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<br />STATE <br />COMPENSATION <br />INSURANCE <br />FUND <br /> <br />HOME OFFICE <br />SAN FRANCISCO <br /> <br />ALL EFFECTIVE OATES ARE <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br /> <br />INTERQJ BILLING RATE MODIF I CAT lOt(.., ' <br />,.) , , <br />'-' -....J~ <br /> <br />ENDORSEMENT AGREEMENT <br />EFFECTIVE APRIL 'I, 2002 <br /> <br />'-D~YtE MC INTOSH CENTER <br />FOR THE DISABLED, INC <br />13272 GARDEN GROVE BLVD <br />GARDEN GROVE, CA 92843 <br /> <br />...,.....~ --~ <br />.0'~~"...:._ <br />REP" 01,"'''''!''''> <br />682897~(i2 <br />RENEWAL <br />SP <br />2-36-51-65 <br />PAGE 1 <br /> <br />AT 12.01 A.M. <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 <br /> <br />ESTIMATED PREMIUM DISCOUNT MODIFIER <br /> <br />COMPOSITE FACTOR APPLIED TO BASE RATES <br />TO DERIVE INTERIM BILLING RATES. <br />; <br /> <br />.- . ..u . ...~ AS TO FORM <br /> <br />,,~~g(7) <br />~<<~cCdY <br />, ""'y City Attorney <br /> <br />0.87000 <br /> <br />0.82913 <br /> <br />0.72134 <br /> <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR L1MITATI<}.tl$ OF THIS <br />POLICY OTHER THAN AS STATED. NOTHIN9 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 />77~^ <br /> <br />APRIL 4, 2002 2900F <br /> <br />~RE~ <br /> <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br /> <br />- <br /> <br />AUTHORIZED REPRESENTATIVE <br />