(Due Date: June 20, 2001)
| Company Name: | _______________________________ |
| NAIC Group and Company Number: | _______________________________ |
| Consumer Information Telephone Number: | _______________________________ |
| Company Contact for Additional Information: | _______________________________ |
| Company Contact Telephone Number: | _______________________________ |
| Company Contact E-mail Address: | _______________________________ |
If you return your survey by FAX, please type your responses.
| Annual Rate: HOB $80,000/$32,000, 1% | |||||
| Region | Property Territory | Property Protection Class 4 (previous Key Rate - $.06) | Property Protection Class 10 (previous Key Rate - $.50) | ||
|---|---|---|---|---|---|
| Owner A Brick |
Owner B Frame |
Owner C Brick |
Owner D Frame |
||
| Central Texas | 5 | ||||
| Central Texas | 6 | ||||
| Central Texas | 13 | ||||
| Coastal Texas | 8 | ||||
| Coastal Texas | 9 | ||||
| Coastal Texas | 10 | ||||
| Dallas/Ft. Worth Metro | 2 | ||||
| Dallas/Ft. Worth Metro | 3 | ||||
| Dallas/Ft. Worth Metro | 4 | ||||
| El Paso & Big Bend | 7 | ||||
| El Paso & Big Bend | 12 | ||||
| El Paso & Big Bend | 15C | ||||
| High Plains | 18 | ||||
| High Plains | 20 | ||||
| Houston Metro Area | 1 | ||||
| Houston Metro Area | 11 | ||||
| Houston Metro Area | 14 | ||||
| Mid Texas | 15N | ||||
| Mid Texas | 16C | ||||
| Mid Texas | 16N | ||||
| Red River | 17 | ||||
| Red River | 19C | ||||
| Red River | 19N | ||||