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25/50/10: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000—old) commute 3-10 miles.

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25/50/10: Car No. 1 ($3,000—new pleasure. Car No. 2 ($2,000—old commute

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50/100/25: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000-old) commute 3-10 miles and occasionally used by 18-year-old male.

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50/100/25: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000—old) commute 3-10 miles and occasionally used by 18-year-old female.

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50/100/25: Car No. 1 ($3,000-new) commute 3-10 miles. Car No. 2 ($2,000— old) principally used by 20-year-old male.

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25/50/10: Car No. 1 ($3,000—new) pleasure. Car No. 2 ($2,000-old) commute 3-10 miles.

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25/50/10: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000-old) commute

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50/100/25: Car No. 1 ($3,000—new) pleasure. Car No. 2 ($2,000—old) commute 3-10 miles and occasionally used by 18-year-old male.

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50/100/25: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000—old) commute 3-10 miles and occasionally used by 18-year-old female.

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50/100/25: Car No. 1 ($3,000-new) commute 3-10 miles. Car No. 2 ($2,000— old) principle used by 20-year-old male.

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25/50/10: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000—old) commute 3-10 miles.

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25/50/10: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000-old) commute 0-3 miles.

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50/100/25: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000—old) commute. 3-10 miles and occasionally used by 18-year-old male.

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50/100/25: Car No. 1 ($3,000-new) pleasure. Car No. 2 ($2,000-old) commute 3-10 miles and occasionally used by 18-year-old female.

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50/100/25: Car No. 1 ($3,000-new) commute 3-10 miles. Car No. 2 ($2,000— old) principle used by 20-year-old male.

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AND COVERAGESCRIPTION

Yohicle

No. Your Make

Model

Lest six digits of Identification Number

Liability
Plan

Damage To
Auto Plan

Average
Annual
Mileage

Used in
Business?

Driven to Work?

Yos No Yes

# of miles
one way

No

1

2

3

4

D. IF THE ADDRESS OF PRINCIPAL GARAGING IS DIFFERENT THAN ITEM IC ABOVE, GIVE THE ADDRESS

VEHICLE
NUMBER:

E. IF THE AUTOMOBILE IS FINANCED, GIVE THE NAME AND ADDRESS OF THE BANK, FINANCE COMPANY, ETC.
VEHICLE
NUMBER:

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WHILE OPERATING AN AUTOMOBILE DURING THE THREE YEARS PRIOR TO THE DATE OF THIS APPLICATION, HAS ANY DRIVER: A. Been involved in an accident resulting in bodily injury or damage to property?

Yes

B. Been convicted of, forfeited bond for or pleaded nolo contendere to a moving traffic violation? Yas
IF "YES", COMPLETE THE FOLLOWING...

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I hereby declare that I personally have read this application and I declare that the statements are true. I understand that this is not a binder of insurance. Signature of Employee.

C-13221 NEW 3-69 PRINTED IN U.S.A.

Date

BACKGROUND ON MERCURY CASUALTY CO. GROUP

PLAN

BAXTER, JENSEN AND LOWELL YOUNG CO., INC.
Campbell, Calif. (Attn: Lowell Young)

MERCURY CASUALTY Co., San Jose, Calif., April 21, 1969.

DEAR LOWELL: Enclosed please find the resume for the Group Insurance on the Union Local 508 for Lockheed.

When presenting this program, please be sure to stress that all risks will be individually underwritten and must qualify on an individual basis before they are put on the books. Conceivably, we will have a few rejections.

We will be most anxious to hear of the progress you are making with this presentation and if you should desire any further assistance please feel free to contact this office immediately. This information should be passed on to the Lockheed organization, as well.

With warm good wishes, I remain

PREFERRED POLICY

Very truly yours,
ROBERT VAN DYKE

Approximate rates for those clean drivers who have a conventional auto; with two (2) or less moving violations or one (1) violation and one (1) accident in the last three (3) years; no major violations; and has not been cancelled, declined, or non-renewed in the last three (3) years.

Example Rate Classes:

IB-Drives to work less than fifteen (15) miles one-way and over 25 (Married or Single).

2B-Male driver, married, age 21-24.

(Other Rate Classes are available)

Note: Single under age 25 principal operators do not qualify for this policy. Risks:

1. Must not be over age 61.

2. Must have 12 months prior Liability Insurance.

3. Must not be Mentally or Physically Impaired.

4. Must have a valid drivers license in the U.S. for the last 3 years and licensed in Calif. for the last 12 months.

5. Must not require a Financial Responsibility Filing.

6. Must not drive over 25 miles one-way to work.

7. Lastly, must meet any other normal underwriting requirements that confrom to the Company Manual that could deem the risk otherwise unacceptable for this rating plan.

All rates shown are for 15/30/5 Liability; $500.00 Medical coverage; and Uninsured Motorist Coverage only. However, other limits and coverages are available upon request. (Annual Premiums are shown below but monthly, quarterly, or semi-annual payment plans will be made available.)

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Approximate rates for those clean drivers who have a conventional auto; with three (3) or less moving violations or two (2) violations and one (1) accident in the last three (3) years; no major violations; and has not been cancelled, declined or non-renewed in the last three (3) years.

Example Rate Classes:

1B-Drives to work less than ten (10) miles one-way and over age 25 (Married or Single).

2B-Male Driver, married, age 21-24.

20-Male Driver, single, age 21-25.

(Other Rate Classes are available)

Note: Single applicants under age 21 do not qualify for this policy.
Risks:

1. Must not be over age 66.

2. Must have 12 months prior Liability Insurance.

3. Must not be Mentally or Physically Impaired.

4. Must have a valid drivers license in the U.S. for the last 3 years and licensed in Calif. for the last 12 months.

5. Must not require a Financial Responsibility Filing.

6. Must not drive over 25 miles one-way to work.

7. Lastly, must meet any other normal underwriting requirements that conform to the Company Manual that could deem the risk otherwise unacceptable for this rating plan.

All rates shown for 15/30/5 Liability: $500.00 Medical Coverage; and Uninsured Motorists coverage only. However, other limits and coverages are available upon request. Rates shown are for a zero (0) or one (1) point risk and those individuals with two (2) or three (3) points would be subject to a nominal increase in premium.

Note: A 2C Risk can receive very attractive discounts from the below posted rates and could mean a savings up to 30%. (Annual Premiums are shown below but monthly, quarterly, or semi-annual Payment Plans will be made available).

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Approximate rates for those drivers who have a conventional auto or a sports car; with tickets or accidents totaling up to eight (8) combined in the last three (3) years; or a major violation on their record; or who has been cancelled by a prior carrier; or has not been licensed in Calif. and/or the U.S. for normal required 12 months; or is possibly underage or overage; or should need a Financial Responsibility Filing; and/or other innumerable minor or average problems that prevent you from obtaining insurance through the better markets of the industry today.

Example Rate Classes:

1B-Drives to work (No limits on miles one-way) (age 25-75) (married). 2B-Male Driver, married, age 21-24.

2C-Male Driver, single, age 16-25.

(Other Rate Classes are available.)

Risks: Underwriting is extremely more liberal under this policy and was created for the problem situation and is geared to take those risks that do not qualify for the Preferred or Family Auto Plan. However, the Plan is not able to place the very bad risk and inquiry should be made to the agent and/or Company representative before considering application under this program. All risks must meet the normal underwriting requirements as specified in the Company Manual.

All rates shown are for 15/30/5 Liability; $500.00 Medical Coverage; and Uninsured Motorist Coverage only. However, other limits and coverage are available upon request. Rates shown are for 0-4 point risks. Risks with 5-8 points would be subject to an increase at a very competitive rate.

(Annual Premiums are shown below but monthly, quarterly, or semi-annual Payment Plans will be made available).

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