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Page 6 <br />Named InsuredBACKHAUS DANCE <br />Customer ID <br />Policy NumberWC80946 <br />Transaction TypeNew BusinessEffective9/7/2021 <br /> <br />DMBTT!DPEF!JOGPSNBUJPO <br />Tubuf;15!)DB*Sbujoh!Hspvq;1112.12 <br />Dmbtt!Dpef;:267UIFBUFST.EBODF0PQFSB <br />Hazard Group:1 (A)Analogy Desc:None <br />Premium Type:01 RATABLE <br />USL&H Applies:No <br />DC Ben Applies:No <br />TWM&C Applies:NoDisease Load:Exclude Med: <br />Base Rate Ovrd:5.7200Min Prem Ovrd:Loss Cnst Ovrd:0 <br />Exposure:86,005(A) Rate Class:Net Rate:6.55 <br />DMBTT!DPEF!EFWJBUJPO!GBDUPST <br />Co. Rate DevCo. Min DevClass PremTerm FactClass MinAudit Fact <br />1.0001.0004,9191.0001,590N/A <br />CLASS CODE RATING FORMULAS <br />CBTF!SBUF>GJOBM!SBUF+FYQPTVSF0SBUJOH!CBTJT!!!!!!!!!!!!!!>GJOBM!QSFNJVN <br />!!6/831!!>!!!6/83!!!+97116/110!!!!211!!!!!!!!!!!!!!!!!!!>!!!!!5-:2:/11 <br />Dmbtt!Qsfnjvn <br />Beem!Gbdupst;!Qvsf!Cbtf!Sbuf;!5/11!Cbtf!MDN;!2/1111 <br /> <br />