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i�wI �� lif~� WORKERS'COMPENSATION AND EMPLOYERS <br /> call 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 89063-9003 Agent: ADP-FLORHAM PARK-SERVICE 0033001 <br /> EXTENSION OF INFORMATION PAGE <br /> CLASSIFICATION OF OPERATIONS <br /> Premium Basis Rate Per Estimated <br /> Code Total Est.Annual $100 of Annual <br /> No. Classification Description Remuneration Remuneration Premium <br /> California <br /> Rating Period: 10/15/2024 through 10/15/2025 <br /> Site 00001 <br /> 8018 STORES-WHOLESALE 34,642 12.650000 4,382,00 <br /> 8742 SALESPERSONS-OUTSIDE 605,949 0.690000 4,181.00 <br /> 8810 CLERICAL OFFICE EMPLOYEES-N.O.C. 237,050 0,480000 1,138.00 <br /> Site 00001 Total $ 9,701.00 <br /> Total of Sites for Rating Period $ 9,701.00 <br /> Rating Period Total $ 9,701.00 <br /> Rating Period: 10/15/2024 through 10/15/2025 <br /> 0930 WAIVER OF SUBROGATION 9,701 0,020000 250.00 <br /> 9887 SCHEDULE CREDIT 9, 951 0.240000 -2,388.00 <br /> 0900 EXPENSE CONSTANT 160.00 <br /> 0936 STATE W.C. FRAUD ASSESSMENT 8,162 0.004122 34.00 <br /> 0935 STATE W.C. ADMINISTRATIVE ASSESSMENT 8,162 0.024604 201.00 <br /> 0937 CA INSURANCE GUARANTY 8,162 <br /> 0938 CA UNINSURED EMPLOYERS FUND 8,162 0.001505 12.00 <br /> 0939 CA SUBSEQUENT INJURY FUND 8,162 0 .015891 130.00 <br /> 0940 OSHF ASSESSMENT 8,162 0.007266 59.00 <br /> 0943 LABOR ENFORCEMENT & COMPLIANCE 8,162 0.007109 58.00 <br /> 9741 CATASTROPHE PREMIUM 877,641 0.020000 176.00 <br /> 9740 TERRORISM PREMIUM 877,641 0.030000 263.00 <br /> Rating Period Total $ 1,04 5.0 0- <br /> State Total $ 8,656.00 <br /> Policy Total $ 8,656.00 <br /> Issued Date 02/03/2025 INSURED COPY <br /> WC990630 (5198 Ed.) <br /> Page 2of3 <br />