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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />WC 00 04 19 <br />(Ed .1-O l ) <br />PREMIUM DUE DATE ENDORSEMENT <br />This endorsement is used to amend: <br />Section D. of Part Five of the policy is replaced by this provision. <br />PART FIVE PREMIUM <br />D. Premium is amended to read: <br />You will pay all premium when due. You will pay the premium even if part or all of a workers compensation law is not <br />valid. The due date for audit and retrospective premiums is the date of the billing. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy,) <br />Endorsement Effective 12/01/2011 Policy No. MW00017162-01 <br />Endorsement No. <br />Insured: Santa Ana Police Offcers Association (a <br />nonp Premium (See Attached) <br />Insurance Company: Markel Insurance Company Countersigned by <br />W0000419 <br />Ed. 1-01 <br />©2000 National Council on Compensation Insurance, Inc <br />13 of 28 <br />