Laserfiche WebLink
<br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />HOME OFFICE <br />SAN FRANCISCO <br /> <br />All EFFECTIVE DATES ARE <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br /> <br />"-" <br /> <br />'-' <br /> <br />A- - ~ODRi; df-S--/f <br />682897-02 <br />RENEWAL <br />SP <br />2-36-51-65 <br />PAGE 1 <br /> <br />AT 12.01 A.M. <br /> <br />INTERIM BILLING RATE MODIFICATION <br /> <br />ENDORSEMENT AGREEMENT <br />EFFECTIVE APRIL 1, 2002 <br /> <br />DAYLE MC INTOSH CENTER <br />FOR THE DISABLED, INC <br />13272 GARDEN GROVE BLVD <br />GARDEN GROVE, CA 92843 <br /> <br />ANY CONTRADICTION BETWEEN THE POLICY AND THIS ENDORSEMENT WILL BE <br />CONTROLLED BY THIS ENDORSEMENT. <br /> <br />IT IS AGREED THAT THE INTERIM BILLING RATE AND RATING PLAN <br />CREDITS (DEBITS) ARE AMENDED AS FOLLOWS. <br /> <br />EFFECTIVE FROM 4/01/02 TO 4/01/03 <br /> <br />RATING PLAN MODIFIER 0.87000 <br /> <br />ESTIMATED PREMIUM DISCOUNT MODIFIER <br /> <br />0.82913 <br /> <br />COMPOSITE FACTOR APPLIED TO BASE RATES <br />TO DERIVE INTERIM BILLING RATES. <br /> <br />0.72134 <br /> <br />APPROV ED A,s 1 U 1 UK", <br /> <br /> <br />aura Sheedy <br />Deputy Cily AtlorTlcy <br /> <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHAll BE HELD TO VARY. ALTER. WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br />POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHAll BE <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR <br />LIMITATIONS OF THIS ENDORSEMENT. <br /> <br />~..-d-^ <br /> <br />- <br /> <br />APRIL 4, 2002 2900F <br /> <br />~RE~ <br /> <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br /> <br />AUTHORIZED REPRESENTATIVE <br />