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HOME OFFICE SAN FRANCISCO ANNUAL RATING ENDORSEMENT <br />IT IS AGREED THAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING <br />IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW, <br />CONTINUOUS POLICY 1375240 -14 <br />IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT YOUR LOCAL STATE FUND OFFICE BELOW: <br />CSC — POLICY AT MONTEREY PARK <br />900 CORPORATE CENTER DRIVE <br />MONTEREY PARK CA 91754 ') >` <br />(877) 405 -4545 -4� <br />Nothing herein contained shall be held to vary, alter, waive or extend any of the terns, conditions <br />agreement; or IirTlhatlons of the Policy other than as herein stated. <br />When countersigned by a duly authorized officer or representative of the State Compensation Insurance <br />Fund, these declarations shall be valid and form part of the Policy, <br />,WTHORIZED REPRESENTAT WE <br />PRESIDENT AND CEO <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO SEPTEMBER 12, 2014 POLICY L PAGE 3 OF 3 <br />SCr Foam woaaA (REV 7-2014) EXHIBIT 1 <br />