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<br />09/22/2008 12:54 <br /> <br />9093930943 <br /> <br />I~ SANCHEZ <br /> <br />PAGE 13/14 <br /> <br />SAN FRANCISCO I <br /> <br />ANNUAL RATING ENDORSER(EN't <br /> <br />RATING PLAN CREDITS (DEBITS) EFFECTIVE FROM 02-01-08 TO 02-01-09 <br /> <br />RAT~NG PLAN MODIFIER <br /> <br />EST1MATED PREMIUM DISCOUNT MODIFIER <br /> <br />CO~OSITE FACTOR APPLlED TO BASE RATES TO DERIVE <br />iNTERIM BILLING RATES <br />I <br />, <br />YOUR BROKER RECEIVES A 12.0% COMMISSIoN ON THIS POLICY. THE COMMISSION <br />LEVEL ASSIGNED DOES NOT AFFECT THE PRICE OF THIS POLICY. YOUR BROKER ALSO <br />MAY BE ERIGIBLE TO RECEIVE A SAFETY INCENTIVE COMMISSIoN BASED UPON THE <br />AGGREGATE SAFETY RECORD OF ACCOUNTS YOUR BROKER PLACES WITH STATE FUND. <br /> <br />2-01-09 <br />354,6 <br /> <br />0.84600 <br />0.91604 <br /> <br />0.77497 <br /> <br />......J.......................................................................... <br /> <br />: 1 PREMIUM DISCOUNT SCHEDULE EFFECTIVE FROM 02-01-08 TO 02-01-09 : <br />"EST! TED MODIFIED PREHIUM IS DISCOUNTED ACCORDING TO THE FOLLOWING SCHEDULE: " <br />" l FIRST ABOVE " <br />" $5,000 $5,000 " <br />" 0.0% 12.6% " <br />" " <br />**1dn.n.r*1 ** *********************** ****** ****************************************** <br /> <br />THE ESTtMATED 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 />REPORTE ON YOUR POLICY AND SUBJECT TO AUDIT. <br /> <br />- <br />