My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
ADVANCED TRANSPORTATION CONCEPTS GROUP, INC. 2 - 2007
Clerk
>
Contracts / Agreements
>
INACTIVE CONTRACTS (Originals Destroyed)
>
A (INACTIVE)
>
ADVANCED TRANSPORTATION CONCEPTS GROUP, INC. 2 - 2007
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/20/2015 2:32:25 PM
Creation date
2/7/2007 11:08:29 AM
Metadata
Fields
Template:
Contracts
Company Name
ADVANCED TRANSPORTATION CONCEPTS GROUP, INC.
Contract #
N-2007-004
Agency
Public Works
Insurance Exp Date
10/4/2007
Destruction Year
2012
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
39
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
<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 />IMPORTANT <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 />THIS IS NOT A BILL <br />SEND NO MONEY UNLESS STATEMENT IS ENCLOSED <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 />* INTERIM BILLING RATES WILL BE USED ON PAYROLL REPORTS. THEY TAKE INTO ACCOUNT <br />RATING PLAN CREDITS (OR DEBITS) WHICH WILL APPLY AT FINAL BILLING AND AN <br />ESTIMATE OF YOUR PREMIUM DISCOUNT AS DETAILED BELOW. <br /> <br />RATING PLAN CREDITS (DEBITS) EFFECTIVE FROM 10-01-07 TO 10-01-08 <br /> <br />RATING PLAN MODIFIER <br /> <br />1.00000 <br /> <br />ESTIMATED PREMIUM DISCOUNT MODIFIER <br /> <br />1.00000 <br /> <br />COMPOSITE FACTOR APPLIED TO BASE RATES TO DERIVE <br />INTERIM BILLING RATES <br /> <br />1 . 00000 <br /> <br />********************************************************************************* <br /> <br />* * <br /> <br />* PREMIUM DISCOUNT SCHEDULE EFFECTIVE FROM 10-01-07 TO 10-01-08 * <br />* ESTIMATED MODIFIED PREMIUM IS DISCOUNTED ACCORDING TO THE FOLLOWING SCHEDULE: * <br />* FIRST ABOVE * <br />* $5,000 $5.000 * <br />* 0.0% 14.7% * <br />* * <br />********************************************************************************* <br /> <br />THE ESTIMATED PREMIUM DISCOUNT IS BASED ON AN ESTIMATE OF YOUR PAYROLL. ACTUAL <br />PREMIUM DISCOUNT APPLIED AT FINAL BILLING WILL BE BASED ON THE ACTUAL PAYROLL <br />REPORTED ON YOUR POLICY AND SUBJECT TO AUDIT. <br /> <br />OUNTERSIGNED AND ISSUED AT SAN FRANCISCO SEPTEMBER 14, 2007 POLICY L PAGE 2 OF 3 <br />selF FOAM 10963A (REV. 03-07) (OVER PLEASEf <br />
The URL can be used to link to this page
Your browser does not support the video tag.