Laserfiche WebLink
FW� A FLORIDA WORKERS' COMPENSATION <br /> JOINT UNDERWRITING ASSOCIATION, INC. <br /> WORKERS COMPENSATION <br /> AND <br /> EMPLOYERS LIABILITY POLICY <br /> TYPE AR INFORMATION PAGE WC 00 00 01 ( A ) <br /> POLICY NUMBER : ( 6FR1 3UB - 7988B04 - 4 - 05 ) <br /> CLASSIFICATION SCHEDULE : <br /> PREMIUM BASIS <br /> ESTIMATED RATES ESTIMATED <br /> TOTAL ANNUAL PER $ 100 OF ANNUAL <br /> CLASSIFICATIONS CODE NO REMUNERATION REMUNERATION PREMIUM <br /> SEE EXTENSION OF INFORMATION PAGE - SCHEDULE ( S ) <br /> SIC- CODE : 8399 <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - <br /> - - - - - - - - - - - - - - - - - - - - - F <br /> ARD <br /> TOTAL ESTIMATED ANNUAL STANDARD PREMIUM $ STAN8D046 <br /> FLAT ASSIGNED RISK SURCHARGE 475 <br /> PREMIUM DISCOUNT NONE <br /> 0900 - 09 EXPENSE CONSTANT 200 <br /> TERRORISM RISK INS ACT 2002 110; <br /> TOTAL ESTIMATED PREMIUM 10921 <br /> DEPOSIT AMOUNT DUE 10921 <br /> A /R ( FWCJUA ) # <br /> Minimum Premium : $ 2500 <br /> ST ASSIGN : FL <br /> DATE OF ISSUE : 08 - 01 - 05 SR <br /> OFFICE : FLORIDA WC JUA 821 <br /> PRODUCER : SCHLITT INS SVCS INC 22WDC <br />