Certification Statement

Per Regulation I-2010-03 Section 6 G(1)

Certification: The filer must certify using the following language that the filing has been properly completed and is in compliance with all applicable Vermont laws, regulations and policies:

Certification statement: "I certify that the attached filing has been completed in accordance with Vermont Regulation I-2010-03 and is in compliance with all applicable Vermont laws and Regulations."

Below is a complete list of Sub TOI's that must submit the above Certification statement:

•01.0002 Personal Property (Fire and Allied LInes)
•02.3002 Personal Flood
•03.0000 Personal Farmowners
•04.0000 Homeowners - Combinations
•04.0001 Condominium Homeowners
•04.0002 Mobile Homeowners
•04.0003 Owner Occupied Homeowners
•04.0004 Tenant Homeowners
•04.0005 Other Homeowners
•09.0004 Pet Insurance Plans
•09.0006 Other Personal Inland Marine
•09.0008 Event Cancellation
•09.0009 Travel Coverage
•09.0010 Boatowners/Personal Watercraft
•12.0002 Personal Earthquake
•16.0000 WC - Combinations
•16.0001 Alternative WC
•16.0002 Employers Liability WC
•16.0003 Excess WC
•16.0004 Standard WC
•17.0003 Comprehensive Personal Liability
•17.1003 Comprehensive Personal Liability
•17.2003 Comprehensive Personal Liability
•17.0017 Personal Injury Liability
•17.1017 Personal Injury Liability
•17.2017 Personal Injury Liability
•17.0021 Personal Umbrella and Excess
•17.1021 Personal Umbrella and Excess
•17.2021 Personal Umbrella and Excess
•19.0000 Personal Auto Combinations
•19.0001 Private Passenger Auto
•19.0002 Motorcycle
•19.0003 Recreational Vehicle
•19.0004 Other
•20.0000 Commercial Auto Combinations
•20.0001 Business Auto
•20.0002 Garage
•20.0003 Other
•20.0004 Truckers
•21.0004 Mobile Homes under Transport
•24.000 Surety
•23.0000/24.0000 Fidelity and Surety
•26.0002 Personal Burglary and Theft
•28.2001 Creditor-Placed Home
•28.2002 Creditor-Placed Auto
•28.2003 Personal Property
•28.2004 Credit Involuntary Unemployment
•28.2005 Personal GAP Insurance
•30.0000 Homeopwner/Auto Combinations
•30.1000 Dwelling Fire/Personal Liability
•33.0001 Other Personal Lines
•34.0000 Title
•35.0000 Personal/Commercial Interline Filings
•35.0001 Personal Interline Filings