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WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY POLICY NO. SATI S 0 3 24 6 0 5 <br /> EXTENSION OF INFORMATION PAGE PAGE NO. 1 <br /> ITEM 4.CONTINUED <br /> Rates Per Estimated Annual Premiums <br /> Estimated Total $100 of <br /> C CODE Annual Remun- Subject to <br /> CLASSIFICATION OF OPERATIONS <br /> NO. Remuneration eration Modification All Other <br /> CA-4 Intrastate ID:4653388 <br /> LOC. 1 <br /> Employees : 1 <br /> NAILS : 624190 <br /> 1505 East 17th Street, Suite 214 <br /> Santa Ana, (Orange) CA 92705 <br /> 001-001-00 <br /> Wiseplace, A CA Corp. <br /> FEIN: 95-1684796 <br /> From 08/15/2025 To 08/15/2026 <br /> SALESPERSONS - Outside 8742 241,254 0 .47 1, 134 <br /> CLERICAL OFFICE EMPLOYEES - N.O. C. 8810 301, 560 0 .33 995 <br /> SOCIAL REHABILITATION FACILITIES 8804 228, 571 4 .22 9, 646 <br /> FOR ADULTS - all employees <br /> COLLEGES OR SCHOOLS - private - 8868 IF ANY 0 . 95 0 <br /> not automobile schools - <br /> professors, teachers or academic <br /> professional employees <br /> Waiver of Rights to Recover 0930 200 <br /> Employer' s Liability (in 0001s) 9812 0 . 011 130 <br /> Limit : 1, 000/1, 000/1, 000 <br /> TOTAL UNMODIFIED PREMIUM 12, 105 <br /> Experience Modification 9898 0 . 830 -2, 058 <br /> Final <br /> TOTAL MODIFIED PREMIUM 10, 047 <br /> Schedule debit/credit 9889 1. 500 5, 024 <br /> Territory Modification 9135 1 . 050 754 <br /> STANDARD PREMIUM 15, 825 <br /> WC000001A <br />