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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 89 06 00 B <br /> (Ed. 7-01) <br /> POLICY INFORMATION PAGE ENDORSEMENT <br /> ELI Increased Limits Charge <br /> Safety'Factor <br /> Drug-Free Workplace Factor <br /> Experience Rating Premium <br /> Waiver of Subrogation $250.00 <br /> Premium Deductible Premium <br /> Total State Surcharges $53.00 <br /> Total Estimated Annual Premium$ 1,103.00 Total Amount Due 1,103.00 <br /> Minimum Premium$ 750.00 Deposit Premium$ 0,00 <br /> All other terms and conditions of this policy remain unchanged. <br /> This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br /> (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br /> Endorsement Effective03/14/2025 Policy No.NXT7CL1DW3F-00-WC Endorsement No. 02 <br /> Insured Paramount Education LLC DBA MyCodingClasses Premium$ 1,103.00 <br /> Insurance Company National Specialty Insurance '` <br /> Company Countersigned by <br /> WC 89 06 OOB <br /> (Ed. 7-01) <br /> ®1987 National Council on Compensation Insurance,Inc. <br />