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ADDITIONAL COVERAGES <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Uninsured Employee Benefits Trust Fund UFBTF <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $13.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Premium discount PDIS <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> -$4.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Schedule rate adjustment SRA <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $33.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Expense constant EXCNT <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $160.00 <br /> dition Date <br /> Ref# Description Coverage Code Form No. E <br /> Premium discount PDIS <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> -$4.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Increased employer's liability INEL <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $4.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> OSHEF OSHEF <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $63.00 <br /> ition Date <br /> Ref# Description Coverage Code Form No. Ed <br /> Assessment Fund ASMNT <br /> Limit i Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $138.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Surcharges SURC <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $36.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Schedule rate adjustment SRq <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> -$86.00 <br /> Ref# Description Coverage Code Form No. Edition Date <br /> Merit Surcharge MERIT <br /> Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium <br /> $26.00 <br /> rOFADTLCV JAPPROVED Copyright 2001,AMS Services,Inc. <br /> By Cynthia Mora at 5:30 PM, Dec 02, 2024 <br />