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POLICY NUMBER: 72 SBA NU6283 SC <br />CHANGE NUMBER: 004 <br />COMMISSION: 15.0 <br />LOCATION/BUILDING RATING DETAIL <br />TYPE OF POLICY PROT CLS <br />CD DESCRIPTION CURR/PRV CONSTR <br />7 OFFICE O1/ 2 -MASONRY <br />YR <br />BUILT <br />1968 <br />LOC 001 BLDG 001 <br />EFFECTIVE DATE: 08/11/10 <br />STAT ANNUAL <br />CODE TERR AREA SALES/RECPT <br />65751 018 5300 2708767 <br />ACCOUNT MOD: .95 <br />2700 S. GRAND AVE, SANTA ANA, CA. 92705 <br />WAIVER OF SUBROGATION <br />PREVIOUS <br />(ZA)24.00 X (T).847 20.00 <br />REVISED <br />(BP) 2 X (A) 25 X (SD) . 95 X (PD) 1 = (W) 48 . 00 X (T) .84 7 = 41.00 <br />DIFFERENCE 21.00 AP <br />GRAND TOTAL 21.00 AP <br />i�L <br />A - BASE RATE T - PRO RATE FACTOR <br />W - ANNUAL PREMIUM BP - # OF PERSONS/ORGS EXCLUDED <br />PD - PREMIUM DEVIATION SD - TOTAL MOD <br />ZA - FINAL PREMTTTM <br />