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<br />'. <br />STATE HOME OFFICE SAN FRANCISCO I ANNUAL RATING ENDORSEMENT <br />COMPENSATION IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING <br />INSURANCE <br />FUND IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. <br /> <br />HERE ARE YOUR NEW RATES FOR THE PERIOD INDICATED. IF YOUR NAME OR ADDRESS SHOULD <br />BE CORRECTED OR IF INSURANCE IS NOT NEEDED FOR NEXT YEAR. PLEASE TELL US. <br /> <br />CONTINUOUS POLICY 1801464-07 <br /> <br />IMPORT ANT <br /> <br />THIS IS NOT A BILL <br />SEND NO MONEY UNLESS STATEMENT IS ENCLDSED <br />THE RATING PERIOD BEGINS AND ENDS AT 12:01AM <br />PACIFIC STANDARD TIME <br /> <br />RATING PERIOD 10-01-07 TO 10-01-08 <br /> <br />ADVANCED TRNSPRTTN CNCPTS <br />14 SORENSON <br />IRVINE, CALIF 92602 <br /> <br />GRP, INC DEPOSIT PREMIUM <br />MINIMUM PREMIUM <br />PREMIUM ADJUSTMENT PERIOD <br /> <br />$477.00 <br />$200.00 <br />QUARTERLY <br />R SG <br /> <br />NAME OF EMPLOYER- ADVANCED TRANSPORTATION CONCEPTS GRP, IN <br />(A CORPORATION) <br /> <br />CODE NO. <br /> <br />PRINCIPAL WORK AND RATES EFFECTIVE FROM 10-01-07 TO 10-01-08 <br /> <br />PREMIUM <br />BASIS <br /> <br />INTERIM <br />BASE BILLING <br />RATE RATE* <br /> <br />8601-1 <br /> <br />ENGINEERS--CONSULTING--MECHANICAL. <br />CIVIL, ELECTRICAL AND MINING ENGINEERS <br />AND ARCHITECTS <br /> <br />57833 <br /> <br />1.25 <br /> <br />1.25 <br /> <br />********BUREAU NOTE INFORMATION******** <br /> <br />FEIN 330850211 <br /> <br />APPRO\! co.' /\ ~ TO FORM <br /> <br />. 14'/ <br />(./ ,~ c-;:>" _',~~'_._~:;1 <br /> <br />-' <br /> <br />i .....;l y Attorney <br /> <br />TOTAL ESTIMATED ANNUAL PREMIUM <br /> <br />$723 <br /> <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO SEPTEMBER 14, 2007 POLICY L PAGE 1 OF 3 <br />selF FORM 10963A (REV. 03-07) (OVER PLEASE) <br />