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1:MPLOY,ERT <br />Ameftca5 smah'business rnsurancesosoraftt' <br />Employers Preferred Insurance Company, rated A- (excellent) by A.M. Best Company provides <br />insurance protection, loss control and claims management services for our policyholders. <br />Workers' Compensation/Employers Liability <br />Workers' Compensation Statutory <br />Employers Liability Bodily Injury by Accident $1,000,000 <br />Each Accident <br />Bodily Injury by Disease <br />Policy Limit $1,000,000 <br />Each Employee $1,000,000 <br />Policy Declarations <br />Iteml. <br />First Named Insured: <br />a �� <br />ALBI <br />Item 3.A. <br />States of: <br />Workers' Compensation Insurance: <br />CA <br />Part One of the policy applies to <br />Payroll <br />the workers' compensation law(s) in: <br />Estimated <br />Item 3.C. <br />All states except ND, OH, WA, WY, AK, DE, HI, LA, ME, <br />Other States Insurance: <br />NH, RI, SD, VT, WV, self-insured states, those <br />Part Three of the policy applies to: <br />states insured under other policies and states listed in item 3.A. <br />Estirrfa�e�" <br />nriu�l�rerrtiprmSahe <br />ule� ���� z� �� `� <br />a �� <br />� <br />�. <br />State <br />Class <br />Loc <br />Class Description <br />Payroll <br />Rate <br />Estimated <br />Code <br />Annual <br />Premium <br />CA <br />8868 <br />1 <br />COLLEGES OR SCHOOLS--PRIVATE--NOT <br />$48,000 <br />1.54 <br />$739 <br />AUTOMOBILE SCHOOLS --PROFESSORS, <br />TEACHERS OR ACADEMIC PROFESSIONAL <br />EMPLOYEES <br />Quotation for Workers' Compensation and Employers Liability Insurance Pa <br />,s 2 <br />