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PN 04 99 02 B <br />(Ed. 5-02) <br />3. You obtained replacement coverage or agreed, in writing, within 60 days of the termination of the policy, to <br />obtain that coverage. <br />4. The policy is for a period of no more than 60 days and you were notified at the time of issuance that it may not <br />be renewed. <br />5. You requested a change in the terms or conditions or risks covered by the policy within 60 days prior to the <br />end of the policy period. <br />6. We made a written offer to you to renew the policy at a premium rate increase of less than 25 percent. <br />(A) If the premium rate in your governing classification is to be increased 25 percent or greater and we intend <br />to renew the policy, we shall provide a written notice of a renewal offer not less than 30 days prior to the <br />policy renewal date. The governing classification shall be determined by the rules and regulations estab- <br />lished in accordance with California Insurance Code Section 11750.3(c). <br />(B) For purposes of this Notice, "premium rate" means the cost of insurance per unit of exposure prior to the <br />application of individual risk variations based on loss or expense considerations such as scheduled rating <br />and experience rating. <br />This notice does not change the policy to which it is attached. <br />©2002 by the Workers' Compensation Insurance Rating Bureau of California. All rights reserved. <br />W04NBA02 <br />"gc RlekManagemrntD[ s1m <br />i, RMAe D&l6narmvm BY. <br />si ' f4�crY -44 . �nntFi <br />rt(sk rdanagemenl Analys[ <br />