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SCHEDULE OF OPERATIONS <br />This Schedule of Operations forms a part of the policy effective on the inception date of the policy unless another date is <br />indicated below: <br />INSURER:HARTFORD INSURANCE COMPANY OF ILLINOIS <br />Company Code:F <br />Policy Number:76WEGAZ6AMUSchedule Number:01-42-02 <br />Effective Date:09/26/24Effective hour is the same as stated on the Information Page of the policy. <br />Named Insured and Location Address of operations covered by this schedule: <br />Beginners Edge Sports Training <br />5900 Balcones Dr. <br />Austin TX 78731 <br />NAICS: 713940 <br />FEIN:26-2932264SIC: 7991NO. OF EMPL: 1 <br />4.ThepremiumforthispolicywillbedeterminedbyourManualsofRules,Classifications,RatesandRating <br />Plans.All information required below is subject to verification and change by audit. <br />Premium Basis <br />ClassificationsTotal EstimatedRates PerEstimated <br />Code Number andAnnual$100 ofAnnual <br />DescriptionRemunerationRemunerationPremium <br />90633,100.000.2100007 <br />HEALTH OR EXERCISE INSTITUTE & DRIVERS <br />Total State Summary <br />Total Class Premium7 <br />Employer Liability Increase Limits balance to Minimum145 <br />Premium <br />Premium Incentive For Small Employers0.850000-23 <br />Schedule Rating Factor0.600000-52 <br />Total Estimated Annual Standard Premium77 <br />Terrorism Risk Insurance Program Reauthorization Act3,100.000.0050000 <br />Disclosure Endorsement <br />Catastrophe (other than certified acts of terrorism)3,100.000 <br />Total Estimated Annual Premium77 <br />Countersigned by <br />Authorized Representative <br />Form WC 99 00 05(1) Printed in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />