193R Application Spreadsheet Year Plan Will be Applied 2010 PROPOSED PROPOSED CU, E,M,U TOTAL ELIGIBLE NUMBER ORIGINAL EXPERIENCE INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER NUMBER OF CURRENT PLAN AGENCY OR SUBMITTED COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV. (0.0%) DATE TYPE** IN GROUP IN GROUP INSUREDS DATE MKT. REP. YES OR NO Safety Insurance Company Willis of Massachussetts 1 Industrial Ave Lowell MA 01851 A 5.0% 4/1/2010 E 140 130 N/A N/A Willis Personal Lines Inc.No 193R Application Spreadsheet Year Plan Will be Applied 2010 PROPOSED PROPOSED CU, E,M,U TOTAL ELIGIBLE NUMBER ORIGINAL EXPERIENCE INSURANCE STREET AUTO (A) or RATE EFFECTIVE GROUP NUMBER NUMBER OF CURRENT PLAN AGENCY OR SUBMITTED COMPANY* GROUP NAME* ADDRESS CITY/TOWN STATE ZIP HOME (H) DEV. (0.0%) DATE TYPE** IN GROUP IN GROUP INSUREDS DATE MKT. REP. YES OR NO Safety Insurance Company Yarmouth Police Relief Association 30 Higgins Crowell Road West Yarmouth MA 02673 A 5.0% 4/1/2010 M 78 68 49 1/1/1996 Hub International NE, LLC No Safety Insurance Company Woburn Public Schools Locust Street Woburn MA 01801 A 8.0% 4/1/2010 E 340 340 83 12/20/1995 Ark Insurance Agency, Inc. No Safety Insurance Company Winchester Healthcare Management 41 Highland Avenue Winchester MA 01890 A 5.0% 4/1/2010 E 2,911 2,211 146 4/15/1995 John Martini Insurance Agency, Inc. No Safety Insurance Company Wheelock College 200 The Riverway Boston MA 02215 A 8.0% 4/1/2010 E 350 300 3 10/24/2007 MTM Insurance Associates LLC No Safety Insurance Company Wheeler & Taylor Inc. 333 Main Street Great Barrington MA 01230 A 5.0% 4/1/2010 E 50 50 53 1/1/1995 Wheeler & Taylor, Inc. No Safety Insurance Company Westwood Boosters Club P.O. Box 218 Westwood MA 02090 A 3.0% 4/1/2010 M 238 238 90 10/28/1996 Provider Insurance Group, Inc. No Safety Insurance Company Westfield Education Association, Inc. 38 Thomas Street, Suite 100 Westfield MA 01085 A 8.0% 4/1/2010 M 800 800 109 3/5/1996 Roger Butler Insurance Agency, Inc. No Safety Insurance Company Watertown Police Association 34 John Whooley Way Watertown MA 02472 A 5.0% 4/1/2010 M 60 40 28 3/1/1996 H & K Insurance Agency, Inc. No Safety Insurance Company Washington Savings Bank 30 Middlesex Street Lowell MA 01852 A 4.0% 4/1/2010 E 31 26 5 3/5/1996 Fred C. Church, Inc. No Safety Insurance Company Valley Communications Systems 20 First Street Chicopee MA 01020 A 3.0% 4/1/2010 E 106 106 9 2/15/1995 Crimmins - Graveline Insurance Agency No Safety Insurance Company USI New England (formerly F. E. Penn Insurance50 Agency, Cabot Inc.) Street Needham MA 02492 A 5.0% 4/1/2010 E 35 30 24 3/15/1995 F. E. Penn Insurance Agency, Inc. No Safety Insurance Company United Food & Commercial Workers Union Local #145933 Eastland Street Springfield MA 01109 A 4.0% 4/1/2010 M 1,600 1,400 188 4/20/1999 Remillard Insurance Agcy, Inc. No Safety Insurance Company Union 66 19 Stage Road Westhampton MA 01027 A 8.0% 4/1/2010 E 169 168 5 12/15/1995 Dumont-Dowd Insurance Agency, Inc. No Safety Insurance Company Tremont Credit Union 150 Grossman Drive Braintree MA 02184 A 3.0% 4/1/2010 E 59 59 5 11/9/2006 Aegis Insurance No Safety Insurance Company Town of Natick 13 East Central Street Natick MA 01760 A 5.0% 4/1/2010 E 1,200 1,200 218 5/1/1996 Fair & Yeager Insurance Agency, Inc. No Safety Insurance Company Town of Milton 525 Canton Avenue Milton MA 02186 A 5.0% 4/1/2010 E 533 528 107 1/1/1996 William J. Sullivan Insurance Agency No Safety Insurance Company Town of Middleborough Nickerson Avenue Middleborough MA 02346 A 3.0% 4/1/2010 E 841 841 191 1/1/2005 Anderson-Cushing Insurance Agency, Inc. No Safety Insurance Company Town of Holbrook 50 North Franklin Street Holbrook MA 02343 A 5.0% 4/1/2010 E 250 250 170 11/1/1995 The Holbrook Insurance Center, Inc. No Safety Insurance Company Town of Harwich 732 Main Street Harwich MA 02645 A 5.0% 4/1/2010 E 375 365 47 3/5/1996 Benson Young & Downs Insurance Agency No Safety Insurance Company Town of Halifax Employees Plymouth Street Halifax MA 02338 A 5.0% 4/1/2010 E 140 140 13 1/1/1996 William Borhek Insurance Agency, Inc. No Safety Insurance Company Town of Hadley 52 Middle Street Hadley MA 01035 A 5.0% 4/1/2010 E 120 106 10 4/22/1996 R.G.Neylon Insurance agency Inc No Safety Insurance Company Town of Granby 250 State Street Granby MA 01033 A 5.0% 4/1/2010 E 141 141 51 1/1/1996 R.G.Neylon Insurance agency Inc No Safety Insurance Company Town of Falmouth 59 Town Hall Square Falmouth MA 02540 A 5.0% 4/1/2010 E 1,550 1,550 203 5/1/1995 Murray & Mac Donald Insurance Services No Safety Insurance Company Town of Chelmsford Municipal Employees 50 Billerica Road Chelmsford MA 01824 A 5.0% 4/1/2010 E 935 630 30 1/1/1996 Hub International NE, LLC No Safety Insurance Company Town of Bourne 24 Perry Avenue Bourne MA 02532 A 5.0% 4/1/2010 E 800 800 107 12/15/1995 Murray & Mac Donald Insurance Services No Safety Insurance Company Thompson Company, Inc. 805 Pleasant Street East Weymouth MA 02189 A 5.0% 4/1/2010 E 25 25 9 9/19/1995 Hub International NE, LLC No Safety Insurance Company Thomas E. Sears Insurance Agency, Inc. 31 St. James Avenue Boston MA 02116 A 5.0% 4/1/2010 E 56 45 61 3/15/1995 Thomas E. Sears Insurance Agency, Inc. No Safety Insurance Company The Sylvia Group of Insurance Agencies 500 Faunce Corner Road - Bldg 100Dartmouth - Suite 120 MA 02747 A 5.0% 4/1/2010 E 44 44 36 4/1/1995 Sylvia & Company Insurance Agency, Inc. No Safety Insurance Company The Robert Cleary Group 530 Atlantic Avenue Boston MA 02210 A 5.0% 4/1/2010 E 25 25 16 5/1/1996 The Robert Cleary Group, Inc. No Safety Insurance Company The Lowell Sun 491 Dutton St Lowell MA 01853 A 5.0% 4/1/2010 E 270 202 23 1/25/1996 Fred C. Church, Inc. No Safety Insurance Company The Federal Home Loan Bank of Boston 111 Huntington Avenue, 24th FloorBoston MA 02109 A 3.0% 4/1/2010 E 186 186 16 3/5/1996 Burgin, Platner, Hurley Insurance Agency Inc. No Safety Insurance Company The Colonial Club PO Box 574 Acton MA 01720 A 3.0% 4/1/2010 M 1,715 1,692 1,047 3/1/1996 Gallant Insurance Agency, Inc. Yes Safety Insurance Company Taunton Municipal Light Plant 55 Weir Street Taunton MA 02780 A 5.0% 4/1/2010 E 165 165 105 9/9/1996 Allan M. Walker Company, Inc. No Safety Insurance Company Taunton Federal Credit Union 14 Church Green Taunton MA 02780 A 5.0% 4/1/2010 E 50 50 46 8/23/2006 Farrell Backlund Insurance Agency, Inc. No Safety Insurance Company Sun Life Financial One Sun Life Executive Park Wellesley MA 02481 A 5.0% 4/1/2010 E 2,000 1,950 251 10/20/1999 Fred C. Church, Inc. No Safety Insurance Company State Police Association of Massachusetts 2 Mt. Royal Road Marlborough MA 01752 A 3.0% 4/1/2010 M 1,950 1,950 423 5/13/1996 O' Brien & Gibbons Insurance Agency Inc. No Safety Insurance Company Standish Mellon One Boston Place Boston MA 02110 A 5.0% 4/1/2010 E 150 142 15 8/15/1997 Skelly Insurance Agency, Inc. No Safety Insurance Company St. Mary's Regional Jr/Sr High School 35 Tremont Street Lynn MA 01901 A 8.0% 4/1/2010 E 90 90 20 6/15/1995 CFR LLC/Consoles Insurance Agency No Safety Insurance Company St. Anselm College Alumni Association 100 St. Anselm Drive Manchester MA 03102 A 5.0% 4/1/2010 M 4,225 3,250 197 2/23/1996 Corcoran & Havlin/Limric Bros No Safety Insurance Company St. Anne's Credit Union (Employees) 286 Oliver Street Fall River MA 02721 A 4.0% 4/1/2010 E 245 205 12 5/1/1996 John F. Stafford Insurance Agency, Inc. No Safety Insurance Company Spire Corporation & Spire Semiconductor One Patriots Park Bedford MA 01730 A 5.0% 4/1/2010 E 213 174 12 11/20/1998 Hub International NE, LLC No Safety Insurance Company Southworth Company (office f.k.a. Esleeck Manufacturing36 Canal Co.) Road - PO Box 717 Turners Falls MA 01376 A 5.0% 4/1/2010 E 65 63 10 5/6/1994 Gilmore & Associates Insurance Agency No Safety Insurance Company South Side Civic Association PO Box 574 Dennisport MA 02639 A 5.0% 4/1/2010 M 110 110 66 5/10/1996 Dickey Insurance Agency, Inc. No Safety Insurance Company Somerset Federal Credit Union (Employees) 740 County Street Somerset MA 02726 A 5.0% 4/1/2010 E 39 35 5 4/15/1995 John F. Stafford Insurance Agency, Inc. No Safety Insurance Company Shawsheen Valley Technical High School 100 Cook Street Billerica MA 01821 A 8.0% 4/1/2010 E 250 198 21 10/1/1995 Hub International NE, LLC No Safety Insurance Company Seamen's Bank PO Box 659 Provincetown MA 02657 A 5.0% 4/1/2010 E 55 55 29 11/1/1998 Benson Young & Downs Insurance Agency No Safety Insurance Company Schoeffel-McPherson, Inc.