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WC 99 06 01 <br />EXTENSION OF INFORMATION PAGE <br />Worker's Compensation and <br />Employer's Liability Policy <br />Schedule Of Premium Information <br /> Policy Number: MWC0151790-05 <br /> Issued to: Grow Your World <br /> Effective Date: 07/01/2023 - 07/01/2024 <br /> Coverage Provided By: Markel Insurance Company <br /> Carrier Code: 22616 <br /> Period of Operation: 07/01/2023 - 07/01/2024 <br /> State of Operation: NC <br />Code Classification <br />Premium Basis <br />Total <br />Estimated Annual <br />Remuneration <br />Rate Per <br />$100 of <br />Remuneration <br />Estimated <br />Annual <br />Premium <br />Class code Description <br />8864 <br />Social Services Organizations <br />- All Employees and <br />Salespersons, Drivers <br />$75,000.00 <br />Manual Premium <br />Total Manual Premium <br />9812 Employers Liability <br />9848 ELL Minimum <br />Subject Premium <br />Total Subject Premium <br />Modified Premium <br />9889 Schedule Rating <br />Standard Premium <br />0900 Expense Constant <br />9740 Terrorism <br />9741 Catastrophe (other than <br />Certified Acts of Terrorism) <br />Estimated Annual Premium <br />Total Amount Due <br />© 1991 National Council on Compensation Insurance. <br />2 of 28 <br />DocuSign Envelope ID: D5EE8B89-BEC9-47CA-86AA-BB69819758EC