X0303 4 2009-11-13 1 0001297568 Specialty Underwriters Alliance, Inc. SUAI 0001202394 GROTH RAYMOND C C/OSPECIALTY UNDERWRITERS' ALLIANCE, INC 222 SOUTH RIVERSIDE PLAZA, SUITE 1600 CHICAGO IL 60606 1 0 0 0 Common Stock 2009-11-13 4 D 0 10000 D 0 D Stock Option (right to buy) 9.50 2009-11-13 4 D 0 10000 D 2014-11-17 Common Stock 10000 0 D Stock Option (right to buy) 8.10 2009-11-13 4 D 0 10000 D 2015-05-13 Common Stock 10000 0 D The common stock was disposed of pursuant to the Amended and Restated Agreement and Plan of Merger executed on July 22, 2009 and effective as of June 21, 2009 (the "Merger Agreement") among Tower Group, Inc. ("Tower"), Tower S.F. Merger Corporation, a wholly owned subsidiary of Tower, and the Issuer in exchange for 2,800 shares of Tower common stock having a closing price of $23.74 per share on the effective date of merger. Pursuant to the Merger Agreement, the exchange ratio was fixed at 0.28 by reference to the volume-weighted average price per share of Tower common stock for the 15 trading day window immediately preceding the fifth business day prior to November 17, 2009, the original closing date of the merger. This stock option, which is fully vested, was assumed by Tower on the effective date of the merger pursuant to the Merger Agreement and converted into an option to purchase 2,800 shares of Tower common stock exercisable for $33.93 per share. This stock option, which is fully vested, was assumed by Tower on the effective date of the merger pursuant to the Merger Agreement and converted into an option to purchase 2,800 shares of Tower common stock exercisable for $28.93 per share. *Attorney-in-Fact under the Power of Attorney, dated November 10, 2004, incorporated by reference to Exhibit 24 of the Form 3 filed by Raymond C. Groth on November 12, 2004, with the Securities and Exchange Commission. /s/ Scott W. Goodreau 2009-11-17