##### 



EXHIBIT 10.41
 CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Binder For Casualty Insurance Program
 January 1, 2007  2008
 for
 Gevity HR Inc.
 In consultation with your Representative
 Marsh USA, Inc.
 by
 AIG Global Risk Management
  NOTICE
 THESE POLICY FORMS AND THE APPLICABLE RATES ARE EXEMPT FROM THE FILING REQUIREMENTS OF THE NEW
YORK STATE INSURANCE DEPARTMENT. HOWEVER, SUCH FORMS AND RATES MUST MEET THE MINIMUM STANDARDS OF
THE NEW YORK INSURANCE DEPARTMENT.
 WE KNOW RISK
 PREPARED BY:
    
    JOYCE TAYLORDATED:
    
    12/21/2006PROPOSED EFFECTIVE DATE:
    
    01/01/2007VALID UNTIL:
    
    01/01/2007




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 1  Policy Numbers, Policy Companies
 Policy Number
    
    States Covered
    
    Company Written In
    
    Type of CoverageWC Various
    
    Various
    
    VARIOUS
    
    Statutory Workers
Compensation and
Employers
LiabilityGL 583-59-06
    
    ALL States
    
    AMERICAN HOME
ASSURANCE COMPANY
    
    General Liability
(Liability other
than Automobile)CA 583-66-66
    
    FL, TX
    
    AMERICAN HOME
ASSURANCE COMPANY
    
    Automobile LiabilityDBP 292-05-93
    
    FL
    
    National Union Fire
Insurance Company
    
    Deductible Buy Back
 acknowledged on behalf of:
  
  Signed
by
    


    
    
    
    Signed byThomas Agnello
    
    
    
    
    
    Peter GrabowskiRegional Manager, National Accounts
    
    
    
    
    
    SVP & Chief Financial Officer
 Dated
    
    
    
    
    
    Dated




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 1  THE CONTACTS
  Contact Name:
    
    CHRISTOPHER P. DAVISCompany Name:
    
    Gevity HR LP.Street:
    
    9000 Town Center ParkwayCity:
    
    BradentonState:
    
    FLZip:
    
    34202Telephone #:
    
    941-741-4343
 Your Representative
Contact Name:
    
    Michael WeissCompany Name:
    
    Marsh USA, Inc.Street:
    
    1166 Avenue of the AmericasCity:
    
    New YorkState:
    
    NYZip:
    
    10036Telephone #:
    
    212-345-3568
 Our Account Representative
Contact Name:
    
    Thomas AgnelloCompany Name:
    
    AIGStreet:
    
    80 Pine StreetCity:
    
    New YorkState:
    
    NYZip:
    
    10005Telephone #:
    
    212-770-1392
 Other Important ContactsName:
    
    Florette WilliamsTitle:
    
    Account ManagerTelephone #
    
    212-770-1994Name:Title:Telephone #Name:Title:Telephone #
 3




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION  1  Information About AIG National Accounts Division
 AIG Risk Management  National Accounts Division
  Quality Service
 ã
 Financial Strength
  4




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 2  Program Rates and Premiums
 Rates and Estimated Premiums for:
 Retention/Claims
    
    Deductible/
    
    EstimatedLine of Business
    
    Rating Segment
    
    Coverage Plan Type
    
    Administrator
    
    SIR
    
    LossesWorkers Compensation
    
    The Entire Contract
    
    Deductible/Full Coverage Retention
    
    AIGCS
    
    $
    500,000
    
    
    $
    20,415,500Workers Compensation
    
    FL or OR Loss Re
    
    Deductible Non-LRRP
    
    AGICS
    
    $
    500,000
    
    
    $
    46,084,500General Liability
    
    The Entire Contract
    
    Deductible
    
    AIGCS
    
    $
    500,000
    
    
    $
    519,046Automobile Liability
    
    The Entire Contract
    
    Deductible
    
    AIGCS
    
    $
    500,000
    
    
    $
    $271,966
 5




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 2  Program Rates and Premiums
 Estimated Subject Premium
 Minimum
    
    EstimatedLine Items
    
    Rates
    
    Per
    
    Basis Types
    
    Estimated Basis
    
    Premium
    
    PremiumForecast of Subject
Lossesin Final Premium
    
    N/A
    
    
    1
    
    
    Ultimate Losses
    
    $
    
    N/A
    
    [*]Profit and Administration
    
    [*]
    
    
    1
    
    
    Unmodified Premium
    
    [*]
    
    [*]
    
    [*]GL and AL Profit and
Administration
    
    Flat
    
    Flat
    
    
    
    Flat
    
    
    
    [*]Claims Service Fee
    
    Flat
    
    Flat
    
    
    
    Flat
    
    
    
    [*]Taxes, RMLs, B&B and
Assessment
    
    [*]
    
    
    1
    
    
    Unmodified Premium
    
    [*]
    
    
    
    [*]AL Taxes, RMLs, B&B and
Assessment
    
    Flat
    
    
    
    
    
    
    
    
    
    
    
    [*]GL Taxes, RMLs, B&B and
Assessment
    
    Flat
    
    
    
    
    
    
    
    
    
    
    
    [*]New York Second Injury Fund
    
    [*]
    
    
    1
    
    
    NY Standard Premium
    
    [*]
    
    
    
    [*]Subtotal
    
    
    
    
    
    
    
    
    
    
    
    
    
    $5,481,780Estimated Subject Premium
    
    $5,481,780
 Estimated Non-subject Premium
 Coverage Description
    
    Rates
    
    Per
    
    Basis Types
    
    Estimated Basis
    
    Minimum Premium
    
    Estimated PremiumWC Excess Premium
    
    
    [*]
    
    
    
    1
    
    
    Unmodified Premium
    
    [*]
    
    [*]
    
    [*]GL Excess Premium
    
    
    [*]
    
    
    
    1,000
    
    
    Sales
    
    [*]
    
    [*]
    
    [*]AL Excess Premium
    
    Flat
    
    
    1
    
    
    
    
    Flat
    
    [*]
    
    [*]Deductible Buyback Loss
Provision
    
    Flat
    
    
    N/A
    
    
    Flat
    
    Flat
    
    
    
    [*]Deductible Buy-Back Taxes
    
    Flat
    
    Flat
    
    Flat
    
    flat
    
    
    
    [*]Insurance Charge
    
    Flat
    
    
    N/A
    
    
    Flat
    
    Flat
    
    
    
    [*]Florida WC Standard
Premium/ Loss
Reimbursement Premium
    
    
    1
    
    
    
    1
    
    
    Standard Premium*
    
    [*]
    
    NA
    
    [*]Oregon WC Standard
Premium/ Loss
Reimbursement Premium
    
    
    1
    
    
    
    1
    
    
    Standard Premium*
    
    [*]
    
    NA
    
    [*]Estimated Non-Subject Premium
    
    $33,080,274
 
 *
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.*
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION.*
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 6




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Summary of Expected Cost
 Estimated Premium (Subject and Non-subject)
    
    
    $38,562,054Expected Reimbursable Losses/ Deductible
Loss/Self-Insured Lossesand ALAE, if applicable,
excluding Deductible Buyback Loss Provision
    
    
    [*]Estimated Surcharges: Includes NY Security Fund Surcharge
    
    
    [*]Estimated Cost
    
    
    [*]Deposit Premium
    
    See Section 4Installments #12Total Pay-In PremiumDuring the Policy Period
    
    
    $38,562,054
 
 *
    
    Standard Premium Formula for Purposes of Calculating FL and OR Loss Re Premium = Modified
Standard Premium , less Loss Reimbursement Premium, less Premium Discount , plus Tax Provision ,
plus Expense Constant , plus Terrorism Risk Insurance Act Premium (as per policy detail). Surcharge
 EstimatedTerrorism Charges Included in Premium By Line of Business:
    
    ChargeWorkers Compensation (TRIA)
    
    
    [*]General Liability (TRIA)
    
    
    [*]Automobile Liability (Terrorism)
    
    
    [*]
 If UM/UIM/PIP forms (as referenced in Section 3) are not signed and returned by effective date, an
additional premium of $ will be charged and the Automobile Liability rate will be
increased by $ by power unit.
 The Binder contemplates the following terms:
 1.
    
    Based on unmodified manual premium of $109,941,904 with corresponding estimated
modified premium of $108,161,953, including FL and OR. Rates outlined within this
binder will be applied to unmodified manual premium.2.
    
    Receipt of first installment due prior to inception.3.
    
    Annual manual premium growth of no more than [*] in the states of CA, GA, TX,
 
 *
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 7




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 or FL (*) individually and no more than [*] in the aggregate. If
calculated at monthly audit [*] or greater premiums are found for states other than FL
[*], we would retain the right to immediately increase and bill excess premium and
collateral by 1.25 times the relative exposure in the applicable states above the
trigger.4.
    
    If actual surcharges including NY second injury exceed the deposit indicated
below, Gevity will be responsible for the additional cost.5.
    
    Continued compliance with monthly voluntary audits.6.
    
    This Binder contemplates that there are no material changes between the date of
this Binder and expiration. If a material change should occur, we reserve the right to
re-price account immediately and change our collateral requirements. Material change
is defined as inclusive but not limited to: changes in management team, changes in
manual rate profile of Gevity, deterioration in either Gevitys financials or
projected losses under the current program, acquisitions or transfer in whole or in
part of another similar organization or book of business, any breach of our current
contract.7.
    
    This Binder is net of brokerage commission.8.
    
    Issuance of Deductible Buy-Back Policy, by a member Company of AIG, covering
deductible losses up to an aggregate of $14,000,000. In addition to providing
coverage up to the $14,000,000 aggregate, the deductible Buy-Back policy will
provide $20,000,000 of aggregate stop coverage above a $136,700,000 attachment
point. The $136,700,000 attachment point is a minimum and adjustable upwards
only based on audited unmodified premium.
 Data Reporting Requirements
 Gevity must report the renewal client base and, on a weekly basis, all client additions,
terminations and endorsements using the PEO standard template and the FTP server. See PEO standard
template attached.
 Aggregate Stop Amount and Aggregate Stop Limit Schedule
 Aggregate Stop Amount Aggregate Stop Limit  o þ
   Basis of Adjustment:
    
    
    
    
    
    Estimated Basis Amount:Audited Unmodified Premium
    
    
    
    
    
    $109,941,904Adjustment Rate:
    
    
    1.2434
    
    
    Per: 1Aggregate Stop Limit
    
    
    20,000,000
  ALAE ALAE
 
 *
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 8




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Adjustment
  ALAE ALAE
 Security Plan
 CollateralCollateral on Hand (by Type)
    
    Amount of CollateralRCAMP Cash
    
    $
    152,464,786Escrow
    
    $
    25,000Trust Funds
    
    $
    8,057,588Estimated Gross Amounts of Collateral on Hand
    
    $
    160,547,374
    
    
    At 8/31/06
 Additional Collateral Required (by Type)
    
    Amount of Collateral
    
    
    Due DateRCAMP (paid by captive)
    
    $
    52,439,010Deductible Buyback Loss Provision Included in Prem.
    
    $
    14,000,000Collateral included in Subject Premium
    
    $
    60,990Total Additional Collateral Required
    
    $
    66,500,000
    
    
    12 equal due on
1st ofeach month startingwith 01/01/2007.Estimated Gross Amount of Collateral Required
    
    $
    227,047,374
    
    
    Plus remaining 2006installments
 Collateral Reviews
  The Additional/Return Collateral will be:
 The difference between (Ultimate Losses) and (Loss Provision amount collected during the policy
period)
 9




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Specific Loss Development Factors
  GRID of Loss Development Factors
 Kind of InsuranceWorkers Comp
    
    General Liability
    
    Auto LiabilityValuation Date
    

LDFs
    

LDFs
    

LDFs
    

LDFs6/30/08
    
    [*]6/30/09
    
    [*]6/30/10
    
    [*]6/30/11
    
    [*]6/30/12
    
    [*]6/30/13
    
    [*]
 NOTE THAT:
 , Your your Policies is changed Your
retention/deductible/loss reimbursement limit Policies, Loss ALAE Policies.
       excess of a $14,000,000 aggregate
 
 
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 10




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
   The Captive has two Investment Selection options at its disposal which are referenced below:
 Investment Selection Options
 1.
    
    One-Year rate
 *
 2.
    
    Interest rate payable until all claims are closed
   Interest Rate Penalty Schedule
 Cancellation Date
    
    Interest Rate *Prior to January 1, 2008
    
    TBDJanuary 1, 2008  January 1, 2009
    
    TBDJanuary 1, 2009  January 1, 2010
    
    TBDJanuary 1, 2010  January 1, 2011
    
    TBDJanuary 1, 2011  January 1, 2012
    
    TBDJanuary 1, 2012  January 1, 2013
    
    TBDJanuary 1, 2013  January 1, 2014
    
    TBD
 
 *
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 11




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Cancellation Date
    
    Interest Rate *January 1, 2014  January 1, 2015
    
    TBDJanuary 1, 2015  January 1, 2016
    
    TBDJanuary 1, 2016  January 1, 2017
    
    TBDJanuary 1, 2017 until All Claims Closed
    
    TBD.
 
 *
    
    as each read, the day the first installment of the Reinsurance Premium is received For either Investment Selection Option referenced above, we will credit you additional interest
accrued monthly on the $52,500,000 in Reinsurance Premium on the daily cash balances of the
$14,000,000 referenced above, calculated at a rate dependent upon which option you select.
 This Binder contemplates that we will
not collect Escrow. Therefore, the monthly accrued interest statement will evidence losses being
paid at the mid-point of each month.
  Letter of Credit
 Schedule. You Your You Your You Your Policies You
 Collateral Trust
  Financial Covenants, Tests, or Minimum Credit Ratings
 You
 a.)
    Credit Trigger:
 12




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 
 i.
    
    If the credit rating of the entity named below and for the type of
debt described below, promulgated by Standard & Poors Corporation (S&P) or by
Moodys Investors Services, Inc. (Moodys), drops below the grade shown
respectively under S&P or Moodys;ii.
    
    or If S&P or Moodys withdraws any such rating.
 You
 Your Payment Obligation Your Payment Obligation Your
 Name of Entity: Type of Debt Rated
 Ratings at Effective DateS&P
    

Moodys
    
    Unsecured Exposure at Effective Date$TBA
 Potential Future RatingsS&P
    

Moodys
    
    Maximum Unsecured Exposure$
    TBA$$$
 b.
    Other Financial Tests or Covenants:
 13




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 3  Limits, Program & Coverage
 General Notes About Coverages
       . No Alterations to this Proposal or Binder May Be Made
Without the Prior Written Approval ofAIG Risk Management.
 14




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Workers Compensation
 01/012008
 Workers Compensation Coverage
    
    StatutoryEmployers Liability:Bodily Injury by Accident  Each Accident
    
    $2,000,000Each Employee Bodily Injury by Disease
    
    $2,000,000Policy Limit Bodily Injury by Disease
    
    $2,000,000States Covered: AK, AL, AR, AZ, CA, CO, CT, DC, DE,
FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MD, ME, MA,
MI, MN, MO, MS, MT, NE, NH, NJ, NM, NV, NY, NC, OK,
OR, PA, RI, SC, SD, TN, TX, UT, VA, VT, WI(i.e. Item
3A):Stop Gap Liability:Bodily Injury by Accident  Each Accident
    
    $2,000,000Each Employee Bodily Injury by Disease
    
    $2,000,000Policy Limit Bodily Injury by Disease
    
    $2,000,000States Covered: OH, ND, WA, WV, WY, (i.e. other states
covered 3C):
 Retained/LossReimbursement/Amount
    
    Applicable To:Workers Compensation and Employers
Liability under State Law  Insured
States
    
    $
    500,000
    
    
    Each Accident or
each Person for
DiseaseWorkers Compensation and Employers
Liability under Federal Law  Insured
States
    
    $
    500,000
    
    
    Each Accident or
each Person for
DiseaseWorkers Compensation and Employers
Liability  Self Insured States
    
    $
    N/A
    
    
    Each Accident or
each Person for
DiseaseEmployers Liability  Monopolistic States
    
    $
    500,000
    
    
    Each Accident or
each Person for
Disease
 Note: 1)For Insured States, the limit of coverage as shown in this document include(s) the
Retention/Loss Reimbursement Limit layer amount(s) retained by the Insured . 2) For
Self-Insured States, the limits of liability shown are in excess of the Self Insured
Retention amount. 3) Aggregate Limits apply where applicable.
 Coverage Extensions and Exclusions
 15




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsWC 000000A
    
    
    
    OTHER STATE INSURANCEWC 000104
    
    04/84
    
    FEDERAL EMPLOYERS LIABILITY ACT COVERAGE   This endorsement continues to be used in New Jersey and Texas.The remaining states approved the newer version WC 000104A (10-04).WC 000104A
    
    10/04
    
    FEDERAL EMPLOYERS LIABILITY ACT COVERAGEThis endorsement is approved in Alabama, Alaska, Arizona, Arkansas, California,
Colorado, Connecticut, Delaware, DC, Florida, Georgia, Hawaii, Idaho, Illinois,
Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan
(exempt from filing), Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada,
New Hampshire, New Mexico, New York, North Carolina, Oklahoma, Oregon, Pennsylvania,
Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Virginia,
Washington, West Virginia, Wisconsin, and Wyoming.New Jersey and Texas will continue to use the prior version WC 000104 (4-84) until
the AIG adoption filing is approved.WC 000106A
    
    04/92
    
    LONGSHORE AND HARBOR WORKERS COMPENSATION ACT COVERAGE ENDORSEMENT (California approved a state-specific version)WC 000109A
    
    04/92
    
    OUTER CONTINENTAL SHELF LANDS ACT COVERAGE ENDORSEMENTNo such work at this time. It is agreed that if any work is subject to the Outer
Continental Shelf Lands Act, the Insurer will endorse the policy within sixty (60)
days of the notification.WC 000111
    
    
    
    MIGRANT AND SEASONAL AGRICULTURAL WORKERS PROTECTION ACT COVERAGE ENDORSEMENTWC 000201A
    
    04/92
    
    MARITIME COVERAGEDescription of work:No such work at this time. It is agreed that if any work is
subject to the Maritime Coverage Endorsement, the Insurer will endorse the policy
within sixty (60) days of the notification.WC 000203
    
    04/84
    
    VOLUNTARY COMPENSATION MARITIME COVERAGE ENDORSEMENT
(ATTACHED TO FLORIDA MASTER POLICY ONLY)EMPLOYEES: All employees who are masters or members
of the crew of any vessel.Workers Compensation Law: State of HireDESCRIPTION OF WORK: No such work at this time. It is agreed that if any work is
subject to the Maritime Coverage Endorsement, the Insurer will endorse the policy
within sixty (60) days of the notification.WC 000301
    
    04/84
    
    ALTERNATE EMPLOYER ENDORSEMENT (STATE APPROVED  HI, OK, MI AND TX)Requires specifics name of Alternate Employer
 16




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsWC 000301A
    
    02/89
    
    ALTERNATE EMPLOYER ENDORSEMENT (ALL OTHER STATES WHERE WE ARE USING A MASTER POLICY,
EXCEPT CA, DE, PA, WI)   Requires specifics name of Alternate Employer   This endorsement is not approved in Alaska.   Hawaii, Oklahoma and Texas continue to use the prior version WC 000301
(4-84).   The remaining states approved this endorsement.WC 000302
    
    04/84
    
    DESIGNATED WORKPLACES EXCLUSION ENDORSEMENT   California disapproved this endorsement, but uses Endorsement Agreement
Limiting & Restricting This Insurance Form# 7606H for this purpose.   Pennsylvania disapproved this endorsement, but uses Exclusion of Employees
Endorsement WC 370303 for wrap-ups. The sponsor is named as statutory employer.   Connecticut approved a state-specific version of this endorsement.   The remaining states approved this endorsement.WC 000310
    
    04/84
    
    SOLE PROPRIETOR, PARTNER, OFFICER AND OTHERS   California and Texas approved a state-specific version.This endorsement is not approved in PennsylvaniaPartners: All partnersOfficers: All executive officersOthers: Each person named in Item 4 of the Information PageWC 000311
    
    04/84
    
    VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITYEmployees: All Officers and Employees, including any volunteers not subject to the
Workers Compensation law except masters and members of the crew of
any vessel.State of Employment: Any state designated in Item 3.A. of the Information Page of
this policyCompensation
Law: State of HireWC 000311A
    
    08/91
    
    VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITYEmployees: All Officers and Employees, including any volunteers not subject to the
Workers Compensation law except masters and members of the crew of
any vesselState of Employment:Any state designated in Item 3.A. of the Information Page of
this policyCompensation
Law: State of HireWC 000313
    
    04/84
    
    WAIVER OF SUBROGATION   A
waiver of subrogation is not permitted in Kentucky, New Hampshire and New
Jersey.   California, Tennessee, Texas and Utah approved a state-specific version.Schedule:Any person or organization to whom you become obligated to waive your rights of
recovery against, under any contract or agreement you enter into prior to the
occurrence of loss.WC 60904
    
    08/94
    
    FOREIGN VOLUNTARY COVERAGE ENDORSEMENT
 17




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State Endorsements   Minnesota, New Jersey, North Carolina and Pennsylvania do not permit usage
of this endorsement. Foreign coverage is dictated by state law.   Alaska, California, Florida and Massachusetts approved a state-specific
version.   New York and Wisconsin require usage of a state-prescribed Bureau form.   This endorsement is approved in Alabama, Arizona, Arkansas, Colorado,
Connecticut, Delaware, DC, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas,
Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Montana,
Nebraska, Nevada, New Hampshire, New Mexico, Oklahoma, Oregon, Rhode Island, South
Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia and Wyoming.Schedule:Name(s) of Employee:All officers and Employees while stationed or traveling
outside of the United States of America, its territories or possessions, except
masters and members of the crew of any vesselState or Country of Operations: Anywhere in the world, including international
waters or airspace, but excluding the United States of America (including its
territories and possessions) and Puerto Rico and those countries against which the
Office of Foreign Assets Control of the U.S. Department of the Treasury administers
and enforces economic and trade sanctionsDesignated Workers Compensation Law:State of hireLimits of Liability for Excess Repatriation Expense:$25,000  Each employee$25,000  Each accidentLimits of Liability for Part Two-Employers Liability:$2,000,000  Bodily Injury by Accident$2,000,000  Bodily Injury by Disease. [policy limit and
each employee]WC 990008A
    
    10/03
    
    AMENDMENT OF YOUR DUTIES IF INJURY OCCURS ENDORSEMENT   This endorsement is approved in Alabama, Arizona, Connecticut, Delaware, DC,
Hawaii, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan,
Mississippi, New Hampshire, New Mexico, Pennsylvania, Rhode Island, South Dakota,
Utah, Vermont and Virginia.WC 990011A
    
    10/03
    
    UNINTENTIONAL ERRORS AND OMISSIONS ENDORSEMENT   California continues to use the prior version WC 990011.
This endorsement is approved in Approved in Alabama, Arizona, Connecticut, Delaware,
DC, Hawaii, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan,
Mississippi, New Hampshire, New Mexico, Pennsylvania, Rhode Island, South Dakota,
Utah, Vermont and Virginia.WC 990039
    
    08/02
    
    ADVANCE NOTICE OF CANCELLATION/NON-RENEWAL BY US(10 DAYS NON-PAYMENT AND 120 DAYS FOR NON-RENEWAL)
 18




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State Endorsements   Alaska, California, Florida, Georgia, Illinois, Massachusetts, Nevada and
Texas approved a state-specific version.   This endorsement is not approved in Arizona, Minnesota, New Jersey, Ohio,
Pennsylvania and Wisconsin.   The remaining states approved this endorsement.WC000420
    
    12-02
    
    Terrorism Risk Insurance Extension Act EndorsementWC000320A
    
    2-92
    
    Labor Contractor EndorsementThis endorsement is used in certain states where a Multiple Coordinated Policy
approach is required.New York uses a state specific endorsement.Florida continues to use the prior version WC000320 (4-91).WC000323
    
    4-84
    
    Multiple Coordinated Policy EndorsementAnd
    
    
    
    This endorsement is used in certain states where a Multiple Coordinated PolicyWC000323A (1-06)
    
    
    
    approach is required.
 19




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 3 Limits, Program & Coverage
 Coverage Extensions and Exclusions
 Form #
    
    Edition Date
    
    All Mandatory State EndorsementsWC 000104A
    
    10/04
    
    FEDERAL EMPLOYERS LIABILITY ACT COVERAGEWC 040101A
    
    04/92
    
    LONGSHORE AND HARBOR WORKERS COMPENSATION ACT COVERAGE ENDORSEMENTWC 000109A
    
    04/92
    
    OUTER CONTINENTAL SHELF LANDS ACT COVERAGE ENDORSEMENTDescription of workNo such work at this time. It is agreed that if any work is subject to the Outer
Continental Shelf Lands Act, the Insurer will endorse the policy within sixty (60)
days of the notification.WC 000201A
    
    04/92
    
    MARITIME COVERAGE ENDORSEMENTDescription of work:No such work at this time. It is agreed that if any work is subject to the Maritime
Coverage Endorsement, the Insurer will endorse the policy within sixty (60) days of
the notification.WC 040315
    
    09/05
    
    CA LABOR CONTRACTOR AS NAMED INSURED WITH LCF DESIGNATION  RESTRICTION OF COVERAGE
TO CLIENT WORKERS  (Replaces Alternate Employer Liability Endorsement)7606H
    
    
    
    DESIGNATED WORKPLACES EXCLUSION ENDORSEMENT  
CA Designated Workplace Endorsement 7606H is designed to exclude
locations/worksites that are part of a construction wrap up.  
This endorsement will be issued and attached when specifically requested.
There is no one CA policy.WC 040304
    
    04/84
    
    CA SOLE PROPRIETOR COVERAGE ENDORSEMENTPartners: All partnersOfficers:All executive officersOthers:Each person named in Item 4 of the Information PageWC 040305
    
    01/85
    
    CA VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITYEmployees: It is agreed that if any such person is subject to the Voluntary
Compensation and Employers Liability Coverage Endorsement, the Insurer will endorse
the policy within sixty (60) days of notification.WC 990422
    
    10/05
    
    FOREIGN VOLUNTARY COVERAGE ENDORSEMENTScheduleName(s) of Employee: All officers and Employees while stationed or traveling
outside of the United States of America, its territories or possessions, except
masters and members of the crew of any vessel.State or Country of Operations: Anywhere in the world,including international
waters or airspace, but excluding the United States of America (including its
territories and possessions) and Puerto Rico
 20




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form #
    
    Edition Date
    
    All Mandatory State Endorsementsand Those countries against which the
Office of Foreign Assets Control of the U.S. Department of the Treasury administers
and enforces economic and trade sanctions.Designated Workers Compensation Law:CaliforniaLimits of Liability for Excess Repatriation Expense:$25,000  Each employee$25,000  Each accidentLimits of Liability for Part Two-Employers Liability:$2,000,000  Bodily Injury by Accident$2,000,000 - Bodily Injury by Disease. [policy limit and each employee]Rates: Included in the State of regular employment.WC 040361
    
    11/90
    
    CA BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS
Schedule:Any person or organization to whom you become obligated to waive your rights of
recovery against, under any contract or agreement you enter into prior to the
occurrence of loss.WC 040306
    
    04/84
    
    CA BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERSWC 990011A
    
    10/03
    
    UNINTENTIONAL ERRORS AND OMISSIONS ENDORSEMENTWC 990017
    
    01/01
    
    CA CANCELLATION ENDORSEMENTWC 990411
    
    08/03
    
    CA ADVANCE NOTICE OF CANCELLATION/NON-RENEWAL BY US EXTENDED ENDORSEMENT(10 days Non-payment and 120 days for Non-renewal)
 Defense Base Act Coverage is not provided. Premium will be quoted separately by Worldsource and,
unlike expiring, will be billable outside of this program.
 21




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Commercial General Liability
 
 þ o
 Each Occurrence Combined Single Limit
    
    $
    2,000,000Personal & Advertising Injury Limit
    
    $
    2,000,000Damage to Premises Rented to You
    
    $
    1,000,000Medical Expense Limit (any one person)
    
    $
    10,000Employee Benefits Liability*
    
    $
    2,000,000Subject to a Deductible of: $500,000þ *A Claims Made Form  Retrospective Date 06/16/1995o *An Occurrence FormGeneral Aggregate Limit  Per Policy
    
    $
    4,000,000General Aggregate Limit  Per Location/Per Project
    
    $Products-Completed Operations Aggregate Limit
    
    $
    4,000,000Liquor Liability  Aggregate Limit (A separate policy
will be issued for this coverage.)
    
    $
    0
 Retained/Deductible/
    
    Applicable ToPremises, Operations, Personal and
Advertising Injury, Medical Payments,
or Damage to Property Liability
    
    $
    500,000
    
    
    Each OccurrenceProducts-Completed Operations Liability
    
    $
    500,000
    
    
    Each Occurrence
 Note: 1)For Insured States, the limit of coverage as shown in this document include(s) the
Deductible/Retention Limit layer amount(s) retained by the Insured . 2) For Self-Insured
States, the limits of liability shown are in excess of the Self Insured Retention amount.
3) Aggregate Limits apply where applicable.
 Coverage Extensions and Exclusions
 22




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsCG 0001
    
    12/04
    
    COMMERCIAL GENERAL LIABILITY COVERAGE FORMCG 2011
    
    01/96
    
    ADDITIONAL INSURED  MANAGERS OR LESSORS OF PREMISES   NAME OF PERSON OR ORGANIZATION: ALL LESSORS
WHERE REQUIRED BY CONTRACTCG 2015
    
    07/04
    
    ADDITIONAL INSURED  VENDOR   VENDORS: ANY VENDOR FOR WHOM THE INSURED HAS
AGREED TO PROVIDE SUCH INSURANCE UNDER CONTRACT.   PRODUCTS: ALL PRODUCTS OF THE NAMED INSUREDCG 00 62
    
    12/02
    
    WAR LIABILITY EXCLUSIONCG 0224
    
    10/93
    
    EARLIER NOTICE OF CANCELLATION PROVIDED BY US (90/10 DAYS)CG 2116
    
    07/98
    
    EXCLUSION  DESIGNATED PROFESSIONAL SERVICESCG 2147
    
    07/98
    
    EMPLOYMENT-RELATED PRACTICES EXCLUSIONCG 21 49
    
    09/99
    
    TOTAL POLLUTION EXCLUSION ENDORSEMENTCG 24 04
    
    10/93
    
    WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS
TO US61714
    
    09/01
    
    ADDITIONAL INSURED  WHERE REQUIRED UNDER CONTRACT OR
AGREEMENT WITH PROFESSIONAL SERVICES EXCLUSION58332
    
    
    
    TOTAL LEAD EXCLUSION51767
    
    04/02
    
    EMPLOYEE BENEFITS LIABILITY COVERAGE (CLAIMS-MADE)   Alaska, Connecticut, Illinois, Maine, Missouri,
New Hampshire and Pennsylvania approved a state-specific
endorsement.The endorsement is not approved in Arkansas, Louisiana,
Massachusetts, Nebraska, New Mexico, New York, North
Carolina, Texas, Vermont, Virginia, Washington and
Wyoming.The endorsement is approved in the remaining states.RETROACTIVE DATE: 06/15/1995DEDUCTIBLE: $500,00061944
    
    02/95
    
    BROAD FORM NAMED INSURED ENDORSEMENT62132
    
    03/95
    
    UNINTENTIONAL ERRORS AND OMISSIONS62898
    
    09/01
    
    RADIOACTIVE MATTER EXCLUSION65324
    
    11/96
    
    MARITIME LIABILITY ENDORSEMENT IN REM COVERAGE67265
    
    03/97
    
    AMENDMENT OF OTHER INSURANCE64009
    
    11/95
    
    NON-OWNED WATERCRAFT ENDORSEMENT74435
    
    09/01
    
    AMENDMENT OF WHO IS AN INSURED74439
    
    10/99
    
    CLUBSIL 0021
    
    07/02
    
    NUCLEAR ENERGY LIABILITY EXCLUSION (BROAD FORM)   New York approved IL 0023.The 11-85 edition is approved in Virginia.   The 5-02 edition is approved in Nebraska.   The 6-02 edition is approved in Vermont.   The 5-04 edition is approved in Texas.
 23




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsThe remaining states approved the 7-02 edition64004
    
    09/01
    
    ERISA EXCLUSION64011
    
    11/05
    
    AMENDMENT OF COVERAGE TERRITORY62251
    
    09/01
    
    AIRCRAFT PRODUCTS EXCLUSION AND GROUNDING ENDORSEMENT65329
    
    09/01
    
    DELETION OF CONTRACTUAL LIABILITY EXCLUSION (COVERAGE B)67260
    
    03/97
    
    BODILY INJURY DEFINITION EXTENSION73187
    
    09/03
    
    DEDUCTIBLE COVERAGE ENDORSEMENT  A82540
    
    04/05
    
    ASBESTOS & SILICOSIS EXCLUSION53820
    
    07/92
    
    LRRP SHORT FORM ENDORSEMENT
POLICY NUMBER:TBD81127
    
    12/02
    
    TERRORISM EXCLUSION
 NOTES ON SPECIAL COVERAGE(S)
 24




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Commercial Automobile Liability
  Coverage
    
    Coverage Symbols
    
    LimitsCombined Single Limit 
    
    
    1
    
    $2,000,000Personal
Injury Protection  (Per Insureds Selection)
    
    
    5
    
    $StatutoryMedical Payments  Each Person Insured 
    
    
    2
    
    $5,000Uninsured
Motorists/Underinsured Motorists 
(Per Insureds Selection)*
    
    
    8 & 9
    
    Options: (check
applicable option):*Not Available in Indiana, Ohio or Michigan
    
    
    
    
    
    þ 1.) Rejection where
possible/minimum
limits elsewhereo 2.) Policy limits
where
possible/maximum
limits elsewhereo 3.) Other limits
(identify limit(s))$
 Retained/Deductible/Self Insured Retention
    
    Applicable ToAutomobile Liability, Including UM/UIM/PIP, If Any
    
    $500,000
    
    Each Accident
 Note: 1)For Insured States, the limit of coverage as shown in this document include(s) the
Deductible/Retention Limit layer amount(s) retained by the Insured . 2) For Self-Insured
States, the limits of liability shown are in excess of the Self Insured Retention amount.
3) Aggregate Limits apply where applicable.
 Commercial Automobile Physical Damage
 Physical Damage  Coverage symbol(s)
    
    N/ALimit  Except for Hired Cars is Actual
Cash Value or Cost To Repair, whichever
is less,Minus a Comprehensive Deductible of:
    
    $ Each Covered VehicleMinus a Collision Deductible of:
    
    $ Each Covered VehicleLimit for Hired Cars is Actual Cash Value
or Cost To Repair, whichever is less.
Subject to a Maximum Limit of: $Minus a Comprehensive Deductible of:
    
    $ Each Covered VehicleMinus a Collision Deductible of:
    
    $ Each Covered Vehicle
 25




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Coverage Extensions and Exclusions
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsCA 0001
    
    03/06
    
    BUSINESS AUTO COVERAGE FORM   STATE APPROVALS:Texas continues to use the TAISO version of this policy.   Alaska, California, Connecticut, Hawaii,
Louisiana, Massachusetts, New Hampshire, New
York and Virginia continue to use the 10-01
edition.The remaining states use the 3-06 edition.CA 2001
    
    03/06
    
    LESSOR  ADDITIONAL INSURED AND LOSS PAYEE   STATE APPROVALS:This
endorsement is not approved in Kansas and Texas.   Hawaii, Massachusetts and Virginia use a
state-specific endorsement.   The 10-01 edition is approved AK, CT, GA, LA,
NH, NY and OR.   The 3-06 edition is approved in the remaining
states.DESCRIPTION: ALL LEASED AUTOS61944
    
    02/95
    
    BROAD FORM NAMED INSUREDSTATE APPROVALS:Texas approved a state-specific version of this endorsement.This endorsement is not approved in Arkansas,
Delaware, Idaho, Massachusetts, Nebraska, North
Carolina, Ohio, Vermont and Virginia.The endorsement is approved in the remaining states.CA 2313
    
    12/93
    
    TRAILER INTERCHANGE FIRE AND FIRE AND THEFT COVERAGES   
STATE APPROVALS:This
endorsement is not approved in Texas.   The endorsement is approved in the remaining
states.Limit of Insurance: $2,000,000Rate: FlatMinimum Premium: Included9910
    
    09/02
    
    Drive Other Car Coverage  Broadened Coverage For Named Individuals   STATE
APPROVALS:California, Massachusetts, Texas and Virginia
approved a state-specific version of this
endorsement.   The
endorsement is approved in the remaining states.Name of Individual:All executives of the named
insured who are furnished autos by the Named Insured
and who do not have
 26




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State Endorsementspersonal
auto insuranceCA 9916
    
    12/93
    
    HIRED AUTOS SPECIFIED AS COVERED AUTOS YOU OWN   STATE
APPROVALS:Hawaii and Texas approved a state-specific version
of this endorsement.   This
endorsement is not approved in Kansas.   The
endorsement is approved in the remaining states.Description of Auto:Any auto hired, loaned, leased or furnished to the
Named Insured for a period of six (6) months or
more.CA 9933
    
    02/99
    
    EMPLOYEES AS INSUREDS   STATE
APPROVALS:Texas approved a state-specific version of this
endorsement.   The
endorsement is approved in the remaining states.CA 9948
    
    03/06
    
    POLLUTION LIABILITY  BROADENED COVERAGE FOR COVERED
AUTOS  BUSINESS AUTO, MOTOR CARRIER AND TRUCKERS
COVERAGE FORMSSTATE APPROVALS:   Massachusetts and Texas approved a state-specific
version of this endorsement.   This endorsement is not approved in New York,
Vermont and Virginia.   The
9-02 edition is approved in AK, CT, GA, HI, LA, NH and OR.   The 3-06 edition is approved in the remaining
states.53820
    
    07/92
    
    LRRP SHORT FORM ENDORSEMENTPOLICY NUMBER: WC FL TBA61709
    
    12/94
    
    AMENDMENT OF DUTIES IN THE EVENT OF ACCIDENT, CLAIMS, SUIT OR LOSS   STATE
APPROVALS:This endorsement is not approved in Arkansas,
North Carolina, Ohio and Virginia.   The endorsement is approved in the remaining
states.61710
    
    12/94
    
    ADDITIONAL INSURED  WHERE REQUIRED UNDER CONTRACT
OR AGREEMENT [EXCLUDES CONTRACTS OR AGREEMENTS FOR
PROFESSIONAL SERVICES]   STATE
APPROVALS:This endorsement is not approved in Arkansas,
Nebraska, North Carolina, Ohio, Texas, and Virginia.   The endorsement is approved in the remaining
states.62135
    
    03/95
    
    WHEN WE DO NOT RENEW   STATE
APPROVALS:This endorsement is not approved in Arkansas,
Delaware, Idaho, Massachusetts, Michigan, Nebraska,
New Hampshire, North Carolina, South Carolina,
Vermont, Virginia and Washington.   The endorsement is approved in the remaining
states.62138
    
    03/95
    
    EARLY NOTICE OF CANCELLATION PROVIDED BY US   (90Days for Non-Renewal and 10 days for
Non-Payment   STATE
APPROVALS:This endorsement is not approved in Arkansas,
Delaware,
 27




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsIdaho, Massachusetts, Michigan, Nebraska,
New Hampshire, North Carolina, South Dakota and
Vermont.   The endorsement is approved in the remaining
states.62897
    
    06/95
    
    WAIVER OR TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS   STATE
APPROVALS:This endorsement is not approved in Arkansas, North
Carolina and Ohio.   The endorsement is approved in the remaining
states.65330
    
    11/96
    
    MEXICAN COVERAGE BROAD FORM   STATE
APPROVALS:This endorsement is not approved in Texas and
Virginia.   The endorsement is approved in the remaining
states.67264
    
    03/97
    
    EXPECTED OR INTENDED INJURY EXCLUSION AMENDMENT
(REASONABLE FORCE EXCEPTION)   STATE
APPROVALS:This endorsement is not approved in Minnesota and
Texas.   The endorsement is approved in the remaining
states.73187
    
    09/03
    
    DEDUCTIBLE COVERAGE ENDORSEMENT  A74438
    
    10/99
    
    BODILY INJURY DEFINITION EXTENSION   STATE
APPROVALS:This endorsement is not approved in Idaho, Maine,
Michigan, Mississippi, South Dakota, Virginia, West
Virginia and Wisconsin.   The endorsement is approved in the remaining
states.86203
    
    07/04
    
    TERRORISM EXCLUSION   STATE
APPROVALS:Alaska, Hawaii, Illinois and Oregon approved a
state-specific version of this AIG endorsement.   This AIG endorsement is not approved in Ohio
and South Carolina. However, you may use ISO
Exclusion of Terrorism CA2384.   This AIG endorsement is not approved in New
Jersey and Oklahoma. However, you may use ISO
Exclusion of Terrorism Above Minimum Statutory
Limits CA2386. These states only permit the
exclusion of terrorism above MFR.   There are no approved exclusions for Florida,
Georgia, New York and Virginia. Coverage must
be approved and priced for.   This AIG endorsement is approved in the
remaining states.86679
    
    08/04
    
    FELLOW EMPLOYEE EXCLUSION DELETEDNote: This endorsement previously had form number
64007 (11-95). Since there is a GL form with the
same number, we had to assign a new form number to
this endorsement. It is now 86679.   STATE
APPROVALS:This endorsement is not approved Maryland, New
Jersey, Virginia and Wisconsin.   The endorsement is approved in the remaining
states.MCS  90
    
    04/00
    
    MOTOR CARRIER PUBLIC LIABILITY ENDORSEMENT (MCS-90)IL 0021
    
    07/02
    
    NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (BROAD FORM)
 28




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Form
#
    

Edition
Date
    
    All Mandatory State EndorsementsSTATE APPROVALS:   This endorsement is not approved in New York.   Washington
uses IL 01 98 7-02.   The
3-92 edition is approved on Texas.   The
4-98 edition is approved in Massachusetts.   The
5-02 edition is approved in Nebraska.   The
6-02 edition is approved in Vermont.   The
remaining states approved the 7-02 edition.MANUSCRIPT
    
    MANUSCRIPT
    
    KNOWLEDGE OF OCCURRENCEIt is understood and agreed that knowledge of an
occurrence, claim or suit by any agent, servant or
employee of the insured shall not constitute
knowledge by the insured unless the Vice President
of Risk Management & Insurance of the GEVITY HR,
Inc. has received such notice.MANUSCRIPT
    
    MANUSCRIPT
    
    NOTICE OF ACCIDENTThe Company shall not deny coverage as the result of
an unintentional failure by the insured to give
notice as respects to any accident, provided notice
is given as soon as practicable after the Vice
President of Finance of Gevity HR, Inc. becomes
aware that this policy may apply to such accident.
 NOTES ON SPECIAL COVERAGE(S)
 UM/UIM
Automobile Coverage
    State
DMV Proof of Coverage Reporting Requirements
  29




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
      Automobile
Coverage where a Composite Rate Applies
  COMMERCIAL AUTOMOBILE TERRORISM RISK EXTENSION ACT OF 2005 NOTIFICATION
     a.
    
    A government;b.
    
    The civilian population of a country, state or community; orc.
    
    To disrupt the economy of a country, state or community.
 30




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
  31




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Underwriting Guidelines
  
    
    [*]
  
    
    [*]
    
    [*]
    
    [*]
  
    
    Policy Issuance and Weekly reporting Information
    
    4 years including current policy period currently valued hard copy loss information
    
    Historical Payroll Information
    
    Application
 Special Conditions
   Claims Administration
    Loss Control Services
  
 *
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 32




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
  *
 Coverages
 
  Gevity HR, Inc. and its wholly-owned subsidiaries
            33




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
   Gevity Insurance Agency, Inc.
   
 *
    
    THIS CONFIDENTIAL INFORMATION HAS BEEN
OMITTED AND FILED SEPARATELY WITH THE SECURITIES AND EXCHANGE COMMISSION. 34




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Workers Compensation Premiums
   Workers Compensation Loss Reimbursement (Deductible) Policy/Plan Premiums
    35




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 DEDUCTIBLE BUYBACK ADJUSTABLE PREMIUM OPTION
    Premium includes:Losses being bought back by policy
    
    $
    14,000,000Taxes on Deductible Buyback Losses
    
    $
    71,377Other Expenses (Including FET)
    
    $
    70,000
    
    
    (if applicable)Total Premium Pay in for Deductible Buyback
    
    $
    14,141,377Aggregate Limit of Losses being bought back
    
    $
    14,000,000
  Other Terms and Conditions: Mandatory endorsements required on policies
  36




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Your responsibility for the payment of Allocated Loss Adjustment Expenses For Loss Sensitive
Programs/Plan is:
 ALAE Option(enter ALAE OptionA, B, C or D as
    
    If ALAE Option C,Coverage
    
    applicable)
    
    enter Excess %Workers Compensation
    
    C
    
    100%General Liability
    
    C
    
    100%Automobile Liability
    
    C
    
    100%%
 A:
    
    100% of the total Allocated Loss Adjustment Expenses up to the Retained Limit.
However, the most you are responsible for with respect to damages and/or indemnity and Allocated Loss
Adjustment Expenses combined shall not exceed the Retained Limit.B:
    
    100% of the total Allocated Loss Adjustment Expenses.C:
    
    All or part of the Allocated Loss Adjustment Expenses determined according to the following:If we incur NO obligation under the policy(ies) to pay damages resulting from a claim, you are
responsible for all Allocated Loss Adjustment Expenses up to the applicable Retained
Limit plus a percentage of all remaining Allocated Loss Adjustment Expenses in excess
thereof. That percentage is shown above under Option C Excess %; or.If we DO incur an obligation under the policy(ies) to pay damages resulting from a claim, you
will be responsible for a percentage of Allocated Expense Adjustment Expenses. That
percentage shall be determined by dividing the Retained Limit paid by the total damages paid
subject to the Limits of Insurance.D:
    
    No Allocated Loss Adjustment Expenses.
 37




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 4  Premium Payments and Program Terms
 Incurred Loss Payment Plan:
  Provision
    
    
    
    
    
    
    
    
    
    Provision forfor Expenses
    
    Special
    
    Deductible
    
    Limited
    
    Estimatedand Excess
    
    Taxes and
    
    Buyback Loss
    
    Losses
    
    PaymentPayment No.
    
    Due Date
    
    Losses (1)
    
    Surcharges
    
    Provision
    
    (RCAMP) (2)
    
    Obligation1
    
    
    01/01/2007
    
    
    $
    2,041,756
    
    
    $
    520,976
    
    
    $
    5,541,667
    
    
    $
    0
    
    
    $
    8,104,3992
    
    
    02/01/2007
    
    
    $
    2,041,756
    
    
    $
    
    
    
    $
    5,541,667
    
    
    $
    0
    
    
    $
    7,583,4233
    
    
    03/01/2007
    
    
    $
    2,041,756
    
    
    $
    
    
    
    $
    2,916,666
    
    
    $
    2,625,001
    
    
    $
    7,583,4224
    
    
    04/01/2007
    
    
    $
    2,041,756
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,666
    
    
    $
    7,583,4225
    
    
    05/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,667
    
    
    $
    7,583,4226
    
    
    06/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,667
    
    
    $
    7,583,4227
    
    
    07/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,667
    
    
    $
    7,583,4228
    
    
    08/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,667
    
    
    $
    7,583,4229
    
    
    09/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,667
    
    
    $
    7,583,42210
    
    
    10/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,666
    
    
    $
    7,583,42111
    
    
    11/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,666
    
    
    $
    7,583,42112
    
    
    12/01/2007
    
    
    $
    2,041,755
    
    
    $
    
    
    
    $
    
    
    
    $
    5,541,666
    
    
    $
    7,583,42113
    
    
    
    
    
    $
    
    
    
    $
    
    
    
    $
    
    
    
    
    
    
    
    $Subtotals
    
    
    
    
    
    $
    24,501,064
    
    
    $
    520,976
    
    
    $
    14,000,000
    
    
    $
    52,500,000
    
    
    $
    91,552,040DLP*
    
    
    
    
    
    
    N/A
    
    
    
    N/A
    
    
    
    N/A
    
    
    $
    
    
    
    $DEP*
    
    
    
    
    
    $
    
    
    
    $
    
    
    
    $
    
    
    
    
    N/A
    
    
    $Totals
    
    
    
    
    
    $
    24,501,064
    
    
    $
    520,976
    
    
    $
    14,000,000
    
    
    $
    52,500,000
    
    
    $
 You
 You
 Loss Retention Your ALAE.
 Additional Payments
  38




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Billing Method
 Billing to:
 þ
    
    Youat Youraddress shown in the Schedule, oro
    
    YourRepresentative at its address shown in the Schedule; oro
    
    Automatic Withdrawal from the account described below.
 If Automatic Withdrawal Account applies:    Minimum Amount: $Name of Depository Institution:Address:Account Number:
 Incurred Loss Accounting Adjustments
   39




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 5Important Notes
 Documentation
  
    
    For Loss Sensitive Programs/Plans, the Payment Agreement, including any Addendum(s), and Security required under any
Premium Deferral Plan (when required), within 30 days of the inception date of the program.
 Please Note: The Payment Agreement, together with all schedules, addenda, policies and
any related agreements between you and us, constitutes the basis for a program of
insurance coverage. We would not have entered into any of them without your agreement
on all of them. For that reason, you should review all such documents together when making
any accounting, tax or legal determinations relating to the insurance program.
 
    
    Completed UM/UIM/PIP Automobile Election/Rejection forms prior to inception of automobile coverage.
 
    
    A signed copy of the Acknowledgement form included in this document, which confirms acceptance of all aspects of the
Casualty Insurance Program by the Insured and Agent, returned within 30 days of the inception date of the program.
 
    
    PEO Addendum to Payment Agreement
 authorized representative must
 pay premium within 5 Days of the
billing date
 Acquisitions and Divestitures
  Estimated Premium Quoted in This Proposal or Binder
  Estimated Taxes and Assessments Quoted in this Proposal or Binder For Loss Sensitive
Programs/Plans
 40




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
  Premium Tax on Deductibles For Loss Sensitive Programs/Plans
  Notice about the Office of Foreign Assets Control (OFAC)
  Notice Applicable to Policies Issued Using the New York Trade Zone
  Vermont Statute, Title 18: Health, Chapter 38: Lead Poisoning
 
  must
   41




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 NOTE: This notice is not intended to detail the provisions of Act 165. Please see full text of
the
section of Act 165 (§1759) addressing EMPs on the internet at URL:
http://www.leg.state.vt.us/statutes/fullsection.cfm?Title=18&Chapter=038&Section=01759
 Terrorism Risk Insurance Act Of 2002
And
Terrorism Risk Insurance Extension Act Of 2005
     Payment of Premium
   
  TH
 42




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 
 Premium Audit
   43




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 6 attachments
 
 Overview
  Special Account Instructions
   Claims Reporting
 ®
 ® www.aigcs.net
 Risk Management Information Systems (RMIS)
 ®
  ®
 
    
    A powerful query function to pinpoint and analyze claim information
 
    
    Profiling to identify potential high severity claims
 
    
    A communication feature to facilitate e-mail correspondence
 
    
    An online reporting tool that draws on current and historical claim data
 ®
 ®
 44




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 ®
 45




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 6  attachments
 
 Executive Summary
 ®
  
  
    
    A single Account Manager assigned to your account providing you a single point of
contact for all services provided by AIGC.
    
    Safety training and safety materials (programs, videos, etc.) in Spanish and English can
be provided.
    
    Additional key services can also be utilized as required to provide business solutions
to issues of most concern to our customers in todays challenging society. Such areas as;
Industrial Hygiene/Occupational Health, Safety Accountability and Incentive Programs,
Behavioral Based Safety, Ergonomics, Fleet Training (on-line and personalized), and Early
Return to Work Programs.
    
    Web based and on-site fleet safety programs, evaluations and specialized training programs.
    
    Development of customized video and web based training and informational programs.
 NOTE: Basic risk control services for underwriting purposes have been included in your
program. Additional risk control services are available by contacting your AIGC representative.
 46




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 6 attachments
 LETTER OF CREDIT SAMPLE WORDING
   FOR INTERNAL IDENTIFICATION  PURPOSES ONLY
 
 
 
 
 
 
 (Amount in Words) (Issuing
Banks Address) and expires with our close of business on (Date).
 
 47




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 (Issuing Bank) (Issuing Bank
     48




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 6- attachments
 «Date»«Policyholder»
    
    SAMPLE«StreetAddress»«City», «State» «Zip»
 RE:
    
    «Insured Name»«Account Number»«Policy Number(s) and Effective/Expiration Date»
 POLICYHOLDER DISCLOSURE STATEMENT UNDER
 TERRORISM RISK INSURANCE ACT OF 2002
AND
TERRORISM RISK INSURANCE EXTENSION ACT OF 2005
    o underwriter enters premium
 Signature of InsuredPrint Name/TitleDate«Underwriter/Account Manager»




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 cc:
    
    Broker




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 SECTION 8  Glossary
 Aggregate Stop Amount
  Aggregate Stop Limit
  ALAE (Allocated Loss Adjustment Expense)
 ALAE
  ALIR System
  Automatic Withdrawal
  Basis of Adjustment
  Claims Payment Deposit
  Claims Payment Fund




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 1 2 1 2
 Claims Service Charges
  Deductible
 Subject Premium
 Deferred Expense Provision
  Deferred Loss Provision
  DMV
  Estimated Deferred Amounts
  Estimated Cost
  Experience Modifications
  FEIN numbers
  Guaranteed Cost Policies
  Incurred Loss Conversion




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
  Insured States
  Loss Conversion Factor
  Loss Development Factors
  Loss Reimbursement Limit
  LRRP endorsement
  Maximum Cost
  Maximum Insurance Cost
  Maximum Premium
  Minimum Cost
  Monopolistic States
  Non-Ratable




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
  Non-Subject Premium
  Plan Adjustment
  Paid Loss adjustments
  Paid Losses
  Premium Deferral Plan
  Premium Discount
  Retention
 Subject Premium
 Self-Insured Retention
  Self Insured States
  Sizable Loss Payments




---



##### 



CONFIDENTIAL TREATMENT REQUESTED BY GEVITY HR, INC.
 Stacking
  Standard Premium
  Stop Gap Liability
  Subject Premium
  Texas Premium Discount
  UAIN
  Ultimate Incurred Loss Plan
  Ultimate Losses
  UM/UIM/PIP
  Valuation Date