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.nsuralmvw %�urporanon wURKERS COMPENSATION EMPLOYERS LIABILITt <br /> °r7 INSURANCE POLICY <br /> -F' L 34232-0303 Policy Number: WCX0074034 <br /> Named Insured : KIDS CONNECTED BY DESIGN INC <br /> Agent: 5HAISHFIELD FL <br /> 0002244 <br /> EXTENSION OF INFORMATION PAGE <br /> CLASSIFICATION OF OPERATIONS <br /> Code Premium Basis Rate Per <br /> No. Total Est. Annual Estimated <br /> Classification Description S100of Annual <br /> FloridaRemuneration Remuneration Premium <br /> Unit 00001 <br /> 8742 SALESPERSONS , COLLECTORS OR MESSENGERS -OUTSIDE <br /> 8810 CLERICAL OFFICE EMPLOYEES NOC rJ � <br /> 724 , 123 1 . OOD00 7o241 <br /> Unit Total 758 , 697 0 . 58000 � 4 , 400 <br /> 8740 FOREIGN TERRORISM - $ 11e64 : <br /> 98981 , 482 , 820 0 . 03000 <br /> EXPERIEISCE MODIFICATION 445 <br /> 006311 , 641 0 . 98000 <br /> PREMIUM DISCOUNT - 233 <br /> 0900 EXPENSE CONSTANT - 11 , 408 D . 06100 <br /> - 696 <br /> State Total 200 <br /> Policy Total $ 11 , 357 <br /> $ 11 , 357 <br /> L Uc� . <br /> . Cfl <br /> Issued Date: 09 / 18 / 2006 <br /> 04 <br /> SP001405 Ed. 102-01 ) <br />&C998901 (02-01 ) <br /> INSURED COPy <br /> Page 2 of 4 <br />