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THE <br /> HARTFORD <br /> POLICY HOLDER NOTICE - PAYROLL BILLING <br /> Thank you for choosing The Hartford. Your policy is on our payroll billing method. The payroll billing method uses actual <br /> payrolls received throughout the policy period and a blended rate(s) to determine premiums due during the policy period. <br /> To learn more about how your premium is calculated on the payroll billing method please visit: <br /> htti)s://www.thehartford.com/blended <br /> Below are the blended rate(s) being used for each state and classification code on your policy: <br /> State Class Code Blended Rate Effective <br /> 2: 5900 Balcones Dr., Austin, 9063 0.380000 11/04/2025 <br /> TX <br /> 4: COSTA MESA, CA 8870 2220000 11/04/2025 <br /> 3: WOS: 8300 SANTA 8870 2.220000 11/04/2025 <br /> MONICA BLVD, WEST <br /> HOLLYWOOD, CA <br /> 1: 7432 E TIERRA BUENA 9063 0.400000 11/04/2025 <br /> LN, SCOTTSDALE, AZ <br /> Form G-4119-0 Printed in U.S.A. <br /> ©2017, The Hartford <br />