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<br />,~~...3J-Z008 JO:22. Fro.-OCBF +714-480-J933 <br />WORKERS COMPENSATION AND EMPLOYERS LIABILI1Y INSURANCE POLlCY <br /> <br />T-340 P 003/00i F-Z38 <br />we 000001 A <br /> <br />VJrg;nia Surety Company <br /> <br />BXTHNSJON OF lNFORMATION PAGE <br />SCHEDULE OF <br />CLASSIFICATIONS <br /> <br />FEIN t# : 23-7068923 <br /> <br />roLICY~--J <br />VSQSWP 0007046 .)0 <br /> <br />--.-..- -~.. <br /> <br />CedeNo. ~D <br /> <br />PnIIaIua ... .. Per <br />TOIaI J:sdIqW SIN of <br />Auulltaa......... Raa....ratioJI <br /> <br />lAtim.led <br />Annual <br />Premlwn <br /> <br />StIIto: Califomia <br /> <br />Premium Period: 0110112006 to 01101/2007 <br /> <br />1742 SALliSPERSOHS - 0uI8ide <br />ISI0 ClElUCAL. OFFICE EMPLOYEIiS - N..O.c. <br />ToW Mmual PmIri\IID <br />0930 WaM::rof~PrcmiUID <br />Total StIDdIrdPmmum <br />0063 P.IerDimD DbeouPt <br />0900 E:xpeuc CClPSI8IIr <br />969:S CaIitbmIa GuarmIec Fwd ~ Iljjl "-t <br />9611 CaBtbmiaFmud Surdlatee AssI~ <br />9612 r--"-iI Worbrs' Cou.pcmslltb\ AdmiD Fa1d ~~-... <br />9700 CaJi1bmia tJaiDsrnd ~ 8eDdiIs ~ AJSIl.....1w4 <br />9701 Califtnia SUbseqDcm I~ BaefiIs TJ'OIC "-I Anfl" <br /> <br />2$.000 <br />650.000 <br /> <br />tA2 <br />1.33 <br /> <br />0.0501 <br /> <br />0.01 <br />0.0008 <br />0.0039 <br />0.0001 <br />0.0004 <br /> <br />3:5:i <br />g~645 <br />9,<.t()() <br />150 <br />9,250 <br />-463 <br />550 <br />187 <br />8 <br />}.1 <br />8 <br />3 <br /> <br />Etd--w ~ Premlmn ; 9.331 <br />Total MCMUtt Due : 9,580 <br />Total AaMsameats : 243 <br /> <br />(, <br /> <br />V9C-wc-JP-&,()) <br />