2005-RLA1 09/06/2005 LI-BP-2005-429 11/03/2005 LI-BP-2005-527 06-120 BP-2005-RABLC 12/20/2005 LI-BP-2006-013 03/03/2006 LI-BP-2006-125 06-4587 BP-2006-RRSLC 06/30/2006 LI-BP-2006-248 10/04/2006 LI-BP-2006-378 07-808 BP-2006-RRFLC 01/15/2007 LI-BP-2007-019 04/10/2008 LI-BP-2008-074 (Amendment) 02/26/2007 LI-BP-2007-072 08-735 BP-2007-RLA1 12/26/2007 LI-BP-2008-020 04/02/2008 LI-BP-2008-074 09-1143 BP-2009-RLA1 01/16/2009 LI-BP-2009-005 04/21/2009 LI-BP-2009-193 09-1649 BP-2009-RPTLC 02/05/2009 LI-BP-2009-041 05/07/2009 LI-BP-2009-208 09-3416 BP-2009-RLC09 04/17/2009 LI-BP-2009-179 08/20/2009 LI-BP-2009-311 10-1322 BP-2010-RLA1 01/27/2010 LI-BP-2010-031 04/23/2010 LI-BP-2010-127 10-5838 BP-2010-RLCF1 07/30/2010 LI-BP-2010-210 11/19/2010 LI-BP-2011-004 10-7231 BP-2010-RLC10 09/29/2010 LI-BP-2010-242 02/07/2011 LI-BP-2011-069 11-1623 BP-2011-RLA1 01/27/2011 LI-BP-2011-056 04/22/2011 LI-BP-2011-155 12-2488 BP-2012-RLA1 03/07/2012 LI-BP-2012-035 07/10/2012 LI-BP-2012-099 12-6096 BP-2012-RLC12 08/06/2012 LI-BP-2012-135 11/29/2012 LI-BP-2013-015 13-5931 BP-2013-RBILC 08/08/2013 LI-BP-2013-142 10/30/2013 LI-BP-2013-202 14-33 BP-2013-RLA1 12/30/2013 LI-BP-2014-013 07/11/2014 LI-BP-2014-137 14-4645 BP-2014-RISLC 06/25/2014 LI-BP-2014-136 09/17/2014 LI-BP-2014-201 15-383 BP-2014-RLA1 01/07/2015 LI-BP-2015-010 06/08/2015 LI-BP-2015-081 18-765 BP-2018-RLA1 01/30/2018 LI-BP-2018-011 03/28/2018 LI-BP-2018-026 19-409 BP-2019-RLA1 01/17/2019 LI-BP-2019-006 04/17/2019 LI-BP-2019-034

© Insurances Services Office, Inc., 2019 Instructions for Completing the Prior Approval Rate Template Instructions for Completing the Loss Cost Multiplier Calculation For Property & Liability Lines Within the Prior Approval Rate Template

Note: For information on populating the application in its entirety, including the Prior Approval Rate Application, Prior Approval Rate Template and Standard Exhibits Template, refer to the complete Prior Approval Rate Filing Instructions posted in PDF format on the CDI website, below: http://www.insurance.ca.gov/0250-insurers/0800-rate-filings/

A rate change calculation page (i.e., '7.iRate Change Calculation) is required for each coverage (e.g., BI, PD, MP, UM, COLL, COMP, etc.), form (e.g., HO-3, HO-4, HO-6, etc.) or program (e.g., Auto Dealers, Garagekeepers, Truckers/Motor Carriers, etc.) 1) for which a rate change is being requested. For each filing submitted, download a new Application and Rate Template - do not "recycle" a template from a previously approved filing.

2) Areas of insurer input are generally identified with blue font text and/or light blue outlined boxes.

In addition to identifying the coverage, forms or programs included in this Prior Approval Rate Template , enter the insurer information common to all coverages in the "1.General" page, including Company Name; Line Type (Personal or Commercial); General Line; Marketing System Distribution (percentage of each system used, totaling 100%); Prior Effective Date (of current 3) rates); Proposed Effective Date (of proposed new rates); Data Aggregation Method used (accident year, report year, policy year); Most Recent Year of Experience Data; and Request for Variance, if applicable. Also indicate if this application reflects a new program.

Enter data from the insurer's Combined Annual Statement into unshaded boxes in pages 3 and 4 to generate Yield, Federal Income Tax on Investment Income and Excluded Expense Ratio for the insurer group. Asset yield percentages are linked to 4) an internal California Department of Insurance file. To ensure the latest yield/ROR information is used, go to Data menu in the Excel ribbon, click "Edit Links" and then click "Open Source."

For the ith coverage, form or program, enter data into unshaded boxes of the '6.iRatemaking Data' page only. Enter 5) numerical data only. For inapplicable fields, enter 0 for dollar ($) or percentage (%) fields and 1.00 for factors. For coverages, forms or programs requiring more than three years of data, click the "Expand to show six years" button.

On each '6.iRatemaking Data' page, rows for data associated with variance requests related to the efficiency standard are 6) hidden unless that request is indicated on the '1.General' page. Enter variance data, if supported by a Variance Request. Final decisions regarding variances will be made by the CDI and/or administrative hearing.

On each '6.iRatemaking Data' page, rows for reinsurance data associated with lines of business for which recognition of 7) reinsurance is allowable (Earthquake and certain Medical Malpractice) are hidden unless those lines are selected on the '1.General' page. If applicable, enter all requested reinsurance information.

For results regarding the ith coverage, form or program, refer to the '7.iRate Change Calculation' page. Hyperlinks are 8) available at the bottom of the '6.iRatemaking Data' page and the corresponding '7.iRate Change Calculation' page for each coverage, form or program for convenient navigation between those pages.

If filing Advisory Organization Loss Costs with a Loss Cost Multiplier, refer to specific Instructions for Completing the LCM 9) Template , to the right.

10) Refer to the complete Prior Approval Rate Filing Instructions for additional information.

04/30/2019 Edition Prior Approval Rate Template Instructions for Completing the Loss Cost Multiplier Calculation Within the Prior Approval Rate Template

A separate LCM Calculation page is available for every coverage, form or program for which a Prior Approval Rate Template 1) is submitted. The LCM Calculation pages are hidden unless the appropriate box on the "1.General" page is selected.

For the ith coverage, form or program, enter data into unshaded boxes of the '8.iLCM Calculation' page only. Areas of insurer 2) input are generally identified with blue font text and/or light blue outlined boxes.

For new program filings, enter the following data: the CDI file number associated with the approved advisory organization filing supporting the loss costs to be adopted; the AOE or LAE load as filed by the advisory organization; and the basis of that 3) AOE or LAE load.

For existing program filings, enter the following data: the CDI file number associated with the advisory organization filing supporting the company’s currently used loss costs; the current company LCM; the CDI file number(s) associated with all 4) changes to advisory organization loss costs since the filing underlying the company’s currently used loss costs, separated by commas; and the cumulative percent change in loss costs identified by those CDI file number(s), both as originally filed and as adjusted for the company's distribution.

5) Refer to the complete Prior Approval Rate Filing Instructions for additional information.

04/30/2019 Edition Prior Approval Rate Template State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

PRIOR APPROVAL RATE TEMPLATE FOR PROPERTY & LIABILITY LINES GENERAL INFORMATION

Completed by: Dion Oryzak Date: 6/5/2019

CDI File # (Department Use Only) :

Company Name: State National Insurance Company, Inc.

Marketing System Distribution: %Captive %Direct %Independent 0.0% 0.0% 100.0%

Line Type:

General Line :

Proposed Effective Date (new rates): 10/1/2019

New Program: LCM Calculation(s) Included:

Data Aggregation:

Most Recent Year of Experience Data Ending: 20184 (Enter in YYYYQ format.) Enter name of each coverage/form/program for which a rate change is being requested in the cells below. Otherwise, leave blank.

Prior Effective Proposed % Detailed Line Description(s) Coverage/Form/Program Date (current Impact rates)

3 Technology Growth Package - Liability 0.0% 10/1/2019 4 Technology Growth Package - Property 0.0% 10/1/2019 1 1 1 1 1 1 1 1

Variance Request: Does the Ratemaking Data include a Request(s) for Variance? Variance #: If yes, is Variance #3 requested for any coverage?

04/30/2019 Edition Prior Approval Rate Template Page 1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

PRIOR APPROVAL RATE TEMPLATE FOR PROPERTY & LIABILITY LINES SUMMARY

Projected Annual Minimum Permitted Maximum Permitted Change at Minimum Change at Maximum Coverage/Form/Program Proposed % Premium ($) Earned Premium ($) Earned Premium ($) % %

Technology Growth Package - Liability 250,000 147,087 255,125 -41.2% 2.1% 0.0% Technology Growth Package - Property 100,000 75,193 100,433 -24.8% 0.4% 0.0%

Combined 350,000 222,280 355,558 -36.5% 1.6% 0.0%

Combined Total Earned Exposures for Latest Year: 350

Average Earned Premium $ per Exposure Projected Earned Coverage/Form/Program Projected Minimum Permitted Maximum Permitted Proposed Exposures

Technology Growth Package - Liability 714.29 420.25 728.93 714.29 350 Technology Growth Package - Property 285.71 214.84 286.95 285.71 350

Combined 1,000.00 635.08 1,015.88 1,000.00 350

Projected Annual Projected Annual Projected Annual Coverage/Form/Program Ultimate Loss & DCCE Ultimate Loss & DCCE Premium ($) ($) Ratio Technology Growth Package - Liability 250,000 150,000 60.0% Technology Growth Package - Property 100,000 60,000 60.0%

Combined 350,000 210,000 60.0%

04/30/2019 Edition Prior Approval Rate Template Page 2 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

PROJECTED YIELD AND FEDERAL INCOME TAX RATE ON INVESTMENT INCOME

Short-Term Assets Intermediate-Term Assets Long-Term Assets No Maturity Over 1 Year thru 5 Over 5 Years thru Over 10 Years thru Line Description 1 Year or Less Over 20 Years Date Years 10 Years 20 Years 1.7 U.S. Governments 289,529,722 205,056,705 226,212,690 8,889,868 312

2.7 All Other Governments 0 52,032,375 49,385,763 0 0 States, Territories and 3.7 123,739,375 239,779,728 690,073,612 41,619,596 62,617,964 Possessions 4.7 Political Subdivisions 103,397,563 161,942,707 369,001,342 53,187,466 0 Special Revenue and 5.7 93,819,830 329,417,520 1,200,943,047 237,611,420 194,510,752 Assessment Obligations 6.7 Industrial and Miscellaneous 47,627,514 182,647,989 483,136,769 56,783,335 52,206,214

7.7 Hybrid Securities 0 507,870 0 0 0 Parent, Subsidiaries and 8.7 0 0 0 0 0 Affiliates 9.7 SVO Identified Funds Source: Schedule D, Part 1A, Section 1 of the insurer group's most recent consolidated (combined) statutory Annual Statement.

Short-Term Assets Intermediate-Term Assets Long-Term Assets

1 Year or Less Over 1 Year thru 10 Years Over 10 Years

Government Bonds (Sum of (1) 289,529,722 532,687,533 8,890,180 Lines 1.7 & 2.7) Other Taxable Bonds (Sum of (2) Lines 6.7, 7.7, 8.7 and one-half 94,537,429 1,431,472,912 325,050,635 of Line 5.7)1 Tax-Exempt Bonds (Sum of (3) Lines 3.7, 4.7 and one-half of 274,046,853 2,225,977,673 373,486,112 Line 5.7) (Note: CCR §2644.20 refers to bond asset classes of "Credit Tenant Loans" and "Public Utilities" that are no longer recorded in the NAIC Annual Statement Schedule D, Part 1A, Section 1. Assets included in "Other Taxable Bonds" conform to the current NAIC Annual Statement Blank.) 1 SVO Identified Funds are treated as Other Taxable Long-Term Bonds.

04/30/2019 Edition Prior Approval Rate Template Page 3.1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

PROJECTED YIELD AND FEDERAL INCOME TAX RATE ON INVESTMENT INCOME (continued) Currently Available Return on Invested Federal Income Federal Income Invested Assets1 Yield2 Assets Tax Rate Taxes [1] [2] [3] = [1] * [2] [4] [5) = [3] * [4] (1) U.S. Government Bonds (i) Short-Term 289,529,722 2.4% 6,803,948 21.00% 1,428,829 (ii) Intermediate-Term 532,687,533 2.3% 12,429,376 21.00% 2,610,169 (iii) Long-Term 8,890,180 2.6% 229,663 21.00% 48,229 (2) Other Taxable Bonds (i) Short-Term 94,537,429 2.4% 2,272,050 21.00% 477,130 (ii) Intermediate-Term 1,431,472,912 3.0% 43,160,576 21.00% 9,063,721 (iii) Long-Term 325,050,635 3.7% 12,185,700 21.00% 2,558,997 (3) Tax-Exempt Bonds (i) Short-Term 274,046,853 1.9% 5,203,145 5.25% 273,165 (ii) Intermediate-Term 2,225,977,673 1.9% 42,519,177 5.25% 2,232,257 (iii) Long-Term 373,486,112 2.8% 10,521,173 5.25% 552,362 (4) Common Stock 2,627,178,196 (i) Dividends 2.2% 56,720,515 13.13% 7,444,568 (ii) Capital Gains 8.2% 215,192,429 21.00% 45,190,410 (5) Preferred Stock Dividends 0 4.8% 0 13.13% 0 (6) Mortgage Loans 0 3.7% 0 21.00% 0 (7) Real Estate 14,649,097 4.4% 637,236 21.00% 133,820 (8) Cash 199,400,194 2.4% 4,685,905 21.00% 984,040 (9) Other 434,738,554 (i) Dividends 2.2% 9,385,962 13.13% 1,231,908 (ii) Capital Gains 8.2% 35,609,478 21.00% 7,477,990 (10) Total Gross Invested Assets 8,831,645,089 457,556,332 81,707,594 (11) Investment Expense3 43,119,573 21.00% 9,055,110 (12) Total Net Invested Assets 8,831,645,089 414,436,759 72,652,484 (13) Federal Income Tax: Line (12); column [5]/column [3] 17.5% Projected Yield on Invested Assets: Line (12), column (14) 4.7% [3]/column [1] Most Recent Calendar Year (15) Loss Reserves4 3,622,287,223 (16) Loss Adjustment Expense Reserves4 978,571,787 (17) Unearned Premium Reserves4 1,557,637,754 (18) Surplus as Regards to Policyholders4 3,158,828,017 (19) Total Reserves and Surplus 9,317,324,781

Projected Yield adjusted to Reserve and Surplus Base: Line (14), (20) 4.4% column [2]*Line (12), column [1]/Line (19), column [1]

1 Source for Column [1], Lines (4) through (9): Page 2 (Assets) of the insurer group's most recent consolidated (combined) statutory Annual Statement. - Line (8) Cash: Page 2 (Assets) Line 5, cash only; cash equivalents and short-term investments are included in Schedule D. - Line (9) Other: Page 2 (Assets) Sum of Lines 6, 8, 9 and 11. 2 Currently available yields are defined in CCR §2644.20. Latest values are posted at: http://www.insurance.ca.gov/0250-insurers/0800-rate-filings/0200-prior-approval-factors/ Month/Year (Yield): June 2019 3 Source: Page 11, Line 25 of the insurer group's most recent consolidated statutory Annual Statement. Entered as a positive expense. 4 Source for Column [1], Lines (15) through (18): Page 3 (Liabilities, Surplus and Other Funds) of the insurer group's most recent consolidated statutory Annual Statement, Lines 1, 3, 9 and 37, respectively.

04/30/2019 Edition Prior Approval Rate Template Page 3.2 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

EXCLUDED EXPENSE RATIO Countrywide Insurer Group Data

2nd Prior Calendar 1st Prior Calendar Most Recent Year Year Calendar Year 2016 2017 2018 Countrywide direct earned premium for lines of business subject to Proposition 2,104,378,000 3,744,624,000 4,237,988,000 103 ($): Countrywide direct earned premium for lines of business not subject to 398,934,000 658,701,000 722,497,000 Proposition 103 ($): Total countrywide direct earned premium ($): 2,503,312,000 4,403,325,000 4,960,485,000 (Note: Total must reconcile to the countrywide direct earned premium in the Insurance Expense Exhibit, Part 3 for the insurer group .) Check box if the excluded expenses entered in this page are derived on a countrywide, group basis CCR §2644.10 (b): Executive Compensation

2nd Prior Calendar Year 1st Prior Calendar Year Most Recent Calendar Year 2016 2017 2018 Cash & Salary Bonus Cash & Salary Bonus Cash & Salary Bonus 1st Highest Paid 900,000 1,463,850 950,000 2,311,782 980,769 2,732,232 2nd Highest Paid 807,692 1,543,850 950,000 2,305,542 980,769 2,725,992 3rd Highest Paid 807,692 1,543,850 900,000 2,191,158 606,250 1,377,072 4th Highest Paid 793,269 1,463,763 900,000 1,466,772 242,466 1,728,495 5th Highest Paid 578,846 983,850 628,846 1,065,542 900,000 567,222

2nd Prior Calendar Year 1st Prior Calendar Year Most Recent Calendar Year 2016 2017 2018 Maximum Maximum Maximum Excessive Amount Excessive Amount Excessive Amount Permissible Permissible Permissible 1st Highest Paid 694,071 1,669,779 877,040 2,384,742 922,237 2,790,764 2nd Highest Paid 403,632 1,947,910 493,555 2,761,987 515,341 3,191,420 3rd Highest Paid 340,917 2,010,625 424,872 2,666,286 445,442 1,537,880 4th Highest Paid 294,370 1,962,662 361,823 2,004,949 378,215 1,592,746 5th Highest Paid 259,851 1,302,845 316,462 1,377,926 330,145 1,137,077 Total Excessive 8,893,820 11,195,891 10,249,888

CCR §2644.10 (f): Institutional Advertising

2nd Prior Calendar Year 1st Prior Calendar Year Most Recent Calendar Year 2016 2017 2018 Institutional Non-Institutional Institutional Non-Institutional Institutional Non-Institutional

Total Advertising1 2,471,751 5,667,168 2,378,848 5,230,222 1,793,475 6,440,834 1 Note: For each calendar year, the sum of Institutional and Non-Institutional advertising expenses must reconcile to the total advertising expenses reported in the Insurance Expense Exhibit, Part 1, Line 4 for the insurer group .

04/30/2019 Edition Prior Approval Rate Template Page 4.1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

EXCLUDED EXPENSE RATIO (continued) Countrywide Insurer Group Data

Check box if the excluded expenses entered in this page are derived on a countrywide, group basis 2nd Prior 1st Prior Most Recent Calendar Year Calendar Year Calendar Year 2016 2017 2018 CCR §2644.10 (a): Political contribution and lobbying 0 0 0

CCR §2644.10 (b): Excessive Executive Compensation (Page 4.1) 8,893,820 11,195,891 10,249,888

CCR §2644.10 (c): Bad faith judgments and associated DCCE 0 0 0

CCR §2644.10 (d): All costs for unsuccessful defense of discrimination claims 0 0 0

CCR §2644.10 (e): Fines and penalties 7,271 63,960 5,969

CCR §2644.10 (f): Institutional advertising expenses (Page 4.1) 2,471,751 2,378,848 1,793,475

CCR §2644.10 (g): Excessive payments to affiliates 0 0 0

Total Excluded Expenses 11,372,842 13,638,699 12,049,332

Excluded Expense Ratio 0.5% 0.3% 0.2%

Three-Year Average Excluded Expense Ratio 0.3%

04/30/2019 Edition Prior Approval Rate Template Page 4.2 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File #:

FINAL ADJUSTED CDI PARAMETERS

Efficiency Standard Marketing System Distribution 0.0% 0.0% 100.0%

Final Adjusted Line Weighted Variance Excluded Detailed Line Description Coverage/Form Captive Direct Independent Efficiency Code Average Adjustment Expense Ratio Standard

Commercial Multiple Peril (Liability) 5.2 Technology Growth Package - Liability 38.7% 37.3% 40.1% 40.1% 0.0% 0.3% 39.8% Commercial Multiple Peril (Non-Liability) 5.1 Technology Growth Package - Property 38.0% 34.2% 38.8% 38.8% 0.0% 0.3% 38.4%

Leverage Factor Yields, Rate of Return Reserves Ratio & Premium Tax Values (Variance 3 not applied) as of June 2019

Unearned Final Adjusted Line Variance Detailed Line Description Coverage/Form Premium Loss Reserves Raw Factor Leverage Yield 4.4% Code Adjustment Reserves Factor

Commercial Multiple Peril (Liability) 5.2 Technology Growth Package - Liability 0.4790 3.0927 0.4911 1.0000 0.4911 FIT 17.5% Commercial Multiple Peril (Non-Liability) 5.1 Technology Growth Package - Property 0.4922 0.7859 0.9401 1.0000 0.9401

Premium Tax 2.4% Rate

Risk Free Rate 2.4% of Return

04/30/2019 Edition Prior Approval Rate Template Page 5 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

RATEMAKING DATA

Completed by: Dion Oryzak Variance #(s): Date Completed: 6/5/2019

Detailed Line Description: Commercial Multiple Peril (Liability) Coverage: Technology Growth Package - Liability

2nd Prior Year 1st Prior Year Most Recent Year Line Description Source Projected1 New Program2 Ending Ending Ending (0) Year 20164 20174 20184

(1) California Direct Written Premium 250,000

(2) California Direct Earned Premium 250,000

(3) Premium Adjustment Factor Exh 4 (4) Premium Trend Factor1 Exh 5 Miscellaneous Fees and Flat (5) Exh 6 0 Charges not included in Line (2) (6) Earned Exposure Units 350 (7) Historic Losses 140,000 Historic Defense and Cost (8) 10,000 Containment Expense (DCCE) (9) Loss Development Factor Exh 7 (10) DCCE Development Factor Exh 7 (11) Loss Trend Factor1 Exh 8 (12) DCCE Trend Factor1 Exh 8 (13) Catastrophe Adjustment Factor Exh 9 (14) Experience Credibility Exh 10 (15) Ancillary Income Exh 11 0 1 1 1 100.0% 100.0% Lines 16-18 link directly to pages 3 and 4 of the rate template. (16) Excluded Expense Ratio Pg 4.2 0.3% Projected Federal Income Tax Rate (17) Pg 3.2 17.5% on Investment Income (18) Projected Yield Pg 3.2 4.4%

1 The Projected column should reflect the annual trend expressed as a percentage for premium, loss and DCCE trends, and credibility. 2 Refer to Section III.C. of the Prior Approval Rate Filing Instructions for New Program requirements.

04/30/2019 Edition Prior Approval Rate Template Page 6.1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only):

RATEMAKING DATA

Completed by: Dion Oryzak Variance #(s): Date Completed: 6/5/2019

Detailed Line Description: Commercial Multiple Peril (Non-Liability) Coverage: Technology Growth Package - Property

2nd Prior Year 1st Prior Year Most Recent Year Line Description Source Projected1 New Program2 Ending Ending Ending (0) Year 20164 20174 20184

(1) California Direct Written Premium 100,000

(2) California Direct Earned Premium 100,000

(3) Premium Adjustment Factor Exh 4 (4) Premium Trend Factor1 Exh 5 Miscellaneous Fees and Flat (5) Exh 6 0 Charges not included in Line (2) (6) Earned Exposure Units 350 (7) Historic Losses 55,000 Historic Defense and Cost (8) 5,000 Containment Expense (DCCE) (9) Loss Development Factor Exh 7 (10) DCCE Development Factor Exh 7 (11) Loss Trend Factor1 Exh 8 (12) DCCE Trend Factor1 Exh 8 (13) Catastrophe Adjustment Factor Exh 9 (14) Experience Credibility Exh 10 (15) Ancillary Income Exh 11 0 1 1 1 100.0% 100.0% Lines 16-18 link directly to pages 3 and 4 of the rate template. (16) Excluded Expense Ratio Pg 4.2 0.3% Projected Federal Income Tax Rate (17) Pg 3.2 17.5% on Investment Income (18) Projected Yield Pg 3.2 4.4%

1 The Projected column should reflect the annual trend expressed as a percentage for premium, loss and DCCE trends, and credibility. 2 Refer to Section III.C. of the Prior Approval Rate Filing Instructions for New Program requirements.

04/30/2019 Edition Prior Approval Rate Template Page 6.2 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only): VARIANCE - NONE RATE CHANGE CALCULATION

Completed by: Dion Oryzak Date Completed: 6/5/2019 Prior Effective Date: 10/1/2019 Proposed Effective Date: 10/1/2019 Detailed Line Description: Commercial Multiple Peril (Liability) Coverage: Technology Growth Package - Liability

Data Provided by Filer 20164 20174 20184 Projected Prem_Written 250,000 Prem_Earned 250,000 Prem_Adj Prem_Trend 0.0% Misc_Fees 0 Exposures_Earned 350 Losses 140,000 DCCE 10,000 Loss_Devt DCCE_Devt Loss_Trend 0.0% DCCE_Trend 0.0% CAT_Adj Anc_Income 0 Credibility 100.0% ExpRatio_Excluded 0.3% FIT_Inv 17.5% Yield 4.4% CDI Parameters FIT_UW 21.0% EffStd_Final Data as of: 2017 39.8% LevFact_Final Data as of: 2017 0.49 PremTaxRate 2.4% SurplusRatio 2.04 ResRatio_UPR Data as of: 2017 0.48 ResRatio_Loss Data as of: 2017 3.09 ROR_RiskFree Data as of: June 2019 2.4% ROR_Min -6.0% ROR_Max 8.4% Calculations 20164 20174 20184 Prem_Adjusted 250,000 Losses_Adjusted 140,000 DCCE_Adjusted 10,000 LossDCCERatio_Adjusted 60.0% TCRLP_perExp 714.29 LossDCCE_perExp 428.57 CompLossDCCE_perExp 419.96 CredLoss_perExp 428.57 Anc_Inc_perExp 0.00 InvInc_Fixed 14.4% InvInc_Variable 11.7% Net_AnnualTrend 0.0% Comp_Trend 0.0% Max_Profit 21.5% Min_Profit -15.5% UW_Profit 1.4% Min_Denom 0.87 Max_Denom 0.50 Min_Premium $420.25 Max_Premium $728.93 CHANGE_AT_MIN -41.2% CHANGE_AT_MAX 2.1%

04/30/2019 Edition Prior Approval Rate Template Page 7.1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File # (Department Use Only): VARIANCE - NONE RATE CHANGE CALCULATION

Completed by: Dion Oryzak Date Completed: 6/5/2019 Prior Effective Date: 10/1/2019 Proposed Effective Date: 10/1/2019 Detailed Line Description: Commercial Multiple Peril (Non-Liability) Coverage: Technology Growth Package - Property

Data Provided by Filer 20164 20174 20184 Projected Prem_Written 100,000 Prem_Earned 100,000 Prem_Adj Prem_Trend 0.0% Misc_Fees 0 Exposures_Earned 350 Losses 55,000 DCCE 5,000 Loss_Devt DCCE_Devt Loss_Trend 0.0% DCCE_Trend 0.0% CAT_Adj Anc_Income 0 Credibility 100.0% ExpRatio_Excluded 0.3% FIT_Inv 17.5% Yield 4.4% CDI Parameters FIT_UW 21.0% EffStd_Final Data as of: 2017 38.4% LevFact_Final Data as of: 2017 0.94 PremTaxRate 2.4% SurplusRatio 1.06 ResRatio_UPR Data as of: 2017 0.49 ResRatio_Loss Data as of: 2017 0.79 ROR_RiskFree Data as of: June 2019 2.4% ROR_Min -6.0% ROR_Max 8.4% Calculations 20164 20174 20184 Prem_Adjusted 100,000 Losses_Adjusted 55,000 DCCE_Adjusted 5,000 LossDCCERatio_Adjusted 60.0% TCRLP_perExp 285.71 LossDCCE_perExp 171.43 CompLossDCCE_perExp 170.69 CredLoss_perExp 171.43 Anc_Inc_perExp 0.00 InvInc_Fixed 3.6% InvInc_Variable 7.2% Net_AnnualTrend 0.0% Comp_Trend 0.0% Max_Profit 11.2% Min_Profit -8.1% UW_Profit 1.8% Min_Denom 0.77 Max_Denom 0.58 Min_Premium $214.84 Max_Premium $286.95 CHANGE_AT_MIN -24.8% CHANGE_AT_MAX 0.4%

04/30/2019 Edition Prior Approval Rate Template Page 7.2 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File #:

LOSS COST MULTIPLIER (LCM) CALCULATION

Detailed Line Description: Commercial Multiple Peril (Liability) Completed by: Dion Oryzak Coverage: Technology Growth Package - Liability Date Completed: 6/5/2019 Prior Effective Date: 10/1/2019 Proposed Effective Date: 10/1/2019

(1) New Program Filings

1.1 CDI Advisory Organization (AO) File # underlying proposed loss costs 19-409 (BP-2019-RLA1)

1.2 AOE or LAE load approved for line or coverage 0.09

1.3 Basis of load listed in line 1.2. AOE/(Loss+DCCE)

1.4 AO's AOE as a percent of loss and DCCE (derived from 1.3 and 0.09 U.S. P&C industry loss and DCCE experience by line)

1.5 Maximum Permitted LCM, based on efficiency standard 1.56

(2) Existing Program Filings

2.1 CDI AO File # underlying current loss costs

2.2 Current Company LCM

CDI AO File #(s) underlying proposed loss costs (enter all applicable file numbers, separated by 2.3 commas)

2.3.i Cumulative AO loss cost percent change approved for line or coverage

2.3.ii Cumulative AO loss cost percent change approved for line or coverage, adjusted for Company's distribution

2.4 Maximum Permitted LCM #N/A

(3) Proposed Company LCM 1.55

04/30/2019 Edition Prior Approval Rate Template Page 8.1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril CDI File #:

LOSS COST MULTIPLIER (LCM) CALCULATION

Detailed Line Description: Commercial Multiple Peril (Non-Liability) Completed by: Dion Oryzak Coverage: Technology Growth Package - Property Date Completed: 6/5/2019 Prior Effective Date: 10/1/2019 Proposed Effective Date: 10/1/2019

(1) New Program Filings

1.1 CDI Advisory Organization (AO) File # underlying proposed loss costs 19-409 (BP-2019-RLA1)

1.2 AOE or LAE load approved for line or coverage 1.12

1.3 Basis of load listed in line 1.2. (Loss+DCCE+AOE)/Loss

1.4 AO's AOE as a percent of loss and DCCE (derived from 1.3 and 0.09 U.S. P&C industry loss and DCCE experience by line)

1.5 Maximum Permitted LCM, based on efficiency standard 1.53

(2) Existing Program Filings

2.1 CDI AO File # underlying current loss costs

2.2 Current Company LCM

CDI AO File #(s) underlying proposed loss costs (enter all applicable file numbers, separated by 2.3 commas)

2.3.i Cumulative AO loss cost percent change approved for line or coverage

2.3.ii Cumulative AO loss cost percent change approved for line or coverage, adjusted for Company's distribution

2.4 Maximum Permitted LCM #N/A

(3) Proposed Company LCM 1.53

04/30/2019 Edition Prior Approval Rate Template Page 8.2 Instructions for Completing the Prior Approval Rate Application

Note: For information on populating the application in its entirety, including the Prior Approval Rate Application, Prior Approval Rate Template and Standard Exhibits Template, refer to the complete Prior Approval Rate Filing Instructions posted in PDF format on the CDI website, below: http://www.insurance.ca.gov/0250‐insurers/0800‐rate‐filings/

Enter general filing characteristics associated with this application as well as company‐specific information on the "1.General" page. Areas of insurer input are generally identified with blue font text and/or light blue outlined boxes. If this filing contains 1) group data, select the appropriate indicator on the "1.General" page. The "2.Group" page will automatically unhide to allow for the identification of each company to which this filing applies.

Enter the type of filing to which this application applies. Complete all exhibits and Prior Approval Rate Application pages 2) required for the designated type of filing on the "3.Filing Type" page, in addition to the Prior Approval Rate Template and Standard Exhibits Template, where applicable. Refer to the Prior Approval Filing Instructions for more information.

On the "6.Program Detail" page, provide premium, loss and DCCE information for the entire line of business as shown in your company's Annual Statement as well as for each separate program that comprises your company's line of business. Programs 3) with less than $25M in premium each can be combined into one entry. The total of all programs must reconcile to the total Annual Statement line of business for each year provided. Click the "Add 5 Programs" button if additional programs are required. If filing to be submitted is a group filing, populate the page with group data.

If this filing includes a variance request, select the appropriate indicator on the "1.General" page. The "11.Variance Request" 4) page will automatically unhide to allow for the identification and impact of each variance being requested. Final decisions regarding variances will be made by the CDI and/or administrative hearing.

4/30/2019 Edition Prior Approval Rate Application State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

PRIOR APPROVAL RATE APPLICATION FOR PROPERTY & LIABILITY LINES GENERAL INFORMATION

Completed by: Dion Oryzak Date: 06/05/19

Your File #: SNIC‐VOUCH‐CMP‐BP‐CA‐1901 (15 Character Maximum)

Filing Characteristics DEPARTMENT USE ONLY

Does this filing include a variance request? (Page 11 hidden) CDI File #: If yes, SERFF #: Is this a variance request submitted after the prior Filed Date: approval application to which it applies? Compliance Date: Provide the applicable CDI File #: Public Notice Date:

Does this file contain group data? If yes, complete Page 2. (Page 2 hidden) Deemer Date:

Is this a specialty filing? Intake Analyst: Line Type: Bureau/Senior: #N/A General Line : Group Filing?: Yes No

Subline: 5.0002 Businessowners X‐Reference #:

Program: Technology Growth Package Filing Type: Rate Rule

Provide the most recent applicable CDI file # in this line, Form Variance subline and/or program: N/A New Program % Change: 0.0%

Company Information

Company Name: State National Insurance Company, Inc. Group Name: Markel Corporation

NAIC Company Code: 12831 NAIC Group Code: 785

Organized under the laws of the State of: Texas

Home Office: 1900 L. Don Dodson Drive, Bedford, TX 76021

Contact Name/Title: Mollie Mason

Toll Free Phone #:888‐201‐5123 Fax #: 561‐416‐3167

Email Address: [email protected]

Mailing Address: 1200 N. Federal Hwy, Suite 309, Boca Raton, FL 33432

I declare under penalty of perjury under the laws of the State of California, that the information filed is true, complete, and correct, and that price optimization methods or models have not been used in the development of the final rates for any segment of the filed rating plan. Mollie Mason July 15, 2019 561‐922‐7033 Authorized Signature Date of Filing Telephone #

Refer to CDI website below for the most current rate template and prior approval factors: http://www.insurance.ca.gov/0250‐insurers/0800‐rate‐filings/

4/30/2019 Edition Prior Approval Rate Application Page 1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

FILING TYPE

The purpose of this filing is (check all that apply):

Type of Filing Required Documentation1,2,3 Pages 1 through 4, 8 through 10 & New Program (Includes adoption of advisory organization loss costs, forms and rules.) 12, Exhibit 16 plus Prior Approval Rate Template

Rates (Includes adoption of advisory organization loss costs.)

Pages 1 through 8 & 12, Exhibits 1‐ Rate increase 17 & 20, plus Prior Approval Rate Template

Pages 1 through 8 & 12, Exhibits 1‐ Rate decrease 17 & 20, plus Prior Approval Rate Template

Pages 1 through 8 & 12, Exhibits 1‐ Revenue‐neutral change (zero percent overall impact) 17 & 20, plus Prior Approval Rate Template

Variance Request

Page 11, Exhibit 13 plus Prior Filed together with the prior approval application to which it applies. Approval Rate Template

Pages 1 through 4, 11 & 12, Exhibit Filed after the prior approval application to which it applies. 13 plus Prior Approval Rate Template

Coverage Forms (Includes adoption of advisory organization forms.)

Pages 1 through 9 & 12, Exhibits 1‐ With rate impact 17 & 20 plus Prior Approval Rate Template

Without rate impact Pages 1 through 4, 9 & 12

Rules and Underwriting Guidelines (Includes adoption of advisory organization rules.)

Pages 1 through 8, 10 & 12, With rate impact Exhibits 1‐18 & 20 plus Prior Approval Rate Template

Pages 1 through 4, 10 & 12 plus Without rate impact Exhibit 18

1 Page numbers refer to pages of the Prior Approval Rate Application. Where Exhibits 5, 7 and 8 are required, applications must also include a completed Standard Exhibits Template. Exhibit 21 must be included for all Specialty filing applications. 2 All Private Passenger Automobile class plans must be filed separately from the Prior Approval Rate Applications. 3 Page 6 of the Prior Approval Rate Application is required solely for insurers submitting filings for a subset of their Homeowners Multiple Peril line.

4/30/2019 Edition Prior Approval Rate Application Page 3 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

IMPACT OF PROPOSED CHANGES

Proposed Overall Rate Change: 0.0% Proposed Earned Premium Per Exposure: $1,000.00 Proposed Effective Date: 10/01/19

Indicated % Proposed % Coverage/Form/Program1 Adjusted Earned Premium3,4 Projected Earned Premium4 Change Change2 Technology Growth Package ‐ (1) 0.0% 0.0% $250,000 $250,000 Liability Technology Growth Package ‐ (2) 0.0% 0.0% $100,000 $100,000 Property (3) $0

(4) $0

(5) $0

(6) $0

(7) $0

(8) $0

(9) $0

(10) $0

Total 0.0% 0.0% $350,000 $350,000

1 The level of granularity of this page should be consistent with the number of Ratemaking Data sheets in the Prior Approval Rate Template, and reflect the same order in terms of Coverage/Form/Program. The figures on this page should reconcile to the Prior Approval Rate Template. 2 Commercial Auto Liability and Physical Damage must be combined in one application, with separate Rate Calculation pages in the Prior Approval Rate Template for liability and physical damage coverages. 3 If this filing contains group data, fill in the proposed impact for each individual company on Prior Approval Rate Application Page 2. The total rate impact shown on this page will not necessarily be equal to any of the individual company premium impacts shown on Prior Approval Rate Application Page 2. 4 Adjusted earned premium is the historical earned premium for the most recent year adjusted to the current rate level and trended to the average earned date of the proposed rating period. 5 Total earned premium must include all income derived from miscellaneous fees and other charges.

4/30/2019 Edition Prior Approval Rate Application Page 4 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

RECONCILIATION OF DIRECT EARNED PREMIUM DATA Annual Statement Statutory Page 14 Calendar Year Data

Latest CDI 2nd Prior 1st Prior Calendar Most Recent Coverage/Form/Program1 Filing #2 Calendar Year Year Calendar Year #VALUE! #VALUE! YYYY

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

Total 000

Statutory Page 14

Difference 000

Explain any differences:

1 This page requires insurers to itemize each coverage/form/program until all data is reconciled to the corresponding annual statement line of insurance. The level of granularity of this page should be consistent with the number of Ratemaking Data sheets in the Prior Approval Rate Template and any other coverages/forms/programs that roll up to the annual statement line of insurance, once aggregated. 2 For residual market data, a filing number is not required.

4/30/2019 Edition Prior Approval Rate Application Page 5 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

ANNUAL STATEMENT LINE ‐ Multiple Peril

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % (1) YYYY 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! (2) #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! (3) #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! (4) 3 Yr Avg 0 0 0#DIV/0! 0#DIV/0! 0#DIV/0!

#VALUE! Note: Programs with less than $25M in premium each can be combined into one entry. Note: Ratios are weighted averages. are arithmetic averages.

Total ‐ All Programs

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % (5) YYYY 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! (6) #VALUE! 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! (7) #VALUE! 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0! (8) 3 Yr Avg 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

Difference ‐ ‐ ‐ #DIV/0! ‐ #DIV/0! ‐ #DIV/0!

(specify program)

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % YYYY 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! 3 Yr Avg 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

(specify program)

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % YYYY 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! 3 Yr Avg 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

(specify program)

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % YYYY 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! 3 Yr Avg 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

(specify program)

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % YYYY 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! 3 Yr Avg 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

(specify program)

Year Written Premium Earned Premium Incurred Loss IL% DCCE DCCE% IL+DCCE IL+DCCE % YYYY 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! #VALUE! 00 0#DIV/0! 0 #DIV/0! 0 #DIV/0! 3 Yr Avg 0 0 0 #DIV/0! 0 #DIV/0! 0 #DIV/0!

4/30/2019 Edition Prior Approval Rate Application Page 6 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

4/30/2019 Edition Prior Approval Rate Application Page 6 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

ADDITIONAL CALENDAR YEAR DATA REQUIRED BY STATUTE

Refer to CIC §1857.7, CIC §1857.9 and CIC §1864 for more information.

Most Recent Calendar Line Type of Data Year (0) Calendar Year YYYY (1) Number of claims outstanding at beginning of year (2) Number of claims during the year (3) Number of claims closed during the year (4) Number of claims outstanding at year's end [ (1) + (2) ‐ (3) ] 0 (5) Unearned Premiums (6) Dollar amount of claims paid (7) Net loss reserves for outstanding claims excluding claims incurred but not reported (case reserves) (8) Net loss reserves for claims incurred but not reported (IBNR) (9) Losses incurred as a percentage of premiums earned, including IBNR (10) Net investment gain or loss and other income or gain or loss allocated to the line (11) Net income before federal and foreign income taxes [ (10) + (15) ] $0 (12) Total number of policies in force on the last day of the reporting period (13) Total number of policies canceled (14) Total number of policies non‐renewed (15) Net underwriting gain or loss ( = CY earned premiums less CY incurred loss less CY incurred expense ) (16) Separate allocations of expenses for: (17) (a) commissions and brokerage expense (18) (b) other acquisition costs (19) (c) general office expenses (20) (d) taxes, licenses and fees (21) (e) loss adjustment expense (DCCE & AOE) (22) (f) other expenses

4/30/2019 Edition Prior Approval Rate Application Page 7 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

MISCELLANEOUS FEES AND OTHER CHARGES

Check all fees that apply and identify the amount charged for each transaction. If no fees apply to this program, check here:

Miscellaneous Fees

New Business Renewal Business

Policy Fee Installment Fee (Fixed $) Endorsement Fee Inspection Fee Cancellation Fee Reinstatement Fee Late Fee SR‐22 Other Fees (specify below) Fee 1 Fee 2 Fee 3 Fee 4

Ancillary Income

New Business Renewal Business

Installment Finance Charge (APR %) Non‐Sufficient Funds (NSF) Fee Membership Dues Premium Finance Revenues Other Fees (specify below) Fee 1 Fee 2 Fee 3 Fee 4

Use Exhibit 6 if additional space is needed to explain fees not listed above.

4/30/2019 Edition Prior Approval Rate Application Page 8 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

FORMS

Applicable Form Source of Form Coverage Change Reflects Coverage Change Includes Factor or Charge # Title Type Source CDI File #1 Category Restriction?2 Broadening? Rate Impact? % Impact ($, % or Description) Proposed PROP BP 1000 05 19 NUCLEAR ACTIVITIES EXCLUSION 2 3 N/A 1 N N N 0% (1) Current Proposed PROP BP 1001 05 19 NON‐STACKING EXCLUSION 2 3 N/A 2 Y N N 0% Rate reduction of 0.5% if selected (2) Current Proposed PROP BP 1003 05 19 BODILY INJURY TO EMPLOYEES EXCLUSION 2 3 N/A 1 Y N N 0% (3) Current Proposed PROP BP 1004 05 19 CROSS SUITS EXCLUSION 2 3 N/A 1 Y N N 0% (4) Current Proposed PROP BP 1005 05 19 ASBESTOS EXCLUSION 2 3 N/A 1 Y N N 0% (5) Current Proposed PROP BP 1006 05 19 LEAD EXCLUSION 2 3 N/A 1 Y N N 0% (6) Current Proposed PROP BP 1007 05 19 WEAPONS EXCLUSION 2 3 N/A 2 Y N N 0% Rate reduction of 0.5% if selected (7) Current Proposed PROP BP 1008 05 19 PUNITIVE DAMAGES EXCLUSION 2 3 N/A 1 Y N N 0% (8) Current Proposed PROP BP 1009 05 19 LIQUOR LIABILITY EXCLUSION 2 3 N/A 2 Y N N 0% Rate reduction of 0.5% if selected (9) Current DELIVERY ACTIVITY EXCLUSION FOR HIRED AND NON‐ Proposed PROP BP 1010 05 19 2 3 N/A 2 Y N N 0% Rate reduction of 0.5% if selected (10) OWNED Current EXCLUSION OF TERRORISM – HIRED AND NON‐OWNED Proposed PROP BP 1022 05 19 2 3 N/A 2 Y N N 0% Rate reduction of 0.5% if selected (11) AUTO LIABILITY Current Proposed PROP BP 1016 05 19 TECHNOLOGY PACKAGE DECLARATIONS 4 3 N/A 1 N N N 0% (12) Current Proposed PROP BP 1018 05 19 AMEND WHO IS AN INSURED 2 3 N/A 1 Y N N 0% (13) Current DISCLOSURE PURSUANT TO TERRORISM RISK Proposed PROP BP 1019 05 19 23 N/A2 N N Y 0%etro areas and 1% elsewhere. 7% of liability in terr (14) INSURANCEACT(COVERAGEINCLUDED) Current DISCLOSURE PURSUANT TO TERRORISM RISK Proposed PROP BP 1020 05 19 23N/A2NNN0% (15) INSURANCEACT(COVERAGEEXCLUDED) Current Proposed PROP BP 1017 05 19 AMEND DUTIES IN THE EVENT OF LOSS OR DAMAGE 2 2 N/A 2 N Y N 0% Rate increase of 0.5% if selected (16) Current MODIFICATION TO SPECIFIED BUSINESS PERSONAL Proposed PROP BP 1024 05 19 2 3 N/A 2 N N N 0% Rate increase of 0.5% if selected (17) PROPERTY TEMPORARILY AWAY FROM PREMISES Current Proposed PROP BP 1002 05 19 DATA PRIVACY PROTECTION EXCLUSION 2 3 N/A 2 Y N N 0% Rate reduction of 0.5% if selected (18) Current Proposed (19) Current Proposed (20) Current 1 If Source selected is ISO or Other Advisory Organization, provide the CDI File # of the applicable filing from which the form is being adopted. If Source selected is Company and Category is Replacement, provide the CDI File # under which the current form is approved. 2 Forms that restrict, exclude or delete coverage require consideration of a rate offset/credit. Provide the amount of prior losses incurred associated with the impacted coverage, if any. Legend of Response Codes Type Code Source Code Category Code (1) Application (1) Insurance Services Organization (ISO) (1) New, mandatory (5) Withdrawn, mandatory (2) Endorsement (2) Other Advisory Organization (2) New, optional (6) Withdrawn, optional (3) Policy (3) Company (3) Replacement, mandatory (4) Other (Describe in filing memorandum) (4) Other (Describe in filing memorandum) (4) Replacement, optional

4/30/2019 Edition Prior Approval Rate Application Page 9.1 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

RULES AND UNDERWRITING GUIDELINES

Insurers submitting a rule change filing must provide the information identified below. Complete Exhibit 18 as necessary to fulfill this requirement.

Check all that apply: (1) Introducing a new rule(s)

(2) Revising an existing rule(s)

(3) Adopting an approved Advisory Organization (AO) rule(s)

(4) Withdrawing an approved rule(s)

(5) Introducing or revising an underwriting guideline(s)1

If (1), (2) or (5) above is checked, provide the following: (a) The purpose for the rule or underwriting guideline or an explanation for revising an existing rule

or underwriting guideline (Exhibit 18)

(b) A copy of the current and proposed manual page corresponding to the rule or underwriting guideline

(c) The proposed charge for the rule, and justification of the charge including

the rate or premium development method (Exhibit 18)

(d) The rate impact of the rule or underwriting guideline on the current book of business, with

corresponding calculation of that impact (Exhibit 18)

(e) Advise if the rule is: (i) Optional (ii) Mandatory

If (3) above is checked, specify the approved CDI File #(s) of the AO rule:

If (4) above is checked, provide the following: (a) An explanation for the withdrawal of the rule (Exhibit 18)

(b) A copy of the current and proposed manual page corresponding to the withdrawn rule

(c) The rate impact of withdrawing the rule on the current book of business, with

corresponding calculation of that impact (Exhibit 18)

For all rule and underwriting guideline changes, provide any additional comments necessary to adequately explain the rule change (Exhibit 18).

1 Underwriting guidelines included in this filing are reviewed only insofar as they relate to rates contained in this filing or currently on file with the California Department of Insurance.

4/30/2019 Edition Prior Approval Rate Application Page 10 State of California Company: State National Insurance Company, Inc. Department of Insurance (CDI) Line: Multiple Peril

FILING CHECKLIST

Use this checklist to assemble a complete application:

Prior Approval Rate Application Supporting Exhibits

General Information, Page 1 Exhibit 1 ‐ Filing History

Insurer Group Information, Page 2 Exhibit 2 ‐ Rate Level History

Filing Type, Page 3 Exhibit 3 ‐ Policy Term Distribution

Proposed Impact, Page 4 Exhibit 4 ‐ Premium Adjustment Factor

Reconciliation of Direct Earned Premium to Statutory Exhibit 5 ‐ Premium Trend Factor3 Data, Page 5

Program Detail, Page 6 Exhibit 6 ‐ Miscellaneous Fees and Other Charges

Additional Calendar Year Data Required by Statute, Exhibit 7 ‐ Loss and Defense & Cost Containment Page 7 Expense (DCCE) Development Factors3

Miscellaneous Fees and Other Charges, Page 8 Exhibit 8 ‐ Loss and DCCE Trend3

Forms, Page 9 Exhibit 9 ‐ Catastrophe Adjustment

Rules and Underwriting Guidelines, Page 10 Exhibit 10 ‐ Credibility Adjustment

Variance Request, Page 11 Exhibit 11 ‐ Ancillary Income

Filing Checklist, Page 12 Exhibit 12 ‐ Reinsurance Premium and Recoverables

Filing Memorandum Exhibit 13 ‐ Variance Request

Prior Approval Rate Template1 Exhibit 14 ‐ Rate Distribution

Standard Exhibits Template1 Exhibit 15 ‐ Rate Classification Relativities

Printed Rate and Rule Manual Pages1 Exhibit 16 ‐ New Program

Exhibit 17 ‐ Super Group Corporate Structure Underwriting Guidelines1 Verification (PPA only)

Forms1,2 Exhibit 18 ‐ Rules and Underwriting Guidelines

Copies of Reinsurance Agreements1 Exhibit 19 ‐ Supplemental Information

1 See Prior Approval Rate Filing Instructions. Exhibit 20 ‐ Customer Dislocation 2 Attach all independent forms and list all advisory organization forms. 3 Provide Standard Exhibits Template for these exhibits. Exhibit 21 ‐ Insurer's Ratemaking Calculations for Specialty Filings

4/30/2019 Edition Prior Approval Rate Application Page 12

State National Insurance Company, Inc. (NAIC # 12831)

Vouch Technology Package Program

New Program Filing – Rates, Rules, and Forms

Explanatory Memorandum

State National Insurance Company, Inc. (“SNIC” or “the Company”), is pleased to introduce its new Vouch Technology Package Program, filed under the Commercial Multi Peril (CMP Liability and Non-Liability) line of business. The Vouch Technology Package Program is a multi peril program targeting small and mid-sized technology companies.

This program has been designed to provide coverage to fulfill the most common and early insurance needs of small and mid-sized technology companies. The primary coverage parts include business liability, business personal property, hired and non-owned auto liability and damage to rented premise. The program will deliver these coverages exclusively to companies in the technology innovation sector, specifically, those operating in software, hardware and life sciences. Further, these coverages will be exclusively provided to small and mid-sized companies defined as: • $0 ‐ $100 million in revenue • 0 – 500 employees

This program can only be accessed through a proprietary online portal designed with the specific needs of the technology innovation sector in mind. The program can be accessed directly by insureds or by agents or broker representing insureds.

This program uses Insurance Services Office (ISO) rules and forms along with ISO loss costs and the loss cost multipliers contained within this filing.

The Company will NOT be automatically adopting future ISO filings of loss costs, rules or forms and therefore, ISO will add this Program to their “exception report” effective with your approval of this filing to override filing authorization in the future. The Company is adopting all currently approved ISO loss costs, rules, and any applicable supplements for the Commercial Lines Manual, Division ten – Businessowners.

The rates and rules consist of company exceptions to be used in conjunction with the ISO multi- state and state specific loss costs and rules. The Company’s Manual Exception Pages are being submitted as a part of this filing package for your review and approval.

The forms include independent forms to be used in conjunction with the ISO forms portfolio. The company is hereby adopting all ISO policy forms, endorsements and related forms approved for use in this state that have been filed by ISO for use with the Commercial Lines Manual, Division ten – Businessowners. Additionally, all independent policy forms are being submitted as a part of this filing package for your review and approval. SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Superseded Schedule Items Please note that all items on the following pages are items, which have been replaced by a newer version. The newest version is located with the appropriate schedule on previous pages. These items are in date order with most recent first.

Schedule Item Replacement Creation Date Status Schedule Schedule Item Name Creation Date Attached Document(s) 09/24/2019 Supporting ISO Lists 09/24/2019 CA BOP Forms Filings Document Approvals.pdf (Superceded) CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 9-23-19.pdf 09/03/2019 Supporting ISO Lists 09/24/2019 CA BOP Forms Filings Document Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf (Superceded) 08/30/2019 Supporting New Prior Approval Rate Application 09/24/2019 PriorAppRateTl_Ed04-30-2019.pdf Document PriorAppRateTl_Ed04-30-2019.xlsm PriorAppRateAPL_Ed04-30-2019 (8.29.19).pdf (Superceded) PriorAppRateAPL_Ed04-30-2019 (8.29.19).xlsm (Superceded) 08/30/2019 Supporting ISO Lists 09/03/2019 CA BOP Forms Filings Document Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 8-30-19 .pdf (Superceded) 08/30/2019 Rate CALIFORNIA EXCEPTION PAGE 09/24/2019 Rule Exceptions BOP California 20190829 (1).pdf (Superceded) 07/23/2019 Supporting ISO Lists 08/30/2019 CA BOP Forms Filings Document Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf CA ISO Forms List BOP 7-23-19.pdf (Superceded) 07/08/2019 Supporting ISO Lists 07/23/2019 CA BOP Forms Filings Document Approvals.pdf CA BOP Rules Loss Costs Filing Approvals.pdf

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM SERFF Tracking #: STNA-132004682 State Tracking #: 19-2644 Company Tracking #: SNIC-VOUCH-CMP-BP-CA-1901

State: California Filing Company: State National Insurance Company, Inc. TOI/Sub-TOI: 05.0 CMP Liability and Non-Liability/05.0002 Businessowners Product Name: Businessowners Project Name/Number: /

Schedule Item Replacement Creation Date Status Schedule Schedule Item Name Creation Date Attached Document(s) 07/08/2019 Supporting Filing Memorandum 07/29/2019 Explanatory Memo (BOP) - CA Document (6.28.19) ad.pdf (Superceded) 07/08/2019 Rate CALIFORNIA EXCEPTION PAGE 08/30/2019 Rule Exceptions BOP California 20190618.pdf (Superceded) 07/08/2019 Form PUNITIVE DAMAGES EXCLUSION 09/24/2019 PROP BP 1008 05 19.pdf (Superceded) 07/08/2019 Supporting New Prior Approval Rate Application 08/30/2019 PriorAppRateAPL_Ed04-30- Document 2019.pdf (Superceded) PriorAppRateAPL_Ed04-30- 2019.xlsm (Superceded) PriorAppRateTl_Ed04-30-2019.pdf PriorAppRateTl_Ed04-30-2019.xlsm

PDF Pipeline for SERFF Tracking Number STNA-132004682 Generated 10/01/2019 01:46 AM