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EXTENSION OF THE INFORMATION PAGE - ITEM 3.D - ENDORSEMENTS <br />Policy Number: 46 WEC P16280 Endorsement Number: <br />Effective Date: 07/20/21 Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Address: PLANETBIDS INC <br />13263 VENTURA BLVD STE 101 <br />STUDIO CITY CA 91604 <br />Item 3.D. of the Information Page is completed to include the following endorsements: <br />WC000000C <br />WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC000001A.1 <br />INFORMATION PAGE <br />WC000001A.2 <br />INFORMATION PAGE <br />WC000301A <br />ALTERNATE EMPLOYER ENDORSEMENT <br />WC000313 <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT <br />WC000403 <br />EXPERIENCE RATING MODIFICATION FACTOR ENDORSEMENT <br />WC000414 <br />NOTIFICATION OF CHANGE IN OWNERSHIP <br />WC000414A <br />90-DAY REPORTING REQUIREMENT- NOTIFICATION OF CHANGE IN OWNERSHIP <br />ENDORSEMENT <br />WC000419 <br />PREMIUM DUE DATE ENDORSEMENT <br />WC000421 E <br />CATASTROPHE (OTHER THAN CERTIFIED ACTS OF TERRORISM) PREMIUM <br />ENDORSEMENT <br />WC000422C <br />TERRORISM RISK INSURANCE PROGRAM REAUTHORIZATION ACT DISCLOSURE <br />ENDORSEMENT <br />WC040301BB <br />POLICY AMENDATORY ENDORSEMENT - CALIFORNIA <br />WC040306 <br />WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT - <br />CALIFORNIA <br />WC040360B <br />EMPLOYERS LIABILITY COVERAGE AMENDATORY ENDORSEMENT - CALIFORNIA <br />WC040421 <br />OPTIONAL PREMIUM INCREASE ENDORSEMENT - CALIFORNIA <br />WC040422 <br />CALIFORNIA SHORT -RATE CANCELLATION ENDORSEMENT <br />WC040601A <br />CALIFORNIA CANCELLATION ENDORSEMENT <br />Form WC 99 03 68 Printed in U.S.A. <br />Process Date: 06/10/21 Polic <br />KAManagementDiv iixt " <br />.5 RimEwED &pAPPRD BY. <br />R . vs.44 RL <br />® R6k Management Analyst <br />