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EMPLOYERS� WORKERS' COMPENSATION AND EMPLOYERS <br />LIABILITY INSURANCE POLICY <br />EMPLOYERS ASSURANCE CO. Policy Number: EIG 1117026 16 <br />A Stock Company Named Insured: ARGO ENTERPRISES INC <br />P.O. BOX 539003 <br />HENDERSON, NV 89053-9003 Agent: ADP - FLORHAM PARK - SERVICE 0033001 <br />EXTENSION OF INFORMATION PAGE <br />CLASSIFICATION OF OPERATIONS <br />Code <br />No. Classification Description <br />California <br />Rating Period: 10/15/2024 through 10/15/2025 <br />Site 00001 <br />8018 STORES -WHOLESALE <br />8742 SALESPERSONS -OUTSIDE <br />8810 CLERICAL OFFICE EMPLOYEES-N.O.C. <br />Site 00001 Total <br />Total of Sites for Rating Period <br />Rating Period Total <br />Rating Period: 10/15/2024 through 10/15/2025 <br />0930 WAIVER OF SUBROGATION <br />9887 SCHEDULE CREDIT <br />0900 EXPENSE CONSTANT <br />0936 STATE W.C. FRAUD ASSESSMENT <br />0935 STATE W.C. ADMINISTRATIVE ASSESSMENT <br />0937 CA INSURANCE GUARANTY <br />0938 CA UNINSURED EMPLOYERS FUND <br />0939 CA SUBSEQUENT INJURY FUND <br />0940 OSHF ASSESSMENT <br />0943 LABOR ENFORCEMENT & COMPLIANCE <br />9741 CATASTROPHE PREMIUM <br />9740 TERRORISM PREMIUM <br />Rating Period Total <br />State Total <br />Policy Total <br />Premium Basis Rate Per Estimated <br />Total Est. Annual $100 of Annual <br />Remuneration Remuneration Premium <br />34,642 12.650000 4,382.00 <br />605,949 0.690000 4,181.00 <br />237,050 0.480000 1,138.00 <br />$ 9,701.00 <br />$ 9,701.00 <br />$ 9,701.00 <br />9,701 <br />0.020000 <br />250.00 <br />9,951 <br />0.240000 <br />-2,388.00 <br />160.00 <br />8,162 <br />0.004122 <br />34.00 <br />8,162 <br />0.024604 <br />201.00 <br />8,162 <br />8,162 <br />0.001505 <br />12.00 <br />8,162 <br />0.015891 <br />130.00 <br />8,162 <br />0.007266 <br />59.00 <br />8,162 <br />0.007109 <br />58.00 <br />877,641 <br />0.020000 <br />176.00 <br />877,641 <br />0.030000 <br />263.00 <br />$ <br />1,045.00- <br />$ 8,656.00 <br />$ 8,656.00 <br />Issued Date 02/03/2025 <br />WC990630 (5/98 Ed.) <br />INSURED COPY <br />Page 2 of 3 <br />