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AUG-31-2000 t1 :07 OM A :RHORST RIVERSIDE CA 909 '" a530 F. 05 <br /> STATE HOME "NICE SC <br /> - 9AN PRANCID ��-- ANNUAL RATING ENDORSEMENT --- <br /> �H ffi I�,.1!1 A}0Ic A IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $WO OF REMUNERATION APPEARINGtl <br /> j �,-UND <br /> IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW, <br /> HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED, IF YOUR NAME OR ADDRESS SHOULD <br /> SE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. <br /> IMPORTANT THIS IS NOT A SILL CONTINUOUS POLICY 645691-00 <br /> SEND NO MONEY UNLESS STATEMENT IS ENCLOSED <br /> PAFICISTADIIS AND� DsAY ta; 11AM - RATINi PERIOD 7-01-00 TO 7—pl—OlCI STANDARD TIME <br /> ADLERRQRST INTERNATIONAL, INC. DEPOSIT PREMIUM 3951 VERNON $723.00 <br /> MINIMUM PREMIUM $525.00 <br /> RIVERSIDE, CALIF 92509 <br /> PREMIUM ADJUSTMENT PERIOD - MONTHLY <br /> R 8K <br /> NAME OF EMPLOYER- ADLERRORSI INTERNATIONAL, INC, <br /> CA CORPORATION) <br /> CODE NO, PRINCIPAL WORK AND RATES EFFECTIVE FROM 07-01--00 TO 07-01-01 <br /> INTERIM <br /> SASE BILLING <br /> RATE RATE* <br /> 8742 SALESPERSONS--OUTSIDE. 1.37 1.16 <br /> 8810 CLERICAL OFFICE EMPLOYEES-N.O.C. 1.16 .99 <br /> 8831. KENNELS---ALL EMPLOYEES---INCLUD.ING 8.00 6.80 <br /> RECEPTIONISTS. <br /> ********BUREAU NOTE INFORMATION******** <br /> FEIN 330057314 <br /> SO <br /> as <br /> OUNTER2IGNED AND ISSUED AT SAM FRANCISCO JUNE 14, 2000 POLICY FORM L 1 <br /> IOVER PLEASEI <br /> id if FOUN t chin msw t-uol <br />