My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
JENNIFER BACKHAUS DBA BACKHAUS DANCE
Clerk
>
Contracts / Agreements
>
J
>
JENNIFER BACKHAUS DBA BACKHAUS DANCE
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/17/2021 11:06:22 AM
Creation date
12/16/2021 4:53:10 PM
Metadata
Fields
Template:
Contracts
Company Name
JENNIFER BACKHAUS DBA BACKHAUS DANCE
Contract #
N-2021-250
Agency
Parks, Recreation, & Community Services
Expiration Date
12/31/2022
Insurance Exp Date
6/3/2022
Destruction Year
2027
Jump to thumbnail
< previous set
next set >
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
235
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
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 />
The URL can be used to link to this page
Your browser does not support the video tag.