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Page 6 <br />Named Insured BACKHAUS DANCE <br />Customer ID <br />Policy Number WC80946 <br />Transaction Type New Business Effective <br />CLASS CODE INFORMATION <br />State: 04 (CA) Rating Group: 0001-01 <br />Class Code: 9156 THEATERS - DANCE/OPERA <br />Hazard Group: 1 (A) Analogy Desc: None <br />Premium Type: 01 RATABLE <br />USL&H Applies: <br />No <br />DC Ben Applies: <br />No <br />TWM&C Applies: <br />No Disease Load: <br />Base Rate Ovrd: <br />5.7200 Min Prem Ovrd: <br />Exposure: <br />86,005 (A) Rate Class: <br />CLASS CODE DEVIATION FACTORS <br />Co. Rate Dev Co. Min Dev Class Prem Term Fact <br />1.000 1.000 4,919 1.000 <br />CLASS CODE RATING FORMULAS <br />BASE RATE=FINAL RATE*EXPOSURE/RATING BASIS <br />Class Premium 5.720 = 5.72 *86005.00/ 100 <br />Addl Factors: Pure Base Rate: 4.00 Base LCM: 1.0000 <br />Exclude Med: <br />Loss Cnst Ovrd: 0 <br />Net Rate: 6.55 <br />Class Min <br />1,590 <br />=FINAL PREMIUM <br />= 4,919.00 <br />9/7/2021 <br />Audit Fact <br />N/A <br />oRaN <br />Risk MmRgementDMsian <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />