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FWC I FWC] UA Premium Calculation <br /> This premium calculation is ESTIMATED based upon information presented . <br /> L - EXCHANGE CLUB CENTER FOR THE PREVENTION OF CHILD ABUSE OF THE TREASURE <br /> COAST INC DBA EXCHANGE CLUB CASTLE <br /> Tier 3 <br /> Effective Date : 12/06/2005 Governing Class - 8861 <br /> Increased Limits - soo/soo/500 <br /> (See Page Two for Officer Information) <br /> Class Code Emolovees Payroll Rate Premium <br /> 8861 CHARITABLE OR WELFARE ORGANIZATION 49 $810,000 .00 1 .68 <br /> . _ . $ 13, 608 <br /> 9110 CHARITABLE OR WELFARE ORG.-ALL OTHER 0 - <br /> $0 . 00 9.38 $0 <br /> Officers Total Payroll $0 $0 $0 <br /> Employees Total Payroll $810,000 $ 13,608 $ 13,608 <br /> Voluntary Market Terrorism Surcharge 0. 03 <br /> $243 . 00 <br /> Increased Limits Factor 0. 80 $ 109 <br /> Experience Modification 0 .92 <br /> 97 <br /> Risk Adjustment Program Surcharge Factor 1 .00 $-1 ,0$0 <br /> $0 <br /> JUA Surcharge 1 . 70 $0 $22,207 <br /> Plus Expense Constant <br /> Assigned Risk Flat Fee $200 <br /> Total Estimated Annual Premium $475 <br /> $35,745 <br /> Advanced Premium Required 0. 50 1 ,000 Minimum <br /> 17,872 <br /> Deposit Required 0.50 $6500 0 <br /> Total Down Payment Required 17,872 <br /> Actual Deposit <br /> $ 19,354.00 Sufficient <br /> Additional Premium Due <br /> $ 0.00 <br /> Printed : 12/15/2005 4 : 47 : 12PM <br />