<p> “ OPEN MARKET” PROPERTY APPLICATION</p><p>TO: ROBERT FLEMING INSURANCE FAX: 011 44 20 7623 6175 BROKERS LTD., LONDON. (Or 011 44 20 7626 0400)</p><p>ATTN: Roger Wardale DATE:</p><p>FROM: ……………………………………………. FAX:</p><p>______</p><p>1) NAME OF ASSURED:...... </p><p>2) LOCATION(S) OF RISK:...... </p><p>3) DESCRIPTION OF OPERATIONS:...... </p><p>4) EFFECTIVE DATE...... </p><p>5) SUM INSURED REQUIRED VALUE $ CO-INSURANCE %</p><p>BUILDING ...... CONTENTS ...... LOSS OF EARNINGS ...... ANY OTHER INTERESTS______...... (please specify) ______...... </p><p>6) R.C.V./A.C.V. BASIS OF VALUATION 7) PERILS REQUIRED...... </p><p>8) TOTAL VALUE (if first loss) $...... </p><p>9) CONSTRUCTION...... AGE...... </p><p>10) CONDITION OF BUILDINGS ……………………..UPDATES...... </p><p>11) PRIVATE PROTECTIONS...... </p><p>12) PROTECTION CLASS...... </p><p>13) % OCCUPANCY (apartments)...... % HUD/Subsidized...... </p><p>14) FINANCIAL STATUS...... </p><p>15) HOUSEKEEPING/MANAGEMENT...... </p><p>16) TYPE OF NEIGHBOURHOOD (RE CRIME/VMM)...... </p><p>17) TYPE OF CLIENTELE...... </p><p>18) NUMBER OF YEARS IN BUSINESS...... </p><p>19) DETAILS OF ADJACENT EXPOSURES...... </p><p>20) PROPERTY LOSS RECORD PAST 5 YEARS...... </p><p>21) ANY OTHER PERTINENT INFORMATION...... </p><p>22) TARGET PRICE...... ………...... </p>