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COMBO GROUP ID:6801607 <br />NORTH CAROLINA <br />WORKERS COMPENSATION INSURANCE <br />EXPERIENCE RATING <br />COVERAGE GROUP ID: 27818530 <br />COVERAGE GROUP ID: 28448160 <br />8M SOLAR LLC <br />8M SOLAR LLC WRAP UP <br />COVERAGE GROUP ID: 29686500 8M SOLAR LLC WRAP UP <br />Page 1 <br />RATING DATE: 09/01/25 to 09/01/26 <br />Policy Actual <br />Effective Incurred <br />Date Policy Number Lossesз <br />Actual <br />Primary <br />Losses <br />Expected <br />Expected <br />Losses <br />Primary <br />Losses <br />Coverage Group ID 27818530 8M SOLAR LLC <br />03/23/21 XWS2262898897 0 이 482 170 <br />09/01/21 BNUWC0154977 0 0 6,265 2,077 <br />09/01/22 BNUWC0157689 0 0 6,411 2,133 <br />09/01/23 WCP109295900 31,804 25,500 8,763 2,910 <br />Coverage Group ID 28448160 8M SOLAR LLC WRAP UP <br />09/19/22 WC761932900 0 0 299 102 <br />EXPERIENCE TOTALS: A=31.804 B=25,500 C=22,220 D=7,392 <br />Actual Excess Losses E = (A-B) =6,304 <br />Expected Excess Losses F = (C-D) =14,828 <br />Weighting Value G =16 <br />Ballast Value H 52,440 <br />Experience Mod Formula <br />B+H+ (Ex G) + (( 1 -G ☑F) <br />D+H+ (Fx G) + (( 1-G ) x F) <br />Expected Losses (thousands) I =22.220 <br />Weighted Test Ratio J 1.87 <br />Actual Calculation <br />77,940 +1,009 +12,456 <br />59,832 +2,372 +12,456 <br />Experience Modification 1.22 <br />Actual Calculation <br />1+ 1.778 x .838 <br />5.022 <br />ARAP Surcharge Formula <br />1+ (0.08 ) x I x (J-1 ) ^ 1.25 <br />(I + 3)^0.5 <br />Assigned Risk Adjustment Program (ARAP) Surcharge, If Applicable <br />Release Date:04/12/25 <br />1.30 <br />Docusign Envelope ID: 44C13555-A1DE-83DE-8008-D9A38861DC35