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SCHEDULE OF OPERATIONS <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: SENTINEL INSURANCE COMPANY LTD. <br />Company Code: A <br />Policy Number: 59 WEC AC9055 Schedule Number: 01-04-04 <br />Effective Date: 07/03/20 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 />BAY SPROUTS LLC <br />557 MCREYNOLD'S RD <br />SAUSALITO CA 94965 <br />FEIN: 46-2577161 <br />NAICS: 722110 <br />SIC: 5812 NO. OF EMPL: 15 <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 Total Estimated Rates Per Estimated <br />Code Number and Annual $100 of Annual <br />Description Remuneration Remuneration Premium <br />8078 <br />SANDWICH SHOPS - NOT RESTAURANTS - N.O.0 <br />Countersigned by <br />Form WC 99 00 05 (1) Printed in U.S.A. <br />Process Date: 05/25/20 <br />333,400.00 3.830000 12,769 <br />^ RAMmVmentDMsian <br />Aw F <br />REVIEWED & APPROVED BY.- <br />i vmwd <br />Policy E Wsk Pjanagement Analpt <br />