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Item 3 of the Information Page are subject to covered by this policy. If the final premium is more <br /> change if ordered by the Insurance Commissioner than the premium you paid to us, you must pay us <br /> of the State of California pursuant to Section 11737 the balance. If it is less, we will refund the balance <br /> of the California Insurance Code. to you. The final premium will not be less than the <br /> 6. Long Term Policy. If this policy is written for a highest minimum premium for the classifications <br /> period longer than one year, all the provisions of covered by this policy. <br /> this policy shall apply separately to each If this policy is canceled, final premium will be <br /> consecutive twelve-month period or, if the first or determined in the following way unless our manuals <br /> last consecutive period is less than twelve months, provide otherwise: <br /> to such period of less than twelve months, in the a. If we cancel, final premium will be calculated pro <br /> same manner as if a separate policy had been rata based on the time this policy was in force. <br /> written for each consecutive period. Final premium will not be less than the pro rata <br /> 7. Statutory Provision. Your employee has a first share of the minimum premium. <br /> lien upon any amount which becomes owing to you b. If you cancel, final premium may be more than <br /> by us on account of this policy, and in the case of pro rata; it will be based on the time this policy <br /> your legal incapacity or inability to receive the was in force, and may be increased by our <br /> money and pay it to the claimant, we will pay it short-rate cancelation table and procedure. <br /> directly to the claimant. Final premium will not be less than the pro rata <br /> 8. Part Five, "Premium", F, "Final Premium", is share of the minimum premium. <br /> amended to read as follows: It is further agreed that this policy, including all <br /> The premium shown on the Information Page, endorsements forming a part thereof, constitutes the <br /> schedules, and endorsements is an estimate. The entire contract of insurance. No condition, provision, <br /> final premium will be determined after this policy agreement, or understanding not set forth in this policy or <br /> ends by using the actual, not the estimated, such endorsements shall affect such contract or any <br /> premium basis and the proper classifications and rights, duties, or privileges arising therefrom. <br /> rates that lawfully apply to the business and work <br /> Form WC 04 03 01 BB Printed in U.S.A. Page 2 of 2 <br />