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CHANGE IN INFORMATION PAGE (Continued) <br /> Policy Number: 21 WEC GD7 7 0 0 <br /> SCHEDULE <br /> IT IS AGREED THAT THE POLICY IS AMENDED AS FOLLOWS: <br /> CLASS CODE NUMBER ESTIMATED RATES ESTIMATED <br /> AND DESCRIPTION TOTAL ANNUAL PER 100 OF ANNUAL <br /> REMUNERATION REMUNERATION PREMIUMS <br /> (A) <br /> 8810 164, 100 .26 427 <br /> CLERICAL OFFICE EMPLOYEES NOC <br /> TOTAL CLASS PREMIUM 427 <br /> TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 427 <br /> EXPENSE CONSTANT (0900) 200 <br /> TERRORISM (9740) 164, 100 .020 33 <br /> TOTAL ESTIMATED ANNUAL PREMIUM - FL 660 <br /> TOTAL ESTIMATED ANNUAL STANDARD PREMIUM 427 <br /> EXPENSE CONSTANT 0900 200 <br /> TERRORISM (9740) 33 <br /> TOTAL ESTIMATED ANNUAL PREMIUM 660 <br /> Form WC 99 00 06 A (1) Printed in U.S.A. Page 2 <br /> Process Date: 09/14/17 Policy Expiration Date: 0 5/0 3/18 <br />