| HUB International

NOTE: All fields must be completed.

First Name

Last Name

Phone Number

Title

Organization (if request is on behalf of the individual named above and not on behalf of an institution or company, please write in the name)

Reason for Information Request (please check the appropriate box)

Current or prospective HUB International Limited Bondholder: The institution/company or individual (if request is on behalf of the individual named above): (1) confirms that it is a current or prospective beneficial owner of the 7.875% Senior Notes due 2021 issued by HUB International Limited; and (2) agrees (i) to keep all information obtained from the secure Website and conference call confidential, (ii) to not distribute such information to any third party, and (iii) to not use such information for any purpose other than evaluating its investment in the Notes.

Current or prospective Hub Holdings, LLC Bondholder: The institution/company or individual (if request is on behalf of the individual named above): (1) confirms that it is a current or prospective beneficial owner of the 8.125% Senior Notes due 2019 issued by Hub Holdings, LLC; and (2) agrees (i) to keep all information obtained from the secure Website and conference call confidential, (ii) to not distribute such information to any third party, and (iii) to not use such information for any purpose other than evaluating its prospective investment in the Notes.

Financial Analyst: The institution/company or individual (if request is on behalf of the individual named above): (1) confirms that it is a securities analyst; and (2) agrees (i) to keep all information obtained from the secure Website and conference call confidential, (ii) to not distribute such information or any information or advice extrapolated therefrom to any third party unless, to the best of its knowledge, such third party is, or has indicated that it is considering becoming, a holder of HUB International Limited’s or Hub Holdings, LLC's Senior Notes and (iii) to not use such information for any purpose other than as described in clause (ii).

Financial Request Application

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