PRE-INSTALL DISCLOSURE & PRECAUTIONARY STATEMENT

BRONCO CATASTROPHE SERVICES, INC. | CARDINAL CATASTROPHE SERVICES, INC. | CAROLINA CATASTROPHE SERVICES, INC. | LONE STAR CATASTROPHE SERVICES, INC. | NASHVILLE CATASTROPHE SERVICES, INC. | VIKING CATASTROPHE SERVICES, INC.
PRE-INSTALL DISCLOSURE & PRECAUTIONARY STATEMENT
INITIALS
ACCEPTANCE OF AGREEMENT
My United Catastrophe Services, Inc. Project Manager and/or Representative has discussed the above items with me, andI understand and accept the terms and definitions described above precautionary provisions.
INSURED'S SIGNATURE

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