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AGREEMENT TO PROVIDE INSURANCE 200305247 DATE AND PARTIES. The date of this Agreement to Provide Insurance (Agreement) is March 28, 2003. The parties and their addresses are: OWNER: TODD C ENCK 511 Fleetwood Circle Grand Island, Nebraska 68803 KELLY A ENCK 511 Fleetwood Circle Grand Island, Nebraska 68803 GREGORY G. ROBERTS 369 0. Road Grand Island, Nebraska 68801 DIXIE A. ROBERTS 3690 flood Grand Island, Nebraska 68801 SECURED PARTY: PLATTE VALLEY STATE DANK &TRUST COMPANY 1451 North Webb Read Grand Island. Nebraska 68803 The pronouns "you and "your" refer to the Secured Party. The pronouns "I," "me' and 'my' refer to each person or entity signing this Agreement as Owner. 1. LOAN DESCRIPTION i t...I, A. Oeta, Marsh 28, 2003 B. Lean Number. C. Loan Amount. 5145,000.00 2. AGREEMENT TO PROVIDE INSURANCE. As part of my Loan, I agree to do all of the following. A. I will insure me Property as listed and with the coverages shown In the COVERAGES section, B. I will have you named on the policy, with the status listed under the STATUS section. C. I will strong, for the Insurance company to notify you that the policy is In effect and your status has been noted D. I will pay for this insurance, including any fee for this endorsement. E. I will keep the insurance in effect until the Property Is no longer subject to your security musical, (1 understand that the Property mays cure debts In addition to any Ibted in fie LOAN DESCRIPTION section.) 3. DESCRIPTION OF PROPERTY. The Property subject to this Agreement Is described as follows. A residence located at, Grand Island, Nebaska. I agree to a this Property according he the following described risks, amount of c r rage, and maximum deductible allowed I will provide homeowners coverage anndre Property. The insurable value of this Property is 50.00. The term of coverage will be . The maximum deductible allowed is 90.00. 4. STATUS. Your status shall be Toted on the insurance policy as Lierriami r. SIGNATURES FOR OWNERS AND AUTHORIZATION TO INSURANCE AGENT AND COMPANY. By signing below, I agree to the terms contained In this Agreement and acknowledge receipt of a copy of this Agreement. I request the listed insurance ournfrey and agency W provide the indicated c rage, and list you n the ponce with the indicated .ta ws. I also request me Insurance =,mpany or Its authorized agent to Immediately confirm that the policy is in effect by signing this form and forwarding a copy of the policy to you OV SIGNATURE OF SECURED PARTY AND REQUEST FOR CONFIRMATION. Upon receipt of this Agreement, the Insurance company or agency named above Is requested m confirm the policy......... shown above. SECURED PARTY: Platte VaV@ State Bank &Trust Cc pent' Clain all A,. .Vice Proved.., Nebraska Agreement to Fru itl t Ineuranw Initials NE1 4X X144 6 9 5 00 6 2 3 9 00003 87201 9 03I2 70 3Y el 996 Bankers Systems, Inc., SC Clear, MN Earf rria Page 1