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35 <br /> NORTH CAROLINA Page 4 <br /> WORKERS COMPENSATION INSURANCE <br /> EXPERIENCE RATING <br /> COMBO GROUP ID: 6801607 RATING DATE: 09/01/25 to 09/01/26 <br /> COVERAGE GROUP ID: 28448160 8M SOLAR LLC WRAP UP <br /> CARRIER: 37354 BUILDERS MUTUAL INSURANCE COMPANY POLICY: WCP109295901 <br /> Policy Period: 09/19/22 to 05/01/23 Carrier 17965 Policy WC761932900 <br /> Actual Primary Exp. Primary <br /> Claim Number Class Inj Open = 0 Incurred Actual Class Loss Expected D Expected <br /> or $claims Code Typ Closed = 1 Losses Losses Code Payroll Rate Losses Ratio Losses <br /> 5190 34,766 .86 299 .34 102 <br /> POLICY TOTALS: 0 0 34,766 299 102 <br /> Release Date: 04/12/25 <br />