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•a• <br />HOME OFFICE <br />SAN FRANCISCO EFFECTIVE JULY 1, 2018 AT 12.01 A.M. <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 />FRIENDS OF SANTA ANA ZOO <br />1801 E CHESTNUT AVE <br />SANTA ANA, CA 92701 <br />ANY CONTRADICTION BETWEEN THE POLICY AND THIS ENDORSEMENT WILL <br />BE CONTROLLED BY THIS ENDORSEMENT. <br />IT IS AGREED THAT THE FOLLOWING CLASSIFICATION($) IS (ARE) <br />HEREBY ADDED TO AND MADE A PART OF THIS POLICY. <br />RATE(S) EFFECTIVE UP TO 7/01/19 — <br />9048876-18 <br />RENEWAL <br />SP <br />PAGE 1 OF 1 <br />INTERIM <br />STANDARD BASE BILLING <br />CLASS DESCRIPTION OF WORK RATE*, RATE* <br />9180-1 AMUSEMENT OR RECREATIONAL FACILITIES-- 7.30 7.22 <br />N.O.C.--OPERATION AND MAINTENANCE OF <br />AMUSEMENT DSVICES--INCLUDING TICKET <br />COLLECTORS CONNECTED THEREWITH <br />IF THIS CLASSIFICATION CHANGE RESULTS IN INCREASED POLICY PREMIUM, <br />YOU ARE ENTITLED, AS PROVIDED BY INSURANCE CODE SECTION 11753.1, <br />TO REQUEST THAT THE CLASSIFICATION DECISION BE RECONSIDERED BY <br />THE STATE COMPENSATION INSURANCE FUND. PLEASE CONTACT YOUR LOCAL <br />DISTRICT OFFICE. <br />*THE BASE RATE IS PROVIDED FOR YOUR INFORMATION. IT IS THE RATE <br />WHICH STATE COMPENSATION INSURANCE FUND HAS FILED WITH THE <br />DEPARTMENT OF INSURANCE. THE INTERIM BILLING RATE WILL BE USED <br />ON PAYROLL REPORTS. IT TAKES INTO ACCOUNT RATING PLAN CREDITS <br />(OR DEBITS) WHICH WILL APPLY AT FINAL BILLING. <br />NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE <br />OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS <br />�SJ. <br />POLICY OTHER THAN AS STATED, NOTHING ELSEWHERE IN THIS POLICY SHALL <br />HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENT;3^rl� <br />LIMITATIONS OF THIS ENDORSEMENT. LJ„`"'10,1,5- <br />COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: <br />AUT}{OR3ZE0 REPRESENT IVE <br />$GIF FORM 10217 {RE V.7-2074} <br />JULY 03, 2018 <br />`u.:..b 9961 <br />PRESIDENT AND CEO <br />OLD OF 217 <br />