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HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT <br />IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING <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 />BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR, PLEASE TELL US. <br />IMPORTANT THIS IS NOT A BILL CONTINUOUS POLICY 9048876-21 <br />SEND NO MONEY UNLESS STATEMENT IS ENCLOSED <br />THE RATING PERIOD BEGINS AND ENDS AT 12:01AM RATING PERIOD 7-01-21 TO 7-01-22 <br />PACIFIC STANDARD TIME <br />FRIENDS OF SANTA ANA ZOO DEPOSIT PREMIUM $0.00 <br />1801 E CHESTNUT AVE MINIMUM PREMIUM $725.00 <br />SANTA ANA, CALIF 92701 PREMIUM ADJUSTMENT PERIOD MONTHLY <br />REP D1 R SP <br />NAME OF EMPLOYER— FRIENDS OF THE SANTA ANA ZOO <br />(A NON—PROFIT CORP.) <br />CODE NO. PRINCIPAL WORK AND RATES EFFECTIVE FROM 07-01-21 TO 07-01-22 <br />INTERIM <br />PREMIUM BASE BILLING <br />BASIS RATE RATE* <br />8017-1 <br />STORES--RETAIL--N.O.C. <br />244394 <br />4.04 <br />8810-1 <br />CLERICAL OFFICE EMPLOYEES--N.O.C. <br />1339 <br />.51 <br />8871-1 <br />CLERICAL TELECOMMUTER EMPLOYEES--N.O.C. <br />0 <br />.25 <br />9016-1 <br />AMUSEMENT OR RECREATIONAL FACILITIES-- <br />120818 <br />7.43 <br />N.O.C.--ALL EMPLOYEES OTHER <br />9180-1 <br />AMUSEMENT OR RECREATIONAL FACILITIES-- <br />101666 <br />6.69 <br />N.O.C.--OPERATION OR MAINTENANCE OF <br />AMUSEMENT DEVICES <br />EXPERIENCE MODIFICATION <br />07-01-21 TO 07-01-22 <br />174 <br />********BUREAU NOTE INFORMATION""""" <br />FEIN 510160007 <br />TOTAL ESTIMATED ANNUAL PREMIUM $32,995 <br />;OUNITEaRRMItGNEDREAND II ISSUED AT SAN FRANCJSCOOVER PLEASE) JUNE 25, 2021 <br />2.99 <br />.38 <br />.18 <br />5.49 <br />4.94 <br />tuAnmWmertDMsiut <br />& APPROVED BY: <br />o z <br />ccREVIEWED <br />r R. v <br />Risk Management Analyst <br />