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HOME OFFICE <br />SAN FRANCISCO <br />ALL EFFECTIVE DATES ARE <br />AT 12:01 AM PACIFIC <br />STANDARD TIME OR THE <br />TIME INDICATED AT <br />PACIFIC STANDARD TIME <br />ENDORSEMENT AGREEMENT <br />EXECUTIVE OFFICER$ <br />MINIMUM MAXIMUM LIMITS <br />EFFECTIVE JULY 1, 2018 AT 12.01 A.M. <br />FRIENDS OF SANTA ANA ZOO <br />1801 E CHESTNUT AVE <br />SANTA ANA, CA 92701 <br />REP D1 <br />9048876-18 <br />RENEWAL <br />SP <br />3-68-03-58 <br />PAGE 1 OF <br />ANY CONTRADICTION BETWEEN THE POLICY AND THIS ENDORSEMENT <br />WILL BE CONTROLLED BY THIS ENDORSEMENT. <br />IT IS AGREED THAT UNLESS OTHERWISE EXCLUDED BY ENDORSEMENT <br />THE ACTUAL REMUNERATION EARNED BY EACH EXECUTIVE OFFICER <br />DURING THE POLICY PERIOD SHALL BE USED AS THE BASIS OF <br />PREMIUM, SUBJECT TO <br />THE MINIMUM AMOUNT OF $ 50,700 PER ANNUM <br />AND THE MAXIMUM AMOUNT OF $ 128,700 PER ANNUM <br />AS SPECIFIED IN THE CALIFORNIA WORKERS' COMPENSATION <br />UNIFORM STATISTICAL REPORTING PLAN, FOR WORKERS' <br />COMPENSATION INSURANCE IN EFFECT DURING THE POLICY PERIOD. <br />1 <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br />POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL�%°1 <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTSy OR s <br />LIMITATIONS OF THIS ENDORSEMENT. <br />COUNTERSIGNED AND ISSUED AT/SAN FRANCISCO: JULY <br />1! AUTHORIZED REPRESENT IVE <br />SCIF FORM 10217 (PEV.7-2014) ' <br />3 2018 <br />3 015 <br />PRESIDENT AND CEO <br />OLD DP 277 <br />