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SCHEDULE OF OPERATIONS <br /> This Schedule of Operations forms a part of the policy effective on the inception date of the policy unless another date is <br /> indicated below: <br /> INSURER: HARTFORD CASUALTY INSURANCE COMPANY <br /> Company Code: 3 <br /> Policy Number: 76 WEG BX3ZPJ Schedule Number: 01-04-04 <br /> Effective Date: 11/04/25 Effective hour is the same as stated on the Information Page of the policy. <br /> Named Insured and Location Address of operations covered by this schedule: <br /> Beginners Edge Sports Training <br /> NO SPECIFIC LOCATION <br /> COSTA MESA CA 92626 <br /> NAICS: 713940 <br /> FEIN: 26-2932264 SIC: 7991 NO. OF EMPL: 2 <br /> 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating <br /> Plans. All information required below is subject to verification and change by audit. <br /> Premium Basis <br /> Classifications Total Estimated Rates Per Estimated <br /> Code Number and Annual $100 of Annual <br /> Description Remuneration Remuneration Premium <br /> 8870 180,141.00 1.490000 2,684 <br /> FITNESS INSTRUCTION PROGRAMS OR STUDIOS-ALL <br /> EMPLOYEES - INCLUDING RECEPTIONISTS <br /> Total State Summary <br /> Total Class Premium 2,714 <br /> CA Territorial Differential 1.036000 95 <br /> Waiver of Subrogation 1,000 <br /> Total Estimated Annual Standard Premium 3,809 <br /> Premium discount 0.001000 -4 <br /> Expense constant 200 <br /> Terrorism Risk Insurance Program Reauthorization Act 182,141,00 0.020000 36 <br /> Disclosure Endorsement <br /> CA User Fund 1.237000 50 <br /> CA Fraud 0.409600 17 <br /> CA Uninsured Employers Benefit Trust Fund 0.081800 3 <br /> CA Subsequent Injuries Benefit Trust Fund Assessments 3.014800 122 <br /> CA Occupational Safety &Health Fund 0.188500 8 <br /> CA Labor Enforcement& Compliance Fund 0.105800 4 <br /> Total Estimated Annual Premium 4,245 <br /> Countersigned by <br /> Authorized Representative <br /> Form WC 99 00 05 (1) Printed in U.S.A. <br /> Process Date: 11/04/25 Policy Expiration Date: 11/04/26 <br />