Laserfiche WebLink
follows: The premium charge for this endorsement is 1% of the total <br />manual premium, subject to a minimum premium of $250 per policy. <br />In the state of Louisiana, the premium charge is 2% of the total standard <br />premium, subject to a minimum premium of $250 per policy. <br />In the state of Massachusetts,the premium charge is 1 % of the total <br />manual premium. <br />In the states of New York, Oklahoma, Tennessee, the premium charge is 2% <br />of the total manual premium, subject to a minimum premium of $250 per <br />policy. <br />In the state of Virginia, the premium charge is 5% of the total manual <br />premium, subject to a minimum premium of $250 per policy. <br />Issued by Liberty Mutual Fire Insurance Company 16586 <br />For attachment to Policy No. WA2-62D-095327-014 Effective Date Premium $ <br />Issued to RailWorks Topco LP Endorse <br />WC 00 03 13 © 1983 National Council on Compensation Insurance. <br />Ed.04/01/1984 <br />RA Mancgemmt Ditisian <br />REVIE &APPRW®6y: <br />Risk Management Speae st <br />