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CHANGE IN INFORMATION PAGE (Continued) <br /> Policy Number: 57 WEC AN1 MI-1 <br /> SCHEDULE <br /> IT IS AGREED THAT THE POLICY IS AMENDED AS FOLLOWS: <br /> CLASS CODE NUMBER AND DESCRIPTION ESTIMATED RATES PER 100 ESTIMATED <br /> TOTALANNUAL OF ANNUAL <br /> REMUNERATION REMUNERATION PREMIUMS <br /> NY <br /> Total State Summary <br /> Waiver charge 0.00 0.020000 0 <br /> New York Total Cost 0 <br /> Form WC 99 00 06 B (1) Printed in U.S.A. Page 2 <br /> Process Date: 04/16/25 Policy Expiration Date: 10/01/25 <br />