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SCHEDULE OF OPERATIONS <br />T❑is Sc❑edde of Operations forms a part of t❑e policy effecti-e on t❑e inception date of tie policy -nless anot❑er date is <br />indicated ❑elow❑ <br />INSURER: ❑ARTFORD I❑S❑RA❑CE COMPA❑Y OF ILLI❑OIS <br />Company Code: F <br />Policy Number: ❑6 WEG B❑3❑P❑ Schedule Number: 01-42-02 <br />Effective Date: 11/04/2❑ Effecti❑e Eolir is t❑e same as stated on t❑e Information Page of tie policy. <br />Named Insured and Location Address of operations covered by this schedule: <br />Beginners Edge Sports Training <br />❑900 Balcones Dr. <br />A❑stin TO ❑BE31 <br />FEIN: 26-2932264 <br />❑AICS ❑❑13940 <br />SIC❑❑991 ❑O. OF EMPL❑1 <br />4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating <br />Plans. All information required below is subject to verification and change by audit. <br />Premium Basis <br />Classifications Total Estimated Rates Per Estimated <br />Code Number and Annual $100 of Annual <br />Description Remuneration Remuneration Premium <br />9063 2 q ❑34.00 0.180000 46 <br />❑EALT OR E❑ERCISE I❑STIT❑TE ❑ DRI❑ERS <br />Total State Summary <br />Total Class Premi-n <br />46 <br />Emp lia❑ increased limits <br />0.014000 <br />1 <br />Employer LiaJlity Increase Limits ❑glance to Minim-n <br />139 <br />PremiLirn <br />PremiErn Incenti-e For Small Employers <br />0.8 0000 <br />-28 <br />ScEedde Rating Factor <br />0.600000 <br />-63 <br />Total Estimated Ann -al Standard PremiErn <br />9❑ <br />Terrorism Ris❑Ins rance Program ReaEt❑briC:Ation Act <br />2q❑34.00 0.00 000 <br />1 <br />Disclose Endorsement <br />CatastropEle Cot❑er t❑an certified acts of terrorism- <br />2q❑34.00 <br />0 <br />Total Estimated Ann❑al Premi-n <br />96 <br />CoAtersigned -y <br />A t❑ori-ed Representati e <br />Form WC 99 00 05 d ❑Printed in ❑.S.A. <br />Process Date: 11/04/20 Policy Expiration Date: 11/04/26 <br />