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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC 00 00 00 B <br />(Ed. 7-11) <br />4. Cooperate with us and assist us, as we may <br />request, in the investigation, settlement or <br />defense of any claim, proceeding or suit. <br />5 Do nothing after an injury occurs that would <br />interfere with our right to recover from others. <br />Do not voluntarily make payments, assume <br />6. obligations or incur expenses, except at your <br />own cost. <br />PART FIVE -PREMIUM <br />A. Our Manuals <br />All premium for this policy will be determined by our <br />manuals of rules, rates, rating plans and <br />classifications. We may change our manuals and <br />apply the changes to this policy if authorized by law <br />or a governmental agency regulating this insurance. <br />B. Classifications <br />Item 4 of the Information Page shows the rate and <br />premium basis for certain business or work <br />classifications. These classifications were assigned <br />based on an estimate of the exposures you would <br />have during the policy period. If your actual <br />exposures are not properly described by those <br />classifications, we will assign proper classifications, <br />rates and premium basis by endorsement to this <br />policy. <br />C. Remuneration <br />Premium for each work classification is determined <br />by multiplying a rate times a premium basis. <br />Remuneration is the most common premium basis. <br />This premium basis includes payroll and all other <br />remuneration paid or payable during the policy <br />period for the services of: <br />all your officers and employees engaged in <br />work covered by this policy; and <br />all other persons engaged in work that could <br />make us liable under Part One (Workers <br />Compensation Insurance) of this policy. If you <br />do not have payroll records for these persons, <br />the contract price for their services and <br />materials may be used as the premium basis. <br />This paragraph 2 will not apply if you give us <br />proof that the employers of these persons <br />lawfully secured their workers compensation <br />obligations. <br />D. Premium Payments <br />You will pay all premium when due. You will pay <br />the premium even if part or all of a workers <br />compensation law is not valid. <br />E. Final Premium <br />The premium shown on the Information Page, <br />schedules, and endorsements is an estimate. <br />The final premium will be determined after this <br />policy ends by using the actual, not the <br />estimated, premium basis and the proper <br />classifications and rates that lawfully apply to <br />the business and work covered by this policy. If <br />the final premium is more than the premium you <br />paid to us, you must pay us the balance. If it is <br />less, we will refund the balance to you. The final <br />premium will not be less than the highest <br />minimum premium for the classifications <br />covered by this policy. <br />If this policy is canceled, final premium will be <br />determined in the following way unless our <br />manuals provide otherwise: <br />1. If we cancel, final premium will be calculated <br />pro rata based on the time this policy was in <br />force. Final premium will not be less than the <br />pro rata share of the minimum premium. <br />2. If you cancel, final premium will be more <br />than pro rata; it will be based on the time this <br />policy was in force, and increased by our <br />short-rate cancelation table and procedure. <br />Final premium will not be less than the <br />minimum premium. <br />F. Records <br />You will keep records of information needed to <br />compute premium. You will provide us with <br />copies of those records when we ask for them. <br />G. Audit <br />You will let us examine and audit all your <br />records that relate to this policy. These records <br />include ledgers, journals, registers, vouchers, <br />contracts, tax reports, payroll and disbursement <br />records, and programs for storing and retrieving <br />data. We may conduct the audits during regular <br />business hours during the policy period and <br />within three years after the policy period ends. <br />Information developed by audit will be used to <br />determine final premium. Insurance rate service <br />organizations have the same rights we have <br />under this provision. <br />Ed. 7-11 <br />®Copydght 2010 Netimel Coundl on Compensation Insurance, Inc. PJI Poghfs Reserved. 11 Of 28 <br />