In the lines of homeowner's multiple peril, farmowner's multiple peril, and commercial multiple peril insurance companies shall subtract any liability premium from the total premium to arrive at the property premium. For package policies containing numerous subcoverages with minor premiums attributable to each, those premiums must be included in the total amount reported.

History: Effective August 9, 1993. General Authority: NDCC 26.1-01-07.5 Law Implemented: NDCC 26.1-01-07.5

APPENDIX A

NORTH DAKOTA - Fire District Assignment

Supplement to Property Insurance Application

N.D.C.C. 26-1-01-07.5 requires:

After December 31, 1993, no insurer may issue or renew a policy for fire, allied lines, homeowner's multiple peril, farmowner's multiple peril, commercial multiple peril, or crop hail insurance coverage for property in this state unless the application identifies each fire district in which the insured property is located. The application must identify the property and insured value of the property located within each fire district if the policy provides coverage for property that is not all within a single district. For purposes of this section, "fire district" means rural fire protection district, city or area served by a certified rural fire department.

INSTRUCTIONS:

If all property insured is located in one Fire District, indicate Fire District in Column A, "ALL" in column B, and complete columns C and D.

If some of the insured property falls into different Fire Districts, indicate each Fire District in Column A. In columns B, C, and D, provide a breakout of the property in each district, its corresponding insured value, and proportionate premium.

Do not include Liability premium in column D.

Insurance Company:

Policy No. New Renewal

Named Insured:

Address:

City: State: Zip:

A Fire District #	B Location of Property	C Insured Value of Property	D Property Premium

Agent: Date:

NDFD300(12/95)