Thank you for completing and submitting your CHILD, Inc application and Membership Agreement. To complete the application process the following is required: Please send us a copy of your child care license by email, fax or mail. Submit payment: If you wish to make your payment online through Pay Pal, please choose the appropriate amount from the options below. If you wish to pay by check or money order, please choose the appropriate amount from the options below and send payment to: CHILD, Inc. P.O. Box 222 Weatogue, CT 06089 Our underwriting department will review your application and if there is any additional information that is required we will be in contact with you. OPTION 1: $1,000,000 per occurrence liability limit/$3,000,000 liability policy limit $20,000 accident medical expense/$10,000 accidental death & dismemberment # of Children Premium* Premium After March 1, 2010* 1-9 $494 $262 10-12 $698 $364 13-17 $968 $499 OPTION 2: $100,000 per occurrence liability limit/$300,000 liability policy limit $20,000 accident medical expense/$10,000 accidental death & dismemberment # of Children Premium* Premium After March 1, 2010* 1-9 $368 $199 10-12 $512 $271 13-17 $704 $367 *Premium already includes $30 membership fee. Do not send any additional money. All coverage expires on September 1, 2009 and will be scheduled to renew from September 1, 2009 to September 1, 2010. Please Mail Premium or Pay Online at PayPal, Choose Your Premium* $494.00 $698.00 $968.00 $262.00 $364.00 $499.00 $368.00 $512.00 $704.00 $199.00 $271.00 $367.00 *Note: A Convenience Fee will be added to your payment. This is where our commitment to you begins: Markel Insurance Company Markel Insurance Company is a wholly owned subsidiary of Markel Corporation (NYSE: MKL), a Virginia-based international specialty lines company. You may obtain additional information at www.markelinsurance.com. Markel Insurance Company develops and underwrites specialty insurance products and programs to a variety of niche markets. MIC is admitted and licensed throughout the United States, and has received high marks for financial stability and claims paying ability from insurance industry analysts. Markel is committed to giving you the best value for your insurance dollar and in developing partnerships that stand the test of time. New England Insurance Services, Inc. New England Insurance Services, Inc. is a Connecticut based independent insurance agency. NEIS, Inc. represents leading insurance companies in a multitude of states to provide its clients with high quality insurance protection ensuring their financial stability. Within the organization, a Children & Youth Insurance Division exists to meet the unique needs of people who care for children and who are a part of a broad network that embraces children from infancy through their developing years. New England Insurance Services continues to expand its insurance programs to keep pace with ever changing social issues. CHILD, Inc. CHILD, Inc. is a non-profit membership organization who has established a liability insurance program for its members. This risk-purchasing group was initiated in response to the lack of comprehensive and affordable insurance protection for the in-home child care provider.