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m a ci n t o sh h d: d es k t o p fo ld er : c o mm e rc e 1 w e b u pd at e s : p i p - c er t . d o c The Minnesota No-Fault Certification Form Why was there a Minnesota No-Fault Certification Process? In 1974 the Minnesota Legislature passed the Minnesota No-Fault Automobile Insurance Act 1 . This Act required Minnesota residents and nonresidents at all times to maintain basic economic loss benefits 2 and automobile liability coverage on vehicles they own, provided use of a vehicle is contemplated and one of the following is true: (1) The vehicle required to be registered or licensed in Minnesota, or (2) the vehicle principally garaged in Minnesota. Secondly, the Act also required a nonresident of Minnesota to maintain PIP and liability coverages on any other owned vehicle 3 whenever the nonresident drives this vehicle within the borders of Minnesota. This second requirement presented a problematic situation for insurance companies. Because the polices that companies issue within a nonresident’s home state do not contain Minnesota No-Fault benefits, companies needed to find a way to extend such benefits to nonresident insureds whenever these insureds were driving their vehicles in Minnesota . To help insurance companies address this problem, the Minnesota Department of Commerce developed the Minnesota No-Fault Certification form. What is the Minnesota No-Fault Certification Form? Following passage of the Minnesota No-Fault Automobile Insurance Act in 1974, the Minnesota Department of Commerce sent a Minnesota No-Fault Certification Form to every insurance company that was writing automobile insurance in the United States and Canada. Companies were asked to have one of their officers sign, date, and return the form to the Department. By doing this, these companies formally agreed to provide Minnesota no-fault benefits to their non-Minnesota insureds if those insureds were involved in an accident while driving their vehicle in Minnesota . A blank copy of this form is attached below for information purposes. 1 See Minn. Stat. §65B.48. 2 These benefits are also called Personal Injury Protection or PIP. 3 i.e. (1) any vehicle not required to be registered or licensed in Minnesota or (2) any vehicle not principally garaged in Minnesota

The Minnesota No-Fault Certification Formmn.gov/commerce-stat/pdfs/no-fault-certification-form.pdf · The Minnesota No-Fault Certification Form ... American Empire Insurance Company

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m a ci n t o sh h d: d es k t o p fo ld er : c o mm e rc e 1 w e b u pd at e s : p i p - c er t . d o c

The Minnesota No-Fault Certification Form

Why was there a Minnesota No-Fault Certification Process?

In 1974 the Minnesota Legislature passed the Minnesota No-Fault AutomobileInsurance Act1.

This Act required Minnesota residents and nonresidents at all times to maintain basiceconomic loss benefits2 and automobile liability coverage on vehicles they own,provided use of a vehicle is contemplated and one of the following is true: (1) Thevehicle required to be registered or licensed in Minnesota, or (2) the vehicle principallygaraged in Minnesota.

Secondly, the Act also required a nonresident of Minnesota to maintain PIP andliability coverages on any other owned vehicle3 whenever the nonresident drives thisvehicle within the borders of Minnesota.

This second requirement presented a problematic situation for insurance companies.Because the polices that companies issue within a nonresident’s home state do notcontain Minnesota No-Fault benefits, companies needed to find a way to extend suchbenefits to nonresident insureds whenever these insureds were driving their vehicles inMinnesota .

To help insurance companies address this problem, the Minnesota Department ofCommerce developed the Minnesota No-Fault Certification form.

What is the Minnesota No-Fault Certification Form?

Following passage of the Minnesota No-Fault Automobile Insurance Act in 1974, theMinnesota Department of Commerce sent a Minnesota No-Fault Certification Form toevery insurance company that was writing automobile insurance in the United States andCanada. Companies were asked to have one of their officers sign, date, and return theform to the Department. By doing this, these companies formally agreed to provideMinnesota no-fault benefits to their non-Minnesota insureds if those insureds wereinvolved in an accident while driving their vehicle in Minnesota .

A blank copy of this form is attached below for information purposes.

1 See Minn. Stat. §65B.48.2 These benefits are also called Personal Injury Protection or PIP.3 i.e. (1) any vehicle not required to be registered or licensed in Minnesota or (2) any vehicle not principally

garaged in Minnesota

O c t o b e r 7 , 1 9 9 9 P a g e 2

Which companies signed the form?

Two back-to-back alphabetical listings of insurance companies are attached below. Theselistings indicate the companies whose officers signed a Minnesota No-FaultCertification Form in 1974. The first listing consists of companies that were in Minnesota as of 1974. The second listing, which sequentially follows the consists of companies that were unlicensed in Minnesota as of 1974.

Why is this listing made available to the public?

The Minnesota Department of Commerce regularly receives inquiries from pedo not legally reside in Minnesota but who are involved in accidents in Minnedriving a vehicle they own . These persons wish to know whether they are entreceived Minnesota Basic Economic Loss benefits from their insurance compalosses sustained in their accident.

If these persons happen to carry insurance provided by a company named in onelistings, then these persons will be able to recover Minnesota Basic Economicbenefits from their company even if the company’s policy does not contain colanguage.

If not, these persons will not be eligible for such coverage from their insuranccompany. (They may therefore wish to contact the insurance department of thwhich they reside.) Further, because they would be considered uninsured driveMinnesota law, these persons would also be ineligible for Minnesota Basic EcLoss benefits through the Minnesota Automobile Assigned Claims Bureau.

What if an insurance company was first incorporated after 1974 or underwechange since 1974?

Minnesota No-Fault Certification Forms have been sent out to companies onl1974. Companies incorporated since 1974 will therefore not be found in the lHowever, one should ascertain whether such a company is a member of a compcomprising companies that did sign a Minnesota No-Fault Certification Formcase, Minnesota Basic Economic Loss benefits might be available from that coAlso, if a company name cannot be found in the listings, one should double chcompany has not undergone a name change since 1974. If that has happened, onfind out the prior company name and look for that.

licensed

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O c t o b e r 7 , 1 9 9 9 P a g e 3

If my company is named in the listings, how can I find out which officer of thecompany signed the form? What if I have other questions about the Minnesota No-Fault Certification Forms?

The Department has signed Minnesota No-Fault Certification Forms on file for allinsurance companies listed below. Copies can be obtained if needed by telephoning thefollowing number: (651) 297-2669. Additional questions can also be referred to thisnumber.

What should I do if an insurance company refuses to pay Minnesota No-Faultbenefits?

If an insurance company that is licensed in Minnesota refuses to pay Minnesota basiceconomic loss benefits, please contact the Department’s Enforcement Division (tel: 651-296-2488). The Department will investigate any complaint alleging violations ofMinnesota insurance law and will attempt to resolve claim disputes. While theDepartment may impose fines and penalties if violations are found, the Department hasno authority to secure payments on behalf of any claimant or insured. Unlicensedcompanies do not come under the jurisdiction of the Minnesota Commerce Department’sEnforcement Division.

The ______

hereby certto a motor vNo-Fault Ashall be deealso providor territory,certificationbe providedbenefits whthe amountloss under t

_________

_________

MINNESOTA NO-FAULT CERTIFICATION FORM

________________________ of _________________________________ (Company) (Address)

ifies that any automobile liability policy issued by said company with respectehicle as to which the owner is required to maintain security under Minnesota

utomobile Insurance Act, Senate Bill #96, Chapter 408, of the Laws of 1974,med to provide the security required by such Act, provided that, if such policyes direct benefits without regard to fault pursuant to the law of any other state (1) the benefits for economic loss provided for and in accordance with this, shall not apply to any element of economic loss paid, payable or required to under such law of any other state or territory, and (2) the total amount ofich would be payable in accordance with this certification shall be reduced by paid, payable or required to be provided for the same elements of economiche provisions of the law of such other state or territory.

______________________ _______________________________________(Name) (Title of Officer)

______________________ _______________________________________ (Date) (Signature)

Abstainers’ Insurance Com24 Peel StreetSimcoe, Ontario, Canada

Aetna Casualty & Surety 151 Farmington AvenueHartford, CT 06156

Aetna Fire Underwriters I55 Elm StreetHartford, CT 06115

Aetna Insurance Company55 Elm StreetHartford, CT 06115

Aetna Life & Casualty Co55 Elm StreetHartford, CT 06115

Affiliated FM Insurance CP.O. Box 7500Johnston, RI 02919

Agricultural Insurance Co2700 University AvenueSt. Paul, MN 55114

AgSecurity Insurance Com2501 North StilesOklahoma City, OK 7310

Agway Insurance CompanP.O. Box 1410Syracuse, NY 13201

AID Insurance Company 701 FifthDes Moines, IA 50304

American International In102 Maiden LaneNew York, NY

LICENSED COMPANIES THAT ARE CERTIFIED

pany

Co. of America

nsurance Co.

mpanies

ompany

mpany

pany

5

y

(Mutual)

surance Company

Alabama Farm Bureau Mutual Casualty I.C.P.O. Box 11000Montgomery, AL 36111

Alaska Insurance Company750 West Second AvenueAnchorage, AK 99502

Albany Insurance Company59 John StreetNew York, NY 10038

Algoma Mutual Fire Insurance CompanyThessalon, Ontario, Canada

All America Insurance Company800 South Washington StreetVan Wert, OH 45891

All Nation Insurance CompanySt. Paul, MN

All-Star Insurance Corp.5401 North 76th StreetMilwaukee, WI

Allendale Mutual InsuranceJohnston, RI

Alliance Assurance Company51 J.F. Kennedy ParkwayShort Hills, NJ 07078

Allianz Insurance Company275 Glen Cove RoadCarle Place, NY

Allied Insurance Company1600 Arch StreetPhiladelphia, PA 19101

Allstate Fire Insurance CompanyAllstate PlazaNorthbrook, IL60062

Allstate Indemnity Insurance CompanyAllstate PlazaNorthbrook, IL 60062

Allstate Insurance CompanyAllstate PlazaNorthbrook, IL 60062

AMCO Insurance Company701 FifthDes Moines, IA 50304

American and Foreign Insurance Company150 William StreetNew York, NY 10038

American Automobile Ins.3333 California StreetSan Francisco, CA 94119

American Bankers Insurance Company600 Brickell AvenueMiami, FL 33131

American Casualty Co. of Reading, PACNA PlazaChicago, IL 60685

American Centennial Insurance Company1300 Market StreetWilmington, DE

American Continental Ins. (The)309 Vine StreetCincinnati, OH 45202

American Druggists Insurance Company80 East Central Pkwy.Cincinnati, OH 45202

American Economy Insurance Company500 North Meridian StreetIndianapolis, IN

American Empire Insurance Company2700 University AvenueSt. Paul, MN 55114

American Employers’ Insurance CompanyOne Bacon StreetBoston, MA

American Family Insurance Group3099 E. Washington AvenueMadison, WI 53701

American Family Mutual Company3099 E. Washington AvenueMadison, WI 53701

American Fellowship Mutual Insurance Company2624 West Grand BoulevardDetroit, MI 48208

American Fidelity Company1750 Elm StreetManchester, NH 03105

American Fidelity Fire Insurance Company100 Crossways Park WestWoodbury, NY 11797

American Fidelity Insurance Company2000 Classen, P.O. Box 25523Oklahoma City, OK

American Guarantee and Liability Ins.111 W. Jackson Blvd.Chicago, IL

American Hardware Mutual Insurance Company3033 Excelsior Blvd.Minneapolis, MN 55440

American Home Assurance Company102 Maiden LaneNew York, NY

American Insurance3333 California StreetSan Francisco, CA 94119

American Interstate Ins. Co. of Georgia4183 Northeast ExpresswayAtlanta, GA 30340

American Interinsurance Exchange2105 North Meridian StreetIndianapolis, IN 46202

American Interstate Ins. Corp. of WI155 Executive DriveBrookfield, WI 53005

American Liberty Insurance Company1401 Twentieth StreetBirmingham, AL 35205

American Manufacturers Mutual Ins. Co.Long Grove, IL 60049

American Modern Home Insurance Company1200 First National Bank Bldg.Cincinnati, OH 45202

American Motorists Insurance CompanyLong Grove, IL 60049

American Mutual Ins. Co. of BostonWakefield, MA

American Mutual Liability Ins. Co.Wakefield, MA

American National Fire Insurance Company580 Walnut St., P.O. Box 2575Cincinnati, OH 45201

American Policyholders’ Ins. Co.Wakefield, MA

American Protection Insurance CompanyLong Grove, IL 60049

American Re-Insurance Company91 Liberty StreetNew York, NY 10006

American Reliable Insurance CompanyMinneapolis, MN

American Reserve163 Asylum StreetHartford, CT

American Road Insurance CompanyThe American RoadDearborn, MI 48121

American Security Insurance CompanyAtlanta, GA

American Standard Insurance Company3099 E. Washington AvenueMadison, WI 53701

American Star Insurance Company350 Sansome StreetSan Francisco, CA

American States Insurance Company500 North Meridian StreetIndianapolis, IN

American Union Insurance Company500 North Meridian StreetIndianapolis, IN

American Union Mutual Insurance CompanyMinneapolis, MN

American Universal Insurance144 Wayland AvenueProvidence, RI

American Zurich Insurance Company231 North Martingale RoadSchaumburg, IL 60196

Amica Mutual Insurance Company10 Weybosset StreetProvidence, RI

Appalachian Insurance CompanyP.O. Box 7500Johnston, RI

Argonaut Insurance Company250 Middlefield RoadMenlo Park, CA 94025

Argonaut-Midwest Insurance Company250 Middlefield RoadMenlo Park, CA 94025

Arkwright-Boston Insurance Company225 Wyman StreetWaltham, MA 02154

Arkwright-Boston Manufacturer Mutual Ins.225 Wyman StreetWaltham, MA 02154

Associated Indemnity Corp.3333 California StreetSan Francisco, CA 94119

Assurance Company of AmericaFifty Nine John StreetNew York, NY 10038

Atlantic Insurance Company3015 Cedar SpringsDallas, TX 75221

Atlantic Mutual Insurance Company45 Wall StreetNew York, NY

Atlas Assurance Co. Ltd.59 John StreetNew York, NY 10038

Austin Mutual Insurance Company84 South 6th StreetMinneapolis, MN

Auto Club Insurance CompanyAuto Club DriveDearborn, MI 48126

Auto Club Group Insurance CompanyAuto Club DriveDearborn, MI 48126

Auto Club Insurance AssociationAuto Club DriveDearborn, MI 48126

Automobile Club Insurance Company3590 Twin Creeks DriveColumbus, OH 43204

Auto-Owners Insurance CompanyLansing, MI

AVEMCO Insurance Company7315 Wisconsin AvenueBethesda, MD 20014

The AYR Mutual Fire Insurance CompanyAYR, Ontario

BLC Insurance Company711 High StreetDes Moines, IA 50307

Badger Mutual Insurance Company1635 West National AvenueMilwaukee, WI 53204

Badger State Mutual Casualty Co.250 S. Executive DriveBrookfield, WI 53005

Balboa Insurance Company620 Newport Centre DriveNewport Beach, CA

Bankers and Shippers Ins. of NYP.O. Box 659Burlington, NC 27215

Beacon Mutual Indemnity2021 E. Dublin-Granville RoadColumbus, OH

Beacon National Insurance CompanyWichita Falls, TX

Belair Insurance Company3600 Hotel De VilleMontreal, P.Q.

Bellefonte Insurance Company703 Curtis StreetMiddletown, OH

Berkshire Mutual Insurance CompanyPittsfield, MA

Bertie & Clinton Mutual Fire Insurance Company44 Michigan AvenueWelland, Ontario

Birmingham Fire Insurance Company102 Maiden LaneNew York, NY

Bituminous Casualty CorporationRock Island, IL

Bituminous Fire and Marine Insurance CompanyRock Island, IL

Blue Ridge Insurance Company2727 Turtle Creek BoulevardDallas, TX 75221

Boston Old Colony Insurance Company360 W. Jackson Blvd.Chicago, IL 60606

California Casualty Indemnity ExchangeP.O. Box MSan Mateo, CA

California Casualty Insurance CompanyP.O. Box MSan Mateo, CA

Calvest Fire Insurance Company2825 North Mayfair RoadMilwaukee, WI 53222

The Camden Fire Insurance Association414 Walnut StreetPhiladelphia, PA 19106

Cameron Mutual Insurance Company214 E. McElwain DriveCameron, MO

Canada Accident and Fire Assurance CompanyP.O. Box 441 Toronto Dominion CentreToronto, Ontario M5K IL9

Canada Security Assurance Company60 Yonge StreetToronto, Ontario, Canada

Canadian Commerce Insurance111 Avenue Road, Suite 300Toronto, Ontario, Canada

Canadian General Insurance170 University AvenueToronto, Ontario, Canada

Canadian Indemnity Company333 Main StreetWinnipeg, Manitoba R3C 1C3

The Canadian Indemnity Company333 Main StreetWinnipeg, Manitoba R3C 1C3

Canadian Mercantile Insurance Company2450 Girouard StreetSt. Hyacinthe, Quebec, Canada

Canadian National Insurance Company2450 Girouard StreetSt. Hyacinthe, Quebec, Canada

Canadian Provident General Insurance801 Sherbrooke St. EastMontreal, P.Q., Canada H2L 1K8

Canadian Surety Company2180 Yonge StreetToronto, Ontario

Canal Insurance Company417 E. North StreetGreenville, SC

Cardinal Insurance CompanySuite 2727 Commerce Court N Box 58Toronto, Ontario, M5L-1B9

Carolina Casualty Insurance Company1107 Myra StreetJacksonville, FL 32203

Carriers Insurance CompanyKeosauqua at ThirdDes Moines, IA 50307

Castle Insurance Company17000 Executive Plaza DriveDearborn, MI 48126

Casualty Reciprocal Exchange92nd Street and State LineKansas City, MO 64114

Cavalier Insurance Corporation300 St. Paul PlaceBalto, MD

Cayuga Mutual Fire Insurance Company23 King Street, P.O. Box 204Cayuga, Ontario

Celina Mutual Insurance CompanyInsurance SquareCelina, OH 45822

Centennial Insurance Company45 Wall StreetNew York, NY

Central Mutual Insurance Company800 South Washington StreetVan Wert, OH 45891

Central National Ins. Co. of Omaha105 South 17th StreetOmaha, NE

Central Security Mutual Insurance Company2775 W. Algonguin RoadRolling Meadows, IL

Century Indemnity Company55 Elm StreetHartford, CT 06115

Century Insurance Company of Canada1112 West Pender StreetVancouver, B.C. V6E 2S2

Charter National Insurance Company8301 MarylandSt. Louis, MO 63105

Chateau Insurance Company2300 Yonge Street, Suite 3000Toronto, Ontario, Canada M4P 2X3

Cherokee Insurance CompanyNashville, TN

Chicago Insurance Company55 East Monroe StreetChicago, IL 60603

Church Insurance Company800 Second AvenueNew York, NY 10017

Church Mutual Insurance Company1004 E. 1st StreetMerrill, WI 54452

Chrysler Insurance Company16250 Northland DriveSouthfield, MI

CIM Insurance Corporation767 Fifth AvenueNew York, NY 10022

Cimarron Insurance Company, Inc.101 North Main StreetCimarron, KS 67835

Cincinnati Insurance CompanyCincinnati, OH 45214

Citizens Insurance Company of America645 West Grand River AvenueHowell, MI 48843

Citizens Security Mutual Insurance CompanyRed Wing, MN

City Insurance Company59 Maiden LaneNew York, NY 10038

Classified Insurance Corp.700 West MichiganMilwaukee, WI

Coastal Casualty CompanyVan Nuys, CA

Colonial Penn Franklin Insurance Company5 Penn Center PlazaPhiladelphia, PA 19103

Colonial Penn Insurance CompanyBoston, MA

Colorado Farm Bureau MutualP.O. Box 5647Denver, CO 80217

Columbia Insurance Company405 South 31st StreetOmaha, NE 68131

Comco Insurance Company205 E. 10th

Amarillo, TX 79105

Commerce General Insurance Company2450 Girouard StreetSt. Hyacinthe, Quebec, Canada

The Commerce Group Ins. Co.Ottawa, Canada

Commercial Insurance Co. of Newark, NJ360 West Jackson Blvd.Chicago, IL 60606

Commercial Standard Insurance6421 Camp Bowie Blvd.

Commercial Union Assurance Co. of CanadaP.O. Box 441, Toronto-Dominion CentreToronto, Ontario M5K 1L9

Commonwealth Fire & Casualty CompanyLouisville, KY

Companion Insurance Company1751 North Meridian StreetIndianapolis, IN

Compass Insurance Company275 Glen Cove RoadCarle Place, NY

Concorn General Mutual Insurance Company4 Bouton StreetConcord, NH

Connecticut Indemnity Company1000 Asylum AvenueHartford, CT 06101

Consolidated American Insurance Company1501 Lady St., P.O. Box 1Cola, SC 29202

Consolidated Fire & Casualty Ins. Co.P.O. Box 4060Toronto, Ontario M5W 1L9

Consolidated Insurance Company115 North Pennsylvania StreetIndianapolis, IN 46204

Consolidated Mutual Insurance Company345 Adams StreetBrooklyn, NY 11201

Constitution Ins. Co. of Canada500 University AvenueToronto, Ontario M5G 1V9

Continental Casualty CompanyCNA PlazaChicago, IL 60685

Continental Insurance Company (The)360 West Jackson Blvd.Chicago, IL 60606

Continental Western Insurance CompanyP.O. Box 1594Des Moines, IA 50306

Co-operators General Insurance CompanyPriory Square, GuelphOntario Canada N1H 6P8

Cornhill Insurance Company111 Avenue Road, Suite 410Toronto, Ontario M5R 3K3

Countryside Casualty Company1150 So. Olive StreetLos Angeles, CA 90015

Covenant Insurance95 Woodland StreetHartford, CT

Covenant Mutual Insurance95 Woodland StreetHartford, CT

Covington Mutual Ins. Co.Pike & MadisonCovington, KY 41012

Criterion Insurance Company5260 Western AvenueWashington, DC 20015

Cumis Insurance Society, Inc.5910 Mineral Point RoadP.O. Box 1084Madison, WI 53701

Dairyland Insurance Company625 N. Segoe RoadMadison, WI 53705

Dakota Fire Insurance Company904 Divide Avenue, Box 1396Bismarck, ND 58501

Diversified Insurers Co.P.O. Box 394Des Moines, IA 50302

Dixie Auto Insurance Company2308 Fourth Avenue NorthBirmingham, AL 35203

Dominion Insurance Corp. (The)18 King Street EToronto, Ontario, Canada

Downie Mutual Fire Insurance CompanyP.O. Box 10, 264 Huron RoadSebringville, Ontario NOK 1X0

Drake Insurance Company360 West Jackson Blvd.Chicago, IL 60606

Druggist Mutual Insurance CompanyAlgona, IA

Dufferin Mutual Fire Insurance CompanyShelburne, Ontario

Eagle Star Insurance Company111 John StreetNew York, NY 10038

Eagle Star Insurance Co. Ltd.111 John StreetNew York, NY 10038

Early Settlers Insurance CompanyP.O. Box 27552Richmond, VA

Economical Mutual Insurance Company10 Duke Street WestKitchener, Ontario, Canada

Economy Fire & Casualty Company511 W. StephensonFreeport, IL 61032

Edmonton Canadian Ins. Co.10339-124th StreetEdmonton, Alberta

Eldorado Insurance CompanyPalo Alto, California

Electric Insurance Company715 LynnwayLynn, MA 01905

Electric Mutual Liab. Ins. Co.715 LynnwayLynn, MA 01905

EMCASCO Insurance CompanyDes Moines, IA

Emmco Insurance Company221 West Wayne StreetSouth Bend, IN

Empire Fire & Marine Insurance Company1624 Douglas StreetOmaha, NE 68102

Empire Mutual Insurance Company1965 BroadwayNew York, NY 10023

Employers Casualty CompanyP.O. Box 2759Dallas, TX 75221

Employers’ Fire Insurance CompanyOne Beacon StreetBoston, MA

Employers Mutual Casualty CompanyDes Moines, IA

Employers Mutual Fire Insurance Company2000 Westwood DriveWausau, WI 54401

Employers Mutual Liability Ins. Co. of WI2000 Westwood DriveWausau, WI 54401

Employers National Ins. Co.P.O. Box 2759Dallas, TX 75221

Employers Reinsurance Corp.21 West 10th StreetKansas City, MO 64105

Equitable GeneralP.O. Box 1869Fort Worth, TX

Equitable General Insurance Company200 St. James St. W.Montreal, P.Q.

Equity Mutual Insurance Company92nd Street and State LineKansas City, MO 64114

Erie Insurance Exchange144 East 6th StreetN. Erie, PA 16530

Erie Mutual InsuranceBox 100Fisherville, Ontario Noa 1Go

Excalibur Insurance CompanyDallas, TX

Excel Insurance Company221 West Wayne StreetSouth Bend, IN

Excess Mutual Reinsurance Co.1314 King StreetWilmington, DE 19899

FB Insurance Company120 South Hubbard LaneLouisville, KY 40207

Farm Bureau Mutual Insurance Company2321 Anderson AvenueManhattan, KS 66502

Farm Family Mutual Insurance CompanyBox 656Albany, NY 12201

Family Insurance Corp.145 S. SawyerShawano, WI

Farmers Alliance Mutual Insurance CompanyMcPherson, KS

Farmers Automobile Insurance Association2505 Court StreetPekin, IL 61554

Farmers Casualty CompanyDes Moines, IA

Farmers Elevator Mutual Insurance CompanyFleur & BellDes Moines, IA 50315

Farmers Home Mutual Insurance Company3801 First Avenue SouthMinneapolis, MN 55409

Farmers Insurance Company of AmericaArizona

Farmers Insurance Company Inc.6717 West 63rd StreetMission, KS 66202

Farmers Insurance Company of Arkansas8901 Kanis RoadLittle Rock, AR 72205

Farmers Insurance Company of Idaho2500 South AvenuePocatello, ID 83201

Farmers Mutual Insurance Company of NEP.O. Box 81529Lincoln, NE

Farmers Insurance Company of WA9611 Sunset HighwayMercer Island, WA 98040

Farmers Insurance Exchange4680 Wilshire Blvd.Los Angeles, CA 90005

Farmers’ Mutual Fire Insurance Company12-16 Peel StreetLindsay, Ontario

Farmers Mutual Hail Insurance Company of IA2323 Grand AvenueDes Moines, IA 50312

Farmers Union Co-Operative Ins. Co.507 South 72nd StreetOmaha, NE

Federal Fire Insurance Company of CanadaP.O. Box 4060, Station AToronto, Ontario M5W 1L9

Federal Insurance Company51 J.F. Kennedy ParkwayShort Hills, NJ 07078

Federal Kemper InsuranceDecatur, IL 62526

Federated Guaranty Mutual Insurance Company2108 East South BoulevardMontgomery, AL 36111

Federated Mutual Insurance CompanyOwatonna, MN

Federated Rural Electric Insurance Corp.P.O. Box 4328Madison, WI 53719

Federated Service Insurance CompanyOwatonna, MN

Fidelity and Casualty Co. of NY (The)360 West Jackson Blvd.Chicago, IL 60606

Fidelity & Deposit Co. of MDBaltimore, MD

Fidelity and Guaranty Ins. UnderwritersBaltimore, MD

Fidelity Insurance Company of CanadaToronto 1, Ontario

Financial Fire & Casualty CompanyFort Lauderdale, FL

Financial Indemnity Company5858 Wilshire Blvd.Los Angeles, CA

Fire and Casualty Insurance Company of CT1000 Asylum AvenueHartford, CT 06101

First of Georgia Insurance CompanyAugusta, GA

First of Georgia MutualAugusta, GA

Fire Insurance Exchange4680 Wilshire Blvd.Los Angeles, CA

Fireman’s Fund Insurance3333 California StreetSan Francisco, CA 94119

Firemen’s Ins. Co. of Newark, NJ360 West Jackson Blvd.Chicago, IL 60606

First Heartland Surety & Cas. Ins. Co.209 NW Third AvenueAustin, MN 55912

First Insurance Company of Hawaii, Ltd.1100 Ward Avenue, Box 2866Honolulu, HI 96803

First National Ins. Co. of AmericaSAFECO PlazaSeattle, WA 98185

First Preferred Insurance CompanyWichita Falls, TX

Florida Farm Bureau Casualty Insurance Company5700 Rocky Point RoadGainesville, FL 32608

Florida Farm Bureau Mutual Ins. Co.5700 Rocky Point RoadGainesville, FL 32608

Florist’s Mutual Insurance Company500 St. Louis StreetEdwardsville, IL 62025

Foremost Insurance CompanyP.O. Box 24505800 Foremost DriveGrand Rapids, MI 49501

Formosa Mutual Insurance CompanyFormosa, Ontario

Forum Insurance Company15 Westminster St., Suite 435Providence, RI 02903

Frankenmuth Mutual Insurance Company#1 Mutual AvenueFrankenmuth, MI

Gambles Insurance Company5100 Gamble DriveSt. Louis Park, MN 55416

General Accident Fire & Life Assurance Corp.414 Walnut StreetPhiladelphia, PA 19106

General Casualty Co. of WI121 E. Wilson StreetMadison, WI 53703

General Security Insurance Company of Canada1259 Berri StreetMontreal, Canada

General Security Insurance Company1259 Berri StreetMontreal, Canada

Gerling Global General Insurance Company480 University AvenueToronto, Ontario

Liverpool & London & Globe Ins. Co.150 William StreetNew York, NY 10038

General Ins. Co. of AmericaSAFECO PlazaSeattle, WA 98185

General Reinsurance Corp.600 Steamboat RoadGreenwich, CT 06830

Glen Falls Insurance Company (The)360 W. Jackson Blvd.Chicago, IL 60606

Globe Indemnity Company150 William StreetNew York, NY 10038

Gold Medal Insurance CompanyMinneapolis, MN

Goodville Mutual Casualty Co.325 West MainNew Holland, PA 17557

Gopher State Mutual Ins.3801 First Ave. SouthMinneapolis, MN 55409

Government Employees Insurance Company5260 Western AvenueWashington, DC

Grain Dealers Mutual Insurance Company1752 No. Meridian StreetIndianapolis, IN

Granite State Insurance Company1750 Elm StreetManchester, NH

Great American of Dallas Fire & Cas. Co.800 Brooksedge Blvd.Westerville, OH 43081

Great Central Insurance Company3625 No. Sheridian RoadPeoria, IL

Great Northern Insurance Company51 J.F. Kennedy ParkwayShort Hills, NJ 07078

Great Southwest Fire Insurance CompanyP.O. Box 29420Scottsdale, AZ 85065

Great West Casualty CompanySouth Sioux City, NE

Greater New York Mutual Ins. Co.770 BroadwayNew York, NY 10003

Grinnell Mutual ReinsuranceBox 420Grinnell, IA

Gulf Insurance Group3015 Cedar SpringsDallas, TX

Hanover Insurance Company440 Lincoln StreetWorcester, MA 01605

Harbor Insurance Company4201 Wilshire Blvd.Los Angeles, CA 90010

Harco National Insurance CompanyP.O. Drawer 12-UMilwaukee, WI 53201

Harleysville Mutual Insurance CompanyHarleysville, PA

Hartford Accident and Indemnity CompanyHartford PlazaHartford, CT 06115

Hartford Casualty Insurance CompanyHartford PlazaHartford, CT 06115

Hartford Fire Insurance CompanyHartford PlazaHartford, CT 06115

Hawkeye-Security Insurance Company1017 WalnutDes Moines, IA 50307

Highlands Insurance Company600 Jefferson StreetHouston, TX

Home Indemnity Company59 Maiden LaneNew York, NY 10038

Home Insurance Company59 Maiden LaneNew York, NY 10038

Home Insurance Company of INIndianapolis, IN

Home Mutual Insurance CompanyAppleton, WI

Horace Mann Insurance Company#1 Horace Mann PlazaSpringfield, IL 62715

Horace Mann Mutual Insurance#1 Horace Mann PlazaSpringfield, IL 62715

Horizon Underwriters, Inc.1200 Cargill BuildingMinneapolis, MN 55402

Ideal Mutual Insurance Company261 Madison AvenueNew York, NY 10016

Illinois Farmers Insurance Company1700 North LakeAurora, IL 60507

Imperial Insurance Company417 South Hill StreetLos Angeles, CA 90013

Implement Dealers Mutual Insurance CompanyGrand Forks, ND

INA Reinsurance Company3 ParkwayPhiladelphia, PA 19102

Indiana Lumbermens Mutual InsuranceP.O. Box 1985Indianapolis, IN

Industrial Indemnity CompanySan Francisco, CA

Inland Insurance CompanyLincoln, NE

Inland National Insurance133 South 4th StreetSpringfield, IL

Insurance Company of North America1600 Arch StreetPhiladelphia, PA 19101

Insurance Company of the State of PA102 Maiden LaneNew York, NY

Integrity Insurance Company197 Cedar LaneTeaneck, NJ 07666

Integrity Mutual Insurance CompanyAppleton, WI

International Insurance CompanyMorristown, NJ

Iowa Kemper Insurance Company2601 Fourth St. SWMason City, IA 50401

Iowa Mutual Insurance CompanyDeWitt, IA 52742

Iowa National Mutual Insurance Company518 2nd Avenue SECedar Rapids, IA

JCPenney Casualty CompanyWesterville, OH

Jefferson Insurance Company of NYOne Park AvenueNew York, NY 10016

John Deere Insurance CompanyMoline, IL 61265

Kansas City Fire & Marine Insurance Company360 W. Jackson BoulevardChicago, IL 60606

Kemper Security Insurance CompanyLong Grove, IL 60049

Kent & Essex Mutual Insurance Company250 St. Clair Street, P.O. Box 356Chatham, Ontario N7M 5K4

Lakeland Fire & Casualty Company6700 France Avenue SouthMinneapolis, MN

Land Of Lakes Mutual Insurance CompanyMinnesota

League General Insurance CompanyP.O. Box 5250Detroit, MI 48235

Leatherby Insurance Company1400 North Harbor Blvd.Fullerton, CA 92635

Liberty Mutual Fire Insurance Company175 Berkeley StreetBoston, MA 02117

Liberty Mutual Insurance Company175 Berkeley StreetBoston, MA 02117

London Assurance Company51 J.F. Kennedy Pkwy.Short Hills, NJ 07078

London Guarantee & Accident Co. of NY360 W. Jackson Blvd.Chicago, IL 60606

Lumbermens Mutual Casualty CompanyLong Grove, IL 60049

Lumbermen’s Underwriting Alliance U.S.Epperson5115 Oak StreetKansas City, MO 64112

Lyndon Insurance CompanyThorp, WI

MFA Mutual Insurance Company1817 W. BroadwayColumbia, OH 65201

Manchester Insurance and Indemnity Company243 North LindberghSt. Louis, MO 63141

Maryland Casualty Company3910 Keswick RoadP.O. Box 1228Baltimore, MD 21203

Massachusetts Bay Insurance Company440 Lincoln StreetWorcester, MA 01605

Metropolitan Fire Assurance Company1000 Asylum AvenueHartford, CT 06101

Metropolitan Property & Liability Ins. Co.544 Elmwood AvenueProvidence, RI 02940

Michigan Millers MutualLansing, MI

Michigan Mutual Insurance Company28 W. Adams AvenueDetroit, MI 48226

MID Century Insurance Company4680 Wilshire Blvd.Los Angeles, CA 90005

Mid-Continent Casualty CompanyTulsa, OK

Midland Insurance Company1 State Street PlazaNew York, NY 10004

Midland Union Mutual Insurance CompanyJuneau, WI 53039

Mid-States Insurance CompanyCNA PlazaChicago, IL 60685

Midwest Mutual Insurance Company1111 Ashworth RoadWest Des Moines, IA 50265

Milbank Mutual Insurance CompanyMilbank, SD

Millers Mutual Fire Insurance Company900 MonroeFort Worth, TX

Millers Mutual Insurance Association320 Easton StreetAlton, IL 62002

Millers Mutual Insurance CompanyHarrisburg, PA

Millers National Insurance Company29 North Wacker DriveChicago, IL 60606

Milwaukee Guardian Insurance Company803 West Michigan StreetMilwaukee, WI 53201

Milwaukee Mutual Insurance Company803 W. Michigan StreetMilwaukee, WI 53201

Minnehoma Insurance Company1903 N. Sheridian RoadTulsa, OK 74115

Minnesota Farmers Mutual Insurance Company10601 Wayzata Blvd.Minnetonka, MN 55343

Minnesota Mutual Fire & Casualty CompanyMinnetonka, MN 55343

Mission Insurance Company2601 Wilshire Blvd.Los Angeles, CA 90057

Mobile Insurance Company13600 LBJDallas, TX

Modern Service Insurance Company1919 University AvenueSt. Paul, MN

Monarch Insurance Company of OH19 Rector StreetNew York, NY 10006

Motor Club of America Insurance Company484 Central AvenueNewark, NJ 07107

Motor Vehicle Casualty Company209 North York StreetElmhurst, IL 60126

Motors Insurance Corporation767 Fifth AvenueNew York, NY 10022

Motorists Beneficial Insurance Company307 North Michigan AvenueChicago, IL 60601

Mount Rushmore Insurance Company625 Ninth StreetRapid City, SD 57701

Mutual Protective Insurance Company3860 Leavenworth StreetOmaha, NE

Mutual Service Casualty Insurance Company1919 University AvenueSt. Paul, MN

National American Insurance Company7100 West Center RoadOmaha, NE 68106

National American Co. of NY1105 Hamilton StreetAllentown, PA 18101

National Ben Franklin Ins. Co. of IL360 W. Jackson Blvd.Chicago, IL 60606

National Casualty Company28333 Telegraph RoadSouthfield, MI 48076

National Family Insurance Company2147 University AvenueSt. Paul, MN 55114

National Farmers Union Property & Cas.P.O. Box 2251Denver, CO 80201

National Farmers Union StandardP.O. Box 2251Denver, CO 80201

National Fire Ins. Co. of HartfordCNA PlazaChicago, IL 60685

National General Insurance CompanySt. Louis, MO

National Indemnity Company3024 Harney StreetOmaha, NE 68131

National Independence Insurance CompanyFrazer, PA

National Insurance UnderwritersSt. Louis, MO

National Reinsurance Corp.123 William StreetNew York, NY 10038

National Surety Corp.3333 California StreetSan Francisco, CA 94119

National Union Fire Insurance Company102 Maiden LaneNew York, NY

Nationwide General Insurance Company246 North High StreetColumbus, OH

Nationwide Mutual Fire Insurance Company246 North High StreetColumbus, OH

Nationwide Mutual Insurance Company246 North High StreetColumbus, OH

New England Reinsurance Corp.60 Batterymarch StreetBoston, MA

New Hampshire Insurance Company1750 Elm StreetManchester, NH

New York Underwriters Insurance CompanyHartford PlazaHartford, CT 06115

Newark Insurance Company150 William StreetNew York, NY 10038

Niagara Fire Insurance Company360 West Jackson Blvd.Chicago, IL 60606

North American Co. for Prop. & Cas.209 S. Lasalle StreetChicago, IL 60604

North American Reinsurance Corp.245 Park AvenueNew York, NY 10017

North River Insurance CompanyMorristown, NJ

North Star Mutual Insurance CompanyCottonwood, MN

Northern Assurance Co. of AmericaOne Beacon StreetBoston, MA

Northern Insurance Co. of NYFifty-Nine John StreetNew York, NY 10038

Northland Insurance CompanySt. Paul, MN

Northwestern National Casualty Company731 North Jackson StreetMilwaukee, WI 53202

Northwestern National Insurance Company731 North Jackson StreetMilwaukee, WI 53202

Occidental Fire & Casualty Co. of NC200 Fillmore StreetDenver, CO 80206

Ohio Casualty Insurance Company136 North Third StreetHamilton, OH 45025

Ohio Security Insurance Company136 North Third StreetHamilton, OH 45012

Old Reliable Fire Insurance Company231 W. Lockwood AvenueWebster Groves, MO 63119

Old Republic Insurance CompanyGreensburg, PA

Old Security Casualty Insurance CompanyKansas City, MO

Olympic Insurance Company1150 S. Olive StreetLos Angeles, CA 90015

Omaha Indemnity CompanyMilwaukee, WI

Pacific Employers Insurance Company1600 Arch StreetPhiladelphia, PA 19101

Pacific Indemnity Company51 J.F. Kennedy Pkwy.Short Hills, NJ 07078

Peerless Insurance CompanyKeene, NH 03431

Pennsylvania General Insurance Company414 Walnut StreetPhiladelphia, PA 19106

Pennsylvania National Mutual Casualty Ins. Co.P.O. Box 2361, 1900 Derry StreetHarrisburg, PA 17105

Petroleum Casualty CompanyP.O. Box 2180Houston, TX 77001

Philadelphia Mfg. Mutual Insurance Company#8 Executive MallValley Forge, PA 19482

Philadelphia Reinsurance Corporation3 Girard PlazaPhiladelphia, PA 19102

Phoenix Assurance Co. of NY360 W. Jackson Blvd.Chicago, IL 60606

Planet Insurance Company4 Penn Center PlazaPhiladelphia, PA 19103

Potomac Insurance Company414 Walnut StreetPhiladelphia, PA 19106

Preferred Insurance Company500 North Meridian StreetIndianapolis, IN

Preferred Risk Mutual Insurance Company1111 Ashworth RoadWest Des Moines, IA

Premier Insurance Company600 Montgomery StreetSan Francisco, CA 94111

Presdio Insurance Company1800 Avenue of the StarsLos Angeles, CA 90067

Progressive Casualty Insurance6300 Wilson Mills RoadMayfield Village, OH

Proprietors Insurance Company7991 Columbus PikeDelaware, OH 43015

Protection Mutual Insurance CompanyPark Ridge, IL

Protective Insurance Company3100 North Meridian StreetIndianapolis, IN 46208

Protective Nat’l Insurance Company of Omaha105 South 17th StreetOmaha, NE

Providence Washington Insurance Company20 Washington PlaceProvidence, RI 02901

Prudential Prop. & Cas. Insurance CompanyP.O. Box 246, One Woodbridge CenterWoodbridge, NJ 07095

Prudential Reinsurance Company213 Washington StreetNewark, NJ 07101

Public Service Mutual Insurance Company393 Seventh AvenueNew York, NY 10001

Puritan Insurance CompanyNew York, NY

Ranger Insurance CompanyP.O. Box 2807Houston, TX 77001

Reciprocal Exchange92nd Street and State LineKansas City, MO 64114

Regent Insurance Company121 E. Wilson StreetMadison, WI 53703

Reinsurance Association of MNEskimo, MN 55733

Reinsurance Corp. of New York99 John StreetNew York, NY 10038

Reliance Insurance Company4 Penn Center PlazaPhiladelphia, PA 19103

Republic Insurance Company2727 Turtle Creek Blvd.Dallas, TX 75221

Republic Underwriters Insurance Company2727 Turtle Creek Blvd.Dallas, TX 75221

Reserve Insurance CompanyChicago, IL

Riverside Insurance Company70 W. Michigan AvenueBattle Creek, MI 49016

Royal Globe Insurance Company150 William StreetNew York, NY 10038

Royal Indemnity Company150 William StreetNew York, NY 10038

Royal Insurance Company Ltd.SAFECO Insurance Company of AmericaSAFECO PlazaSeattle, WA 98185

SAFEGUARD Insurance Company150 William StreetNew York, NY 10038

Sea Insurance Company Ltd.51 J.F. Kennedy PkwyShort Hills, NJ 07078

Select Insurance Company3015 Cedar SpringsDallas, TX 75221

State Automobile Casualty UnderwritersP.O. Box 394Des Moines, IA

Sun Insurance Office Ltd.51 J.F. Kennedy PkwyShort Hills, NJ 07078

Teachers Company of Delaware1600 Arch StreetPhiladelphia, PA 19101

Travelers Insurance CompanyTravelers Indemnity CompanyTravelers Indemnity Co. of AmericaTravelers Indemnity Co. of RITravelers Indemnity Co. of IL

Tri-State Insurance Company619 South MainTulsa, OK

Truck Insurance Exchange4680 Wilshire Blvd.Los Angeles, CA 90005

United Services Auto AssociationUSAA BuildingSan Antonio, TX 78288

United States Liability Insurance Company1030 Continental DriveKing of Prussia, PA 19406

Universal Underwriters5115 Oak StreetKansas City, MO

Unity Fire & General Insurance Company111 Avenue Road, Suite 300Toronto, Ontario

USAA Casualty Insurance CompanyUSAA BuildingSan Antonio, TX 78288

USAA General Indemnity CompanySan Antonio, TX 78288

Vigilant Insurance Company51 J.F. Kennedy PkwyShort Hills, NJ 07078

West American Insurance Company136 North Third StreetHamilton, OH 45026

Aetna Life & CasualtyHartford, CT

Allstate Insurance ComP.O. Box 4022Terminal AToronto, Ontario

American Fire and Cas136 North Third StreetHamilton, OH 45012

American General InsuP.O. Box 1388Houston, TX 77001

American Select Risk 2021 E. Dublin-GranvColumbus, OH 43229

American Southern InAtlanta, GA

Anglo Canada General200 Queens Avenue, SLondon, Ontario

Automobile Club Inter3917 Lindell BoulevarSt. Louis, MO 63108

Brant Mutual Fire Insu207 Greenwich StreetBrantford, Ontario, Ca

British American Assu40 Scott StreetToronto, Ontario, M5E

Brotherhood Mutual InFort Wayne, IN

Buckeye Union Insura1111 East Broad StreeColumbus, OH 43216

UNLICENSED COMPANIES THAT ARE CERTIFIED

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Cal-Farm Insurance Company2855 Telegraph AvenueBerkeley, CA 94705

California State Auto Assoc. Inter-Ins.150 Van Ness AvenueSan Francisco, CA 94101

Canadian Indemnity Company675 S. Park ViewLos Angeles, CA 90057

Canadian Pioneer Insurance Company357 Bay StreetToronto, Ontario, M5H2T9

Cascade Insurance Company5350 W. 78th StreetMinneapolis, MN 55435

Casualty Co. of Canada (The)Toronto, Ontario, Canada

Commonwealth County Mutual Ins. Co.2103 Bryan Str., P.O. Box 2639Dallas, TX 75221

Community Service Insurance Company7373 W. Saginaw HighwayLansing, MI 48904

Companion Insurance Company1752 No. Meridian St., P.O. Box 1747Indianapolis, IN 46206

Consumers United Insurance CompanySeattle, WA

Continental Insurance Company (The)360 West Jackson Blvd.Chicago, IL 60606

2 Ed. 2/98 lmm

Cornhusker Casualty Company105 N. 31st AvenueOmaha, NE 68131

Country Mutual Insurance CompanyBloomington, IL 61701

Dairyland County Mutual Ins. Co.P.O. Box 149Austin, TX

Dominion of Canada General Ins. Co.Toronto, Ontario, Canada

Donegal Mutual Insurance CompanyRt. 441 By-PassMarietta, PA 17547

Eaton Insurance Company14 College StreetToronto, Ontario, M5G 1K4

Employers Casualty CorporationP.O. Box 2759Dallas, TX 75221

Erie Insurance Company144 E. 6th St., P.O. Box 1699Erie, PA 16507

Farm Bureau Mutual Ins. Co., Inc.2321 Anderson AvenueManhattan, KS 66502

Farm Bureau Ins. Co. of MO1616 Missouri Blvd.Jefferson City, MO

Farmers Insurance Co. of Oregon6700 SW Varns RoadTigard, OR 97223

Farm & City Insurance Company2323 Grand AvenueDes Moines, IA 50312

Federation Insurance Co. of Canada275 St. James St. W.Montreal, Canada

General Accident Assur. Co. of Canada357 Bay StreetToronto, Ontario, M5H 2T9

General Accident Fire & Life Assur.357 Bay StreetToronto, Ontario, M5H 2T9

General Casualty Co. of Illinois121 East Wilson StreetMadison, WI 53703

Georgia Casualty & Surety Co.P.O. Box 10072Atlanta, GA 30319

Gibraltar General Insurance Company200 Queens Avenue, Ste. 704London, Ontario

Globe Indemnity Co. of Canada (The)40 Scott StreetToronto, Ontario, Canada M5E1L5

Gold Circle Insurance Company74 Victoria StreetToronto, Ontario, Canada M5C2A5

Gore Mutual Insurance Company252 Dundas StreetCambridge, Ontario

Grange Insurance Association2717 3rd AvenueSeattle, WA 98121

Grange Mutual Casualty Company671 South High StreetColumbus, OH 43216

Graphic Arts Mutual Insurance CompanyP.O. Box 350Utica, NY 13503

3 Ed. 2/98 lmm

Green Mountain Insurance Co., Inc.92 State StreetMontpelier, VT

Guarantee Company of No. America1560 Place du CanadaMontreal, Canada H3B2R4

Guaranty National Insurance Company3540 So. Poplar St., P.O. Box 22294Denver, CO 80222

Guardian Insurance Co. of CanadaToronto, Canada

Gulf American Fire & Casualty Co.P.O. Box 11046, 2525 E/S Blvd.Montgomery, AL 36111

Halifax Insurance Company1303 Yonge StreetToronto, Canada M4T1W9

Hastings Mutual Insurance CompanyHastings, MI

Hawaiian Ins. & Guaranty Co., Ltd.Pacific Trade CenterHonolulu, HI 96813

Hay Township Farmers’ MutualBox 130Zurich, Ontario NOM 2TO

Heritage Mutual Insurance Company2300 Kohler Memorial Dr.Sheboygan, WI

Holyoke Mutual Fire Insurance Co.39 Norman StreetSalem, MA 01970

Home Insurance Co. of IL (The)10 So. Riverside Plaza, P.O. Box 7163Chicago, IL 60680

Howick Mutual Insurance CompanyWroxeter, Ontario

Hudson Insurance Company280 Park AvenueNew York, NY 10017

Illinois Employers Ins. of Wausau7411 Lake StreetRiver Forest, IL 60305

Illinois National Insurance133 South 4th StreetSpringfield, IL

Illinois National Insurance Company1750 Elm StreetManchester, NH

Indiana Farmers Mutual Ins. Co.10 W. 106 St. @ No. MeridianIndianapolis, IN 46290

Indiana Insurance Company115 North Pennsylvania St.Indianapolis, IN 46204

Indiana Lumbermens Mutual Ins. Co.P.O. Box 1985Indianapolis, IN 46206

Inland Mutual Insurance Company1017 6th AvenueHuntington, WV 25721

Inland National Insurance Company1750 Elm StreetManchester, NH

Insurance Corporation of British Columbia1055 W. Georgia StreetVancouver, British Columbia

Insurance Corporation of Ireland, Ltd.141 Adelaide Street WestToronto, Ontario, M5H 3L5

4 Ed. 2/98 lmm

Insurors Indemnity & Ins. Co.210 West 6thFort Worth, TX

Integon General Insurance Corp.420 N. Spruce St.Winston-Salem, NC 27102

Integon Indemnity Corporation420 N. Spruce St.Winston-Salem, NC 27102

Inter-Insurance Exchange of Chicago66 East South Water St.Chicago, IL 60601

Interboro Mutual Indemnity Insurance Co.155 Mineola Blvd.Mineola, NY 11501

Interinsurance Exchange of Automobile Club2601 So. Figueroa St.Los Angeles, CA 90007

International Casualty Company1411 S. 20th St.Birmingham, AL 35205

International Indemnity CompanyP.O. Box 105051Atlanta, GA 30348-5051

International Service InsuranceForth Worth, TX

International Surplus Lines Ins. Co.175 W. Jackson Blvd.Chicago, IL 60604

Kentucky Farm Bureau Mutual Ins. Co.120 So. Hubbard LaneLouisville, KY 40207

Keystone Insurance Company2040 Market StreetPhiladelphia, PA 19103

KFB Insurance Company, Inc.2321 Anderson AvenueManhattan, KS 66502

Lambton Mutual Fire InsuranceBox 520Watford, Ontario

Lanark Mutual Insurance Company16 West Gore StreetPerth, Ontario, K7H 2L6

Law Union & Rock Ins. Co., Ltd.40 Scott StreetToronto, Ontario, Canada M5E 1L5

Le Mars Mutual Insurance CompanyP.O. Drawer 1468Sioux Falls, SD

Le Mars Mutual Insurance Co.Le Mars, IA

Lightning Rod Mutual Insurance Company1685 Cleveland RoadWooster, OH 44691

Lincoln Mutual Casualty CompanyTwo Northfield PlazaTroy, MI 48084

London & Lancashire Ins. Co., Ltd.40 Scott StreetToronto, Ontario, Canada M5E 1L5

London Township Mutual Ins. Co.15 Medway RoadArva, Ontario, Canada, NOM 1CO

Louisiana Farm Bureau Mutual Ins. Co.9516 Airline HighwayBaton Rouge, LA 70815

Lumbermens Mutual Insurance Company900 Springmill RoadMansfield, OH 44906

5 Ed. 2/98 lmm

Madison County Mutual Automobile Ins. Co.Edwardsville, IL

Maine Bonding & Casualty Co.Portland, ME

Manitoba Public Insurance Corp. (The)330 Portage AvenueWinnipeg, Manitoba

Marathon Insurance Company1150 So. Olive StreetLos Angeles, CA 90015

Markel Insurance Co. of Canada500 University AvenueToronto, Ontario

Martin Insurance Company3200 Wilshire Blvd., Ste. 1205Los Angeles, CA 90010

Maryland Indemnity Insurance Co.10 South CalvertBaltimore, MD 21202

MCA Insurance Company484 Central AvenueNewark, NJ 07107

McGillivray Mutual Fire Ins. Co.Ailsa Craig, Ontario, Canada

Members Insurance Company3528 Forest LaneDallas, TX 75234

Members Mutual Insurance Company3528 Forest LaneDallas, TX 75234

Merchants Mutual Insurance Company250 Main StreetBuffalo, NY 14240

Mercury Casualty Company5900 Wilshire Blvd.Los Angeles, CA

Meridian Mutual Insurance Company2955 N. Meridian St.Indianapolis, IN 46208

Meridian Standard Insurance CompanyMulberry, IN 46058

Merit Plan Insurance CompanyP.O. Box 1770Newport Beach, CA 92663

MIC General Insurance Corporation9247 N. Meridian StreetIndianapolis, IN 46260

Michigan Education Employees Mutual I.C.20840 Southfield RoadSouthfield, MI 48075

Michigan Mutual Auto Insurance Co.121 W. Front StreetTraverse City, MI 49684

Mid-American Fire & Casualty Co.6040 Fidelity DriveMilford, OH 45150

Midwestern Indemnity Company (The)6040 Fidelity DriveMilford, OH 45150

Midwestern Insurance CompanyBox 3269Tulsa, OK 74102

Midwestern National Ins. Corp.Milwaukee, WI

Millers Casualty Ins. Co. of Texas900 MonroeFort Worth, TX

Missisquoi & Rouville Ins. Co.Frelighsburg, Quebec, Canada

Mississippi Farm Bureau Mutual Ins. Co.Box 1972Jackson, MS 39205

6 Ed. 2/98 lmm

Missouri Valley Mutual Ins. Co.Burke, SD 57523

Motor Club Fire and Casualty Co.484 Central AvenueNewark, NJ 07107

Motor Club of Iowa Insurance Co.1049 State StreetBettendorf, IA 52722

Motorists Mutual Insurance Company471 East Broad StreetColumbus, OH 43215

Mountain States Mutual Casualty Co.501 Silver S.W.Albuquerque, NM

Mountain West Farm Bureau Mutual Ins.406 South 21stLaramie, WY 82070

Mutual Boiler & Machinery Ins. Co.225 Wyman StreetWaltham, MA

Mutual Fire, Marine & Inland Ins. Co.Suite 1200, Three ParkwayPhiladelphia, PA

Mutual Ins. Co. of BurlingtonSouth Burlington, VT

Mutual of Enumclaw Insurance Co.1460 Wells StreetEnumclaw, WA 98022

National Fire & Fire Marine Ins. Co.3024 Harney StreetOmaha, NE

National Grange Mutual Ins. Co.55 West StreetKeene, NH 03431

National Mutual Insurance CompanyInsurance SquareCelina, OH 45822

Netherlands Insurance Company62 Maple AvenueKeene, NH 03431

New Hampshire, Inc.250 Main StreetBuffalo, NY 14240

New Hampshire Indemnity Company1750 Elm StreetManchester, NH

Nodak Mutual Insurance CompanyP.O. Box 2502, 1st Ave. & 11th St. N.Fargo, ND 58102

Norfolk & Dedham Mutual Fire Ins. Co.222 Ames StreetDedham, MA 02026

Norfolk Mutual Fire Insurance Co.26 Colborne Street NorthSimcoe, Ontario N3Y 3T9

North Blenhelm Mutual Fire Ins. Co.P.O. Box 80Bright, Ontario, Canada NOJ IBO

N.C. Farm Bureau Mutual Ins. Co.P.O. Box 27427Raleigh, NC 27611

North East Insurance CompanyPortland, ME

North Kent Mutual Fire Ins. Co.P.O. Box 478Dresden, Ontario, Canada NOP 1MO

North Pacific Insurance CompanyP.O. Box 74Portland, OR 97207

7 Ed. 2/98 lmm

Northern Illinois Farmers Mutual Ins. Co.2120 E. Northwest HighwayArlington Heights, IL 60004

Northwest Farm Bureau Ins. Co.Box 2209Salem, OR 97308

North-West Insurance Company350 Morgan BuildingPortland, OR 97205

Northwestern Insurance CompanyP.O. Box 825Wilkesboro, NC 28697

Northwestern Pacific Indemnity Company3200 Wilshire Blvd.Los Angeles, CA

Norwich Union Fire Insurance Society Ltd.60 Yonge StreetToronto, Ontario, Canada

Nova Scotia General Insurance Company35 Church StreetAmherst, N.S., Canada

Oklahoma Farm Bureau Mutual Ins. Co.2501 North StilesOklahoma City, OK 73105

Oklahoma Surety Company1646 South BoulderTulsa, OK

Ontario Motorist Insurance Company2 Carlton StreetToronto, Ontario, Canada M5B 2G2

Oregon Automobile Insurance CompanyP.O. Box 74Portland, OR

Otter Dorchester Mutual Insurance Co.8 Stover StreetNorwich, Ontario

Pacific Insurance Co., Ltd.841 Bishop StreetHonolulu, HI 96813

Pacific Sentinel Insurance Co., Ltd.841 Bishop StreetHonolulu, HI 96813

Pan American Fire & Casualty Co.P.O. Box 2807Houston, TX 77001

Patriot General Insurance CompanyMonument SquareConcord, MA 01742

Patrons-Oxford Mutual Ins. Co.108 Court StreetAuburn, ME 04210

Paxton National Insurance CompanyP.O. Box 6160Harrisburg, PA 17112

Pearl Assurance Company, Ltd.Ste. 2200, 390 Bay StreetToronto, Ontario, Canada M5H1N8

Peel & Maryborough Mutual Fire I.C.Wood Street, P.O. Box 190Drayton, Ontario, Canada, NOGIPO

Pekin Insurance Company2505 Court StreetPekin, IL 61554

Pemco Insurance Company325 Eastlake Avenue E.Seattle, WA 98109

Peninsular Fire Insurance Company645 Riverside AvenueJacksonville, FL 32204

Pennsylvania Manufacturer’s Assoc. I.C.841 Chestnut StreetPhiladelphia, PA 19107

8 Ed. 2/98 lmm

Personal Insurance Company of Canada701 Evans Avenue, Ste. 709Toronto, Ontario, M9C1A3

Phoenix Assurance Co. of Canada439 University AvenueToronto, Ontario, Canada

Pilot Insurance CompanyToronto, Ontario, Canada

Pitts Insurance Company201 King StreetLondon, Canada

Portage La Prairie Mutual Ins. Co.Portage La Prairie, Manitoba

Prairie State Farmers Ins. Assoc.303 E. Washington St.Bloomington, IL 61701

Prairie State Insurance CompanyP.O. Drawer 1468Sioux Falls, SD

Princeton Reinsurance Company1101 State RoadPrinceton, NJ 08540

Protective Fire & Casualty Co.3240 South 10th StreetLincoln, NE

Provident Assurance Company507 Place d’ArmesMontreal, Quebec, H2Y 2W8

Prudasco Assurance CompanySte. 310, 635 QuestBoul, Dorchester, Montreal

Prudential Assurance Co. of EnglandSte. 310, 635 QuestBoul, Dorchester, Montreal

Public Employees Insurance Company4032 Wilshire Blvd.Los Angeles, CA 90010

Public Employees Mutual Ins. Co.325 Eastlake Avenue, EastSeattle, WA 98109

Quebec Assurance CompanyP.O. Box 309, Stock Exchange TowerMontreal, Quebec, H4Z 1H5

Ranger County MutualP.O. Box 2807Houston, TX 77001

Reliance Insurance Company of IL175 W. Jackson Blvd.Chicago, IL 60604

Reliance Insurance Company of NYMiddle Cheshire RoadCanandaigua, NY

Republic-Franklin Insurance Co.Box 1438Columbus, OH

Republic Mutual Insurance CompanyInsurance SquareCelina, OH 45822

Rockwood Insurance CompanyRockwood, PA 15557

Rocky Mountain Fire & Casualty Co.2717 3rd AvenueSeattle, WA 98121

Royal Exchange Assur. of America, Inc.111 John StreetNew York, NY 10038

Royal General Ins. Co. of Canada1155 West Pender St.Vancouver, B.C., Canada

9 Ed. 2/98 lmm

Rumford Insurance Company10 Dorrance StreetProvidence, RI

Rural Mutual Insurance Company7010 Mineral Point Rd.Madison, WI

Saskatchewan Government Ins. Office11th & CornwallRegina, Saskatchewan, Canada

Save-T-Risk Insurance Company3590 Twin Creeks DriveColumbus, OH 43204

Scottish Canadian Assur. Corp.357 Bay StreetToronto, Ontario, M5H 2T9

Scottish Union & Nat’l Ins. Co.60 Yonge StreetToronto, Ontario, Canada

Scottish & York Insurance Co., Ltd.155 University AvenueToronto, Ontario, Canada

Seaboard Surety Company90 William StreetNew York, NY

Security Insurance Company of Hartford1000 Asylum AvenueHartford, CT 06101

Security Mutual Casualty Company222 South Riverside Plaza

Security National Insurance Company2000 Ross AvenueDallas, TX

Selected Risks Insurance CompanyBranchville, NJ 07826

Sentinel Insurance Co., Ltd.841 Bishop StreetHonolulu, HI 96813

Sentry Indemnity CompanyStevens Point, WI

Sentry Insurance A Mutual CompanyStevens Point, WI

Sequoia Insurance Company2730 Sand Hill RoadMenlo Park, CA 94025

Shelby Mutual Insurance CompanyShelby, OH 44875

Signal Insurance Company417 S. Hill StreetLos Angeles, CA 90013

Simcoe & Erie General Ins. Co.786 King Street EastHamilton 22, Ontario

Skandia America Reinsurance Corp.280 Park AvenueNew York, NY 10017

South Carolina Ins. Company1501 Lady StreetColumbia, SC 29202

South Dakota Farm Bureau Mutual Ins. Co.Box 1397Huron, SD 57350

Southern Farm Bureau Casualty Ins. Co.Jackson, MS

Southern Home Insurance Company112 South Main StreetGreer, SC 29651

Southern Insurance CompanyDallas, TX

10 Ed. 2/98 lmm

Southwestern Insurance Company5005 N. Lincoln Blvd.Oklahoma City, OK

Sovereign General Insurance Company1320 Yonge StreetToronto, Ontario, Canada M4T1X8

St. Paul Fire & Marine Ins. Co.385 Washington St.St. Paul, MN

St. Paul Guardian Insurance Company385 Washington St.St. Paul, MN

St. Paul Insurance Company1903 Herman DriveHouston, TX

St. Paul Insurance Company of IL100 South Wacker DriveChicago, IL

St. Paul Mercury Insurance Company385 Washington St.St. Paul, MN

Standard Fire Insurance Companyc/o Aetna Life & CasualtyHartford, CT

Standard Mutual Insurance Company1028 South Grand Avenue WestSpringfield, IL 62704

Stanstead & Sherbrooke Insurance Co.P.O. Box 441Toronto, Ontario, Canada M5K1L9

State Automobile Ins. Association8450 Westfield RoadIndianapolis, IN 46240

State Automobile Mutual Ins. Co.518 East Broad StreetColumbus, OH

Statesman Insurance Company8450 Westfield RoadIndianapolis, IN 46240

State-Wide Insurance CompanyGreat Neck, NY

Stonewall Insurance Company2308 Fourth Avenue NorthBirmingham, AL 35203

Stuyvesant Insurance Company1105 Hamilton StreetAllentown, PA 18101

Summit Home Insurance CompanyMinneapolis, MN

Summit Insurance Co. of NYP.O. Box 52518Houston, TX 77052

Sun Alliance Insurance Company48 Yonge StreetToronto, Ontario, Canada M5E1G8

Sun Insurance Company of NY111 John StreetNew York, NY 10038

Sunshine Mutual Insurance Company1323 South Minnesota AvenueSioux Falls, SD 57105

Switzerland General Ins. Corp. of NY102 White Plains RoadTarrytown, NY 10591

Teachers Insurance Company1111 West 6th StreetLos Angeles, CA 90017

Texas Pacific Indemnity CompanyDallas, TX

Tokio Marine and Fire Ins. Co. (The)360 West Jackson Blvd.Chicago, IL 60606

11 Ed. 2/98 lmm

Toledo National Insurance Company3450 West Central Ave., Ste. 374Toledo, OH 43606

Toronto General Insurance Company170 University AvenueToronto, Ontario, Canada

Tower Insurance Company, Inc.1100 West Wells StreetMilwaukee, WI

Town & Country Fire & Casualty I.C.Hutchinson, KS 67501

Town & Country Mutual Ins. Co.10 W. 106thIndianapolis, IN 46290

Traders General Insurance Company170 University AvenueToronto, Ontario, Canada

Traders Indemnity Company1922 First National Bank Bldg.Oklahoma City, OK

Trafalgar Insurance PLC111 Avenue Road, Ste. 410Toronto, Ontario, Canada M5R 3K3

Transamerica Insurance Company1150 South Olive StreetLos Angeles, CA 90015

Transcontinental Insurance CompanyCNA PlazaChicago, IL 60685

Transit Casualty Company3700 Wilshire Blvd.Los Angeles, CA 90010

Transit Insurance Company90 Eglinton Ave. E., Ste. 504Toronto, Ontario, Canada M4P2Z7

Transport Indemnity Company3670 Wilshire Blvd.Los Angeles, CA 90010

Transport Insurance Co. of IA4100 Harry Hines Blvd.Dallas, TX

Transportation Fire & Casualty Company7699 Yonge StreetThornhill, Ontario, Canada

Transportation Insurance CompanyCNA PlazaChicago, IL 60685

Travelers Indemnity Co. of Canada400 University AvenueToronto 100, Ontario

Tri-State Insurance Co. of MNP.O. Box 159Luverne, MN 56156

Trinity Universal Insurance Company2000 Ross AvenueDallas, TX

Trinity Universal Insurance Co. of KSP.O. Box 5028Dallas, TX 75222

Twentieth Century Insurance Co.1800 Avenue of the StarsLos Angeles, CA

Twin City Fire Insurance CompanyHartford PlazaHartford, CT 06115

Unigard Carolina Insurance Company1215 - 4th AvenueSeattle, WA 98161

Union Automobile Indemnity Assoc.303 E. Washington StreetBloomington, IL 61701

12 Ed. 2/98 lmm

Union Insurance CompanyLincoln, NE

Union Mutual Insurance Co. of ProvidenceProvidence, RI

United Canada Insurance Co.155 University AvenueToronto, Ontario, Canada

United Equitable Insurance4554 N. BroadwayChicago, IL 60640

United Farm Bureau Mutual Ins. Co.130 E. Washington StreetIndianapolis, IN 46204

United Fire & Casualty CompanyCedar Rapids, IA

United National Insurance Co., Ltd.Pacific Trade CenterHonolulu, HI 96813

United Ohio Insurance CompanyBox 111Bucyrus, OH 44820

United Pacific Insurance Company4 Penn Center PlazaPhiladelphia, PA 19103

United Pacific Insurance Co. of NYMiddle Cheshire Rd. & Parrish St.Canandaigua, NY

United Provinces Insurance Co.Victoria Square, 29th FloorMontreal, Quebec H4Z 1B9

United Security Insurance Company1017 WalnutDes Moines, IA 50307

United States Branch of “Winterthur”One World Trade Ctr., Ste. 8015New York, NY 10048

United States Fidelity & Guaranty Co.Baltimore, MD

United States Fire Insurance CompanyMorristown, NJ

Universal Reinsurance Corporation731 N. Jackson StreetMilwaukee, WI 53202

Universal Surety CompanyLincoln, NE

U.S. Branch of Accident & Casualty Co.One World Trade Ctr., Room 8015New York, NY 10048

USAA General Indemnity CompanyUSAA BuildingSan Antonio, TX 78288

Utah Home Fire Insurance CompanySalt Lake City, UT

Utica Mutual Insurance CompanyP.O. Box 530Utica, NY

Valiant Insurance CompanyDes Moines, IA

Valley Forge Insurance CompanyCNA PlazaChicago, IL 60685

Vanguard Insurance Company2727 Turtle Creek Blvd.Dallas, TX 75221

Vernon Fire & Casualty Company2011 N. MeridianIndianapolis, IN

Victoria Insurance Co. of Canada155 University AvenueToronto, Ontario, Canada

13 Ed. 2/98 lmm

Viking Insurance Company4646 Frey StreetMadison, WI 53705

Virginia Farm Bureau Mutual Ins. Co.P.O. Box 27552Richmond, VA

Virginia Mutual Insurance Company4015 Fitzhugh AvenueRichmond, VA 23230

Virginia Surety Company, Inc.111 E. Wacker DriveChicago, IL 60601

Volkswagen Insurance Company11975 Westline DriveSt. Louis, MO 63141

Wawanesa Mutual Insurance Company207 Donald StreetWinnipeg, Manitoba, Canada R3C 1M6

Wellington Fire Insurance CompanyP.O. Box 4060, Station “A”Toronto, Ontario, Canada M5W 1L9

West Bend Mutual Insurance Co.West Bend, WI

West Elgin Mutual Fire Insurance Co.Box 130Dutton, Ontario NOL 1JO

Westchester Fire Insurance CompanyMorristown, NJ

Western Alliance Insurance Company306 E. 10th StreetAustin, TX 78701

Western Assurance Company40 Scott StreetToronto, Ontario, Canada M5E 1L5

Western Casualty & Surety CompanyFort Scott, KS 66701

Western Farm Bureau Mutual Ins. Co.421 N. Water StreetLas Cruces, NM 88001

Western Fire Insurance CompanyFort Scott, KS 66701

Western Home Insurance Company3801 First Avenue SouthMinneapolis, MN 55409

Western National Mutual Insurance Company5350 W. 78th StreetMinneapolis, MN 55435

Western Pioneer Insurance Company 2270 BroadwayOakland, CA

Western Reserve Mutual Casualty Company1685 Cleveland RoadWooster, OH 44691

Western States Insurance CompanyFreeport, IL

Westfield CompaniesWestfield Center, OH 44251

Wilshire Insurance CompanyLos Angeles, CA

Wisconsin Mutual Insurance CompanyP.O. Box 974Madison 1, WI

Wisconsin No-Fault Ins. Co., Inc.212 West Wisconsin AvenueMilwaukee, WI 53203

Wolverine Insurance Company70 West Michigan AvenueBattle Creek, MI 49016

14 Ed. 2/98 lmm

Wolverine Mutual Insurance Company206 MainDowagiac, MI 49047

Worldwide Underwriters Insurance Company11975 Westline DriveSt. Louis, MO 63141

York Fire & Casualty Company7699 Yonge StreetThornhill, Ontario, Canada

York Insurance Company209 North York StreetElmhurst, IL 60126

Yorkshire Insurance Company, Ltd.357 Bay StreetToronto, Ontario, Canada

Yosemite Insurance Company717 Market StreetSan Francisco, CA 94103

Zurich American Ins. Co. of IL231 N. Martingale RoadSchaumburg, IL 60196

Zurich Insurance Company111 W. Jackson Blvd.Chicago, IL