dw-2 - dwelling premium calculation worksheet - Citizens Property ...

ITN NO.: 11-0040ATTACHMENT "E"DW-2 - DWELLING PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: ______________ TERRITORY:“A” $ “B” $ “C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase RatesTerritory x xCoverage “A” x xCoverage “B” x xCoverage “C” x xConstruction Type x xYear Built x xSeasonal PropertyNoYesNo Prior Insurance SurchargeNoYesHurricane Deductible$5002%3%4%5%10%Other Wind Deductible$5002%3%4%5%xxxxxxxxWind Mitigation Factors x xBuilding Code Effectiveness Grade (BCEGS) =_________xxIndividual Peril Premium Totals:(Round to nearest whole dollar)= =SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row abovetogether)=Continue to page 2Ed. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR DW-2 – Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 52 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSOther Structures Increased Limits:Other Structures Hurr Base Rate _____ X $______ (per $1,000) = Hurr Premium $________Other Structures OW Base Rate _____ X $______ (per $1,000) = OW Premium $________Hurr Premium ______ + OW Premium ______ = +Limited Fungi, Wet or Dry Rot, Yeast $25,000 = $29+or Bacteria$50,000 = $46SUBTOTAL B =SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = ____(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _________ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 1.00 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above =Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) X ( 0.15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR DW-2 – Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 53 of 138

ITN NO.: 11-0040ATTACHMENT "E"HW-2 - HOMEOWNER PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: _______________ TERRITORY:“A” $ “B” $ “C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase RatesTerritory x xCoverage “A” x xCoverage “B” x xCoverage “C” x xReplacement Cost on ContentsNoYesIncreased Ordinance or Law25% of Coverage A50% of Coverage AConstruction Type x xYear Built x xSeasonal PropertyNoYesNo Prior Insurance SurchargeNoYesHurricane Deductible$5002%3%4%5%10%xxxxxxxxxxOther Wind Deductible$5002%3%4%5%xxWind Mitigation Factors x xBuilding Code Effectiveness Grade (BCEGS) =_________xxIndividual Peril Premium Totals:(Round to nearest whole dollar)= =SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row abovetogether)=Continue to page 2Ed. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-2 Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 54 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSOther Structures Increased Limits:Hurr Base Rate for Other Structures ______ X $_______ (per $1,000) = Hurr Premium $_______OW Base Rate for Other Structures ______ X $_______ (per $1,000) = OW Premium $_______Hurr Premium ______ + OW Premium ______ = +Limited Fungi, Wet or Dry Rot, Yeast or$25,000 = $29Bacteria$50,000 = $46+Loss Assessment Coverage Increase Look up value of Loss Assessment table in Manual +SUBTOTAL B =SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = ____(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _________ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 1.00 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above=Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) ( .15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-2 Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 55 of 138

ITN NO.: 11-0040ATTACHMENT "E"HW-4 - HOMEOWNER PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: _________________ TERRITORY:“C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase Rates x xTerritory x xCoverage “C” x xReplacement Cost on ContentsNoYesxxConstruction Type x xSeasonal PropertyxxNoYesNo Prior Insurance SurchargeNoYesxxHurricane Deductible$5002%3%4%5%10%xxOther Wind Deductible$5002%3%4%5%Wind Mitigation Factors x xBuilding Code Effectiveness Grade (BCEGS) = xx_________Individual Peril Premium Totals:(Round to nearest whole dollar)= =SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row abovetogether)=Continue to page 2xxEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-4 Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 56 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSLimited Fungi, Wet or Dry Rot, Yeast or$25,000 = $29=Bacteria$50,000 = $46SUBTOTAL B =SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = _____(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _________ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 0.95 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above=Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) ( .15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-4 Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 57 of 138

ITN NO.: 11-0040ATTACHMENT "E"HW-4 – MOBILE HOMEOWNER PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: _________________ TERRITORY:“C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase Rates x xTerritory x xCoverage “C” x xReplacement Cost on ContentsNoYesConstruction Type x xSeasonal PropertyNoYesNo Prior Insurance SurchargeNoYesHurricane Deductible$5002%3%4%5%10%xxxxxxxxOther Wind Deductible$5002%3%4%5%Mobilehome Construction Credit (ANSI/ASCE)NoYesxxxxIndividual Peril Premium Totals:= =(Round to nearest whole dollar)SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row above=together)Continue to page 2Ed. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-4 Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 58 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSLimited Fungi, Wet or Dry Rot, Yeast or$25,000 = $29=Bacteria$50,000 = $46SUBTOTAL B =SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = ____(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _________ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 0.95 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above=Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) ( .15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-4 Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 59 of 138

ITN NO.: 11-0040ATTACHMENT "E"HW-6 - HOMEOWNER PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: _______________ TERRITORY:“A” $ “C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase Rates x xTerritory x xCoverage “A” AND “C” Combined x xReplacement Cost on ContentsNoYesConstruction Type x xxxSeasonal PropertyNoYesNo Prior Insurance SurchargeNoYesHurricane Deductible$5002%3%4%5%10%Other Wind Deductible$5002%3%4%5%xxxxxxxxWind Mitigation Factors x xBuilding Code Effectiveness Grade (BCEGS) =_________xxIndividual Peril Premium Totals:(Round to nearest whole dollar)= =SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row abovetogether)=Continue to page 2Ed. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-6 Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 60 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSIncreased Ordinance or Law - 50% ofCoverage “A”Hurricane Base Rate ______ x Hurricane Territory Relativity factor______ x$______ (per $1,000 of Cov “A”) x 0.05 = Hurr Premium $_______Other Wind Base Rate ______ x Other Wind Territory Relativity ______ x$______ (per $1,000 of Cov “A”) x 0.05 = OW Premium $ _______Hurr Premium _______ + OW Premium _______ =+Limited Fungi, Wet or Dry Rot, Yeast or $25,000 = $29Bacteria$50,000 = $46+Loss Assessment Coverage Increase Look up value of Loss Assessment table in Manual +SUBTOTAL B =SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = ______(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _________ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 0.95 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above=Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) ( .15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR HW-6 Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 61 of 138

ITN NO.: 11-0040ATTACHMENT "E"MD-1 – MOBILE HOME DWELLING PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: _______________ TERRITORY:“A” $ “B” $ “C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase RatesTerritory x xCoverage “A” x xCoverage “C” x xConstruction Type x xSeasonal PropertyNoYesNo Prior Insurance SurchargeNoYesHurricane Deductible$5002%3%4%5%10%Other Wind Deductible$5002%3%4%5%Mobilehome Construction Credit (ANSI/ASCE))NoYesxxxxxxxxxxIndividual Peril Premium Totals:(Round to nearest whole dollar)= =SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row abovetogether)=Continue to page 2Ed. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR MD-1 Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 62 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSOther Structures Increased Limits:Other Structures Hurr Base Rate _____ X $______ (per $1,000) = Hurr Premium $________Other Structures OW Base Rate _____ X $______ (per $1,000) = OW Premium $________Hurr Premium ______ + OW Premium ______ = +Limited Fungi, Wet or Dry Rot, Yeast or$25,000 = $29+Bacteria$50,000 = $46SUBTOTAL B =GRAND SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = ____(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _______ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 0.95 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above =Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) ( .15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR MD-1 Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 63 of 138

ITN NO.: 11-0040ATTACHMENT "E"MW-2 – MOBILE HOME HOMEOWNER PREMIUM CALCULATION WORKSHEETNAMED INSURED:POLICY/BINDER NO.:POLICY LIMITS: (By Coverage, below) EFFECTIVE DATE: _______________ TERRITORY:“A” $ “B” $ “C” $ “D” $BASE PREMIUM DETERMINATION (DO NOT ROUND) MULTIPLY FACTORS FOR EACH PERIL VERTICALLYRating Factors Hurricane Other WindBase RatesTerritory x xCoverage “A” x xCoverage “C” x xReplacement Cost on ContentsNoYesxxConstruction Type x xSeasonal PropertyNoYesNo Prior Insurance SurchargeNoYesHurricane Deductible$5002%3%4%5%10%Other Wind Deductible$5002%3%4%5%xxxxxxxxMobilehome Construction Credit (ANSI/ASCE)NoYesIndividual Peril Premium Totals:= =(Round to nearest whole dollar)SUBTOTAL A – BASE PREMIUM (Add all individual peril premiums in the row above=together)Continue to page 2xxEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR MW-2 Pg. 1ITN No.: 11-0040Attachment "E"July 12, 2011Page 64 of 138

ITN NO.: 11-0040ATTACHMENT "E"BASE PREMIUM DETERMINATION (continued)ADDITIONAL COVERAGE OPTIONS AND ENDORSEMENTSOther Structures Increased Limits:Other Structures Hurr Base Rate _____ X $______ (per $1,000) = Hurr Premium $________Other Structures OW Base Rate _____ X $______ (per $1,000) = OW Premium $________Hurr Premium ______ + OW Premium ______ =+Limited Fungi, Wet or Dry Rot, Yeast or$25,000 = $29+Bacteria$50,000 = $46SUBTOTAL B =SUBTOTAL ADJUSTMENTA. UNCAPPED SUBTOTAL (SUBTOTAL A+B above) or Minimum Premium ($70) – Enter whichever is greater = ____(A)B. 2010 RATING PLAN “CAPPED GRAND SUBTOTAL” (Calculate using 2010 rates and rating steps) = _________ (B)C. ADJUSTED SUBTOTALSTEP 1 – Select the lesser of (A)_____ or ((B) x 1.10)______ = __________STEP 2 – (B)_____ x 0.95 = __________STEP 3 – Select the greater of STEP 1 or STEP 2 above=Florida Hurricane Catastrophe Fund Build-Up (Adjusted Hurricane Individual Peril Premium = $xxx) X (x.xxxx) +GRAND SUBTOTAL =MANDATORY ADDITIONAL SURCHARGES2005 Citizens Property Insurance CorporationEmergency Assessment:GRAND SUBTOTAL ( ) ( .01 ) = +2005 Florida Hurricane Catastrophe Fund(FHCF) Emergency Assessment:GRAND SUBTOTAL ( ) ( .013 ) = +Tax-Exempt Surcharge: GRAND SUBTOTAL ( ) ( .0175 ) = +Catastrophe Financing Surcharge: GRAND SUBTOTAL ( ) ( .15 ) = +Total Mandatory Additional Charges - SUBTOTAL C: =TOTAL ESTIMATED PREMIUM: (Grand Subtotal Subtotal C) =FOR AGENT’S INFORMATION ONLYCommissionable Premium = ADJUSTED SUBTOTALEd. 07/2011 Premium Calculation Worksheet is not filed or approved by the OIR MW-2 Pg. 2ITN No.: 11-0040Attachment "E"July 12, 2011Page 65 of 138