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HONE OFFICE SAN FRANCISCO I ANNUAL RATING ENDORSEMENT <br />R IS AGREED TNAT THE CLASSIFICATIONS AND RATES PER $100 OF REMUNERATION APPEARING <br />IN THE CONTINUOUS POLICY ISSUED TO THIS EMPLOYER ARE AMENDED AS SHOWN BELOW. <br />HERE PPE YOUR NEW RATES FOR THE PERIOD INDICATED. W YOUR NAME OR ADDRESS SHOULD <br />BE CORRECTED OR IF INSURANCE IS NOT NMEC FOR NEXT YEAR. PLEASE TELL US. <br />IMPORTANT TMS IS NOT A SILL CONTINUOUS POLICY 1848138-07 <br />SEND NO MONEY UNLESS 57ATENENT IS ENCLOSED <br />THE RATING PEREOD BEGINS AND ENDS AT 12:01AN RATING P"IOD 4-01-07 TO 4-01-08 <br />PACIFIC STANDARD TIME <br />NORTH AMERICAN AM"HIMPITS, INC DEPOSIT PREMIUM $44,649.00 <br />11101 CALABASH AVE MIIIINUM PREMIUM $350.00 <br />FONTANA, CALIF 92337 PREMIUM ADJUSTMENT PERIOE MONTHLY <br />REP 31 R SD <br />NAME <br />OF EMPLOYER- NORTH AMERICAN AMUSEMENTS, <br />INC <br />G1 CORPORATION) <br />CODE NO. <br />PRINCIPAL WORK AND RATES EFFECTIVE FROM <br />04-01-07 TO <br />04-01-08 <br />INTERIM <br />PREMIUM <br />BASE <br />BILLING <br />BASIS <br />RATE <br />RATE* <br />9016-1 <br />AMUSEMENT PARKS OR EXHIBITIONS <br />383573 <br />10.01 <br />8.55 <br />8810-1 <br />CLERICAL OFFICE EMPLOYEES--N.O.C. <br />29287 <br />1.16 <br />.99 <br />9180-1 <br />AMUSEMENT PARKS OR EXHIBITIONS <br />122392 <br />7.77 <br />6.63 <br />EXPERIENCE MODIFICATION <br />4-01-07 TO 4-01-08 326 Y <br />********BUREAU NOTE INFORMATION******** <br />FEIN 330709455 <br />FEIN 330744088 <br />TOTAL ESTIMATED ANNUAL PREMIUM $134,285 <br />1UNTERSIGNED AND ISSUIM AT SAN FRANC>SCO�"RIL 12, 2007 POLICY L PAGE 1 OF 3 <br />SCIF FORM 10163A INEV. 10 -ON OV PLEASE <br />