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Item3oftheInformationPagearesubjecttocoveredbythispolicy.Ifthefinalpremiumismore <br />changeiforderedbytheInsuranceCommissionerthanthepremiumyoupaidtous,youmustpayus <br />oftheStateofCaliforniapursuanttoSection11737thebalance.Ifitisless,wewillrefundthebalance <br />of the California Insurance Code.toyou.Thefinalpremiumwillnotbelessthanthe <br />highestminimumpremiumfortheclassifications <br />6.LongTermPolicy.Ifthispolicyiswrittenfora <br />covered by this policy. <br />periodlongerthanoneyear,alltheprovisionsof <br />thispolicyshallapplyseparatelytoeachIfthispolicyiscanceled,finalpremiumwillbe <br />consecutivetwelve-monthperiodor,ifthefirstordeterminedinthefollowingwayunlessourmanuals <br />lastconsecutiveperiodislessthantwelvemonths,provide otherwise: <br />tosuchperiodoflessthantwelvemonths,inthe <br />a.Ifwecancel,finalpremiumwillbecalculatedpro <br />samemannerasifaseparatepolicyhadbeen <br />ratabasedonthetimethispolicywasinforce. <br />written for each consecutive period. <br />Finalpremiumwillnotbelessthantheprorata <br />7.StatutoryProvision.Youremployeehasafirstshare of the minimum premium. <br />lienuponanyamountwhichbecomesowingtoyoub.Ifyoucancel,finalpremiummaybemorethan <br />byusonaccountofthispolicy,andinthecaseofprorata;itwillbebasedonthetimethispolicy <br />yourlegalincapacityorinabilitytoreceivethewasinforce,andmaybeincreasedbyour <br />moneyandpayittotheclaimant,wewillpayitshort-ratecancelationtableandprocedure. <br />directly to the claimant.Finalpremiumwillnotbelessthantheprorata <br />share of the minimum premium. <br />8.PartFive,"Premium",E,"FinalPremium",is <br />amended to read as follows: <br />Itisfurtheragreedthatthispolicy,includingall <br />endorsementsformingapartthereof,constitutesthe <br />ThepremiumshownontheInformationPage, <br />entirecontractofinsurance.Nocondition,provision, <br />schedules,andendorsementsisanestimate.The <br />agreement,orunderstandingnotsetforthinthispolicyor <br />finalpremiumwillbedeterminedafterthispolicy <br />suchendorsementsshallaffectsuchcontractorany <br />endsbyusingtheactual,nottheestimated, <br />rights, duties, or privileges arising therefrom. <br />premiumbasisandtheproperclassificationsand <br />rates that lawfully apply to the business and work <br />Form WC 04 03 01 BBPrinted in U.S.A.Page2 of2 <br /> <br />