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�-1811: I! 1111IA EG7 AG7» CL11 [a] P 1.1 <br />This Schedule of Operations forms a part of the policy effective on the inception date of the policy unless another date is <br />indicated below: <br />INSURER: TRUMBULL INSURANCE COMPANY <br />Company Code: H <br />Policy Number: 72 WEC AB1Z50 Schedule Number: 01-04-01 <br />Effective Date: 02/01/20 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Location Address of operations covered by this schedule: <br />AEF Systems Consulting Inc <br />8502 E CHAPMAN AVE STE 376 <br />101 CL•101191 xi7d[611811 11 <br />19 q 1. iap-Mll G131:% <br />NAICS: 541512 <br />SIC: 7379 NO. OF EMPL: 1 <br />4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating <br />Plans. All information required below is subject to verification and change by audit. <br />Premium Basis <br />Classifications <br />Total Estimated <br />Rates Per Estimated <br />Code Number and <br />Annual <br />$100 of Annual <br />Description <br />Remuneration <br />Remuneration Premium <br />8742 IFANY 0.660000 <br />SALESPERSONS - OUTSIDE <br />8810 4,700.00 0.470000 22 <br />CLERICAL OFFICE EMPLOYEES-N O C <br />Total State Summary <br />Total Class Premium <br />22 <br />CA Territorial Differential <br />0.954500 <br />-1 <br />Waiver of Subrogation <br />0.020000 <br />250 <br />Minimum Premium Adjustment <br />379 <br />Total Estimated Annual Standard Premium <br />650 <br />Expense constant <br />200 <br />Terrorism Risk Insurance Program Reauthorization Act <br />4,700.00 0.020000 <br />1 <br />Disclosure Endorsement <br />CA User Fund <br />1.704000 <br />15 <br />CA Fraud <br />0.334900 <br />3 <br />CA Uninsured Employers Benefit Trust Fund <br />0.127400 <br />1 <br />CA Subsequent Injuries Benefit Trust Fund Assessments <br />0.482900 <br />4 <br />CA Occupational Safety & Health Fund <br />0.391800 <br />3 <br />CA Labor Enforcement & Compliance Fund <br />0.381300 <br />3 <br />Total Estimated Annual Premium <br />880 <br />Countersigned by <br />Form WC 99 00 05 (1) Printed in U.S.A. <br />Process Date: 12/23/19 Policy E <br />Rime Mattagmient DMsion <br />REVIEWED&APPRDVEDBY: <br />'� Risk Management Analyst <br />