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<br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br />HOME OFFICE <br />SAN FRANCISCO <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 />INTERIM BILLING RATE <br />(1M <br /> <br />MODIFICATION <br />H <br /> <br />REP 01 <br />682897-02 <br />RENEWAL <br />SP <br />2-36-51-65 <br />PAGE 2 <br /> <br />AT 12.01 A.M. <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 />CONTINUED <br /> <br />**************************************************************** <br />* * <br />* PREMIUM DISCOUNT SCHEDULE EFFECTIVE 4/01/02 TO 4/01/03 * <br />* * <br />* ESTIMATED MODIFIED PREMIUM IS DISCOUNTED * <br />* ACCORDING TO THE FOLLOWING SCHEDULE: * <br />* * <br />* FIRST ABOVE * <br />* $2,500 $2,500 * <br />* 0.0% 17.5% * <br />* * <br />**********************~***************************************** <br /> <br />THE ESTIMATED PREMIUM DISCOUNT IS BASED ON AN ESTIMATE OF YOUR <br />PAYROLL. ACTUAL PREMIUM DISCOUNT APPLIED AT FINAL BILLING WILL <br />BE BASED ON THE ACTUAL PAYROLL REPORTED ON YOUR POLICY AND <br />SUBJECT TO AUDIT. <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 />~1>-eJ-^ <br /> <br />- <br /> <br />APRIL 4, 2002 2900F <br /> <br />~RE~ <br /> <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br /> <br />AUTHORIZED REPRESENT A TIVE <br />