# Umbrella/Excess Statistical Data Entry Brief (STAT 9)

## Policy Number: 5512881

### Type:
- COMMERCIAL UMBRELLA

### Major Class:
- 352
- 353
- 356
- 357
- 359
- 382
- 383

### Branch: 39
### Underwriter: W.K. KRICKSEN
### Date: 6/18/75

## Data Entry Form

| STAT PLAN | TERR. | CLASS | MINOR LINE | EXPOSURE | EXP. CONT. | EXCESS AMT. | B. I. DED. | P.D. DED. | P.D. LTS | P.D. DEED. | RATING BASIS | % OF MANUAL | INDIVIDUAL RISK RATING BASIS | CLAIMS MADE DATE | COVERAGE | RETENTION | DESC. | EXP. TYPE | UNDER CARRIER |
|-----------|-------|-------|------------|----------|------------|-------------|-----------|-----------|----------|-------------|--------------|---------------|-------------------|------------------|---------|----------|------|----------|--------------|
| 92        | 93    | 94    | 95         | 96        | 97         | 98         | 99         | 100       | 101      | 102       | 103         | 104          | 105          | 106          | 107          | 108      | 109      | 110      | 111      | 112      | 113      | 114      | 115      | 116      | 117      | 118      | 119      | 120      | EXPERIENCE X | SCHED. X | EXPENSE X | MO. | YR.     | 121         | 122         | 123         | 124         | 125         | 126         | 127         | 128      | 129      | 130      | 131      | 132      | 133      | 134      | 135      | 136      | 137      | 138      | 139      | 140      |

### Rows:

1) 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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