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ADDITIONAL COVERAGES <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Waiver of Subrogation WVSUB <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $251.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> YBYI YBYI <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> -$979.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Increased employer's liability INEL <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $2.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Premium discount PDIS <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> -$273.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Second Injury Fund 2NDIN <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $213.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> [EEV APPROVED Copyright 2001,AMS Services,Inc. <br /> By Cynthia Mora at 5:30 pm, Dec 02, 2024 <br />