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ENDORSEMENT AGREEMENT <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE JULY 1, 2021 AT 12.01 A.M. <br />ALL EFFECTIVE DATES ARE <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />FRIENDS OF SANTA ANA ZOO <br />1801 E CHESTNUT AVE <br />SANTA ANA, CA 92701 <br />ANY CONTRADICTION BETWEEN THE POLICY AND THIS ENDORSEMENT WILL <br />BE CONTROLLED BY THIS ENDORSEMENT. <br />IT IS AGREED THAT THE FOLLOWING CLASSIFICATION(S) IS (ARE) <br />HEREBY ADDED TO AND MADE A PART OF THIS POLICY. <br />RATE(S) EFFECTIVE UP TO 7/01/22 — <br />STANDARD BASE <br />CLASS DESCRIPTION OF WORK RATE* <br />9180-1 AMUSEMENT OR RECREATIONAL FACILITIES-- 6.69 <br />N.O.C.--OPERATION OR MAINTENANCE OF <br />AMUSEMENT DEVICES --INCLUDING TICKET <br />COLLECTORS CONNECTED THEREWITH <br />8871-1 CLERICAL TELECOMMUTER EMPLOYEES--N.O.C. .25 <br />REP D1 <br />9048876-21 <br />RENEWAL <br />SP <br />PAGE 1 OF 1 <br />INTERIM <br />BILLING <br />RATE'S <br />IF THIS CLASSIFICATION CHANGE RESULTS IN INCREASED POLICY PREMIUM, <br />YOU ARE ENTITLED, AS PROVIDED BY INSURANCE CODE SECTION 11753.1, <br />TO REQUEST THAT THE CLASSIFICATION DECISION BE RECONSIDERED BY <br />THE STATE COMPENSATION INSURANCE FUND. PLEASE CONTACT YOUR LOCAL <br />DISTRICT OFFICE. <br />'THE BASE RATE IS PROVIDED FOR YOUR INFORMATION. IT IS THE RATE <br />WHICH STATE COMPENSATION INSURANCE FUND HAS FILED WITH THE <br />DEPARTMENT OF INSURANCE. THE INTERIM BILLING RATE WILL BE USED <br />ON PAYROLL REPORTS. IT TAKES INTO ACCOUNT RATING PLAN CREDITS <br />(OR DEBITS) WHICH WILL APPLY AT FINAL BILLING. <br />4.94 <br />NOTHING IN THIS ENDORSEMENT SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND <br />ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY <br />OTHER THAN AS ABOVE STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS IN THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br />9961 <br />AUTHORIZED REPRESENT /IVE <br />SCIF FORM 10217 (REV.4-2018) <br />JUNE 25, 2021 / <br />PRESIDENT AND <br />.18 <br />�oRaN <br />o r <br />RAManWmentDMslnn <br />REVIEWED & APPROVED BY: <br />f R. V;&wd <br />Risk Management Analyst <br />