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COMBO GROUP ID:6801607 <br />NORTH CAROLINA <br />WORKERS COMPENSATION INSURANCE <br />EXPERIENCE RATING <br />COVERAGE GROUP ID: 27818530 8M SOLAR LLC <br />CARRIER:37354 BUILDERS MUTUAL INSURANCE COMPANY <br />Page 2 <br />RATING DATE: 09/01/25 to 09/01/26 <br />POLICY: WCP109295901 <br />Policy Period:03/23/21 to 09/01/21 Carrier 19291 Policy XWS2262898897 <br />Actual <br />Claim Number Class Inj Open = 0 Incurred <br />Primary <br />Actual <br />Exp. <br />Class Loss Expected D <br />Primary <br />Expected <br />or #claims Code Typ Closed = 1 Losses Losses Code Payroll Rate Losses Ratio Losses <br />5190 24,108 .86 207 34 70 <br />5606 85,453 .21 179 .32 57 <br />8810 319,119 .03 96 .45 43 <br />POLICY TOTALS:0 이 428,680 482 170 <br />Policy Period:09/01/21 to 09/01/22 Carrier 37044 Policy BNUWC0154977 <br />Actual Primary Exp. <br />Claim Number Class Inj Open = 0 Incurred Actual Class <br />or #claims Code Typ Closed = 1 Losses Losses Code Payroll <br />Loss <br />Rate <br />Expected <br />Losses <br />D <br />Ratio <br />Primary <br />Expected <br />Losses <br />3724 8,132 .89 72 .32 23 <br />5190 213,728 .86 1,838 .34 625 <br />5551 100,650 3.65 3,674 .32 1,176 <br />5606 196,489 .21 413 .32 132 <br />8810 894,513 .03 268 .45 121 <br />POLICY TOTALS:이 0 1,413,512 6,265 2,077 <br />Policy Period: 09/01/22 to 09/01/23 Carrier 37044 Policy BNUWCO157689 <br />Actual Primary Exp.Primary <br />Claim Number Class Inj Open = 0 Incurred Actual <br />or #claims Code Typ Closed = 1 Losses Losses <br />Class <br />Code Payrol1 <br />Loss <br />Rate <br />Expected D Expected <br />Losses Ratio Losses <br />5190 190,507 .86 1,638 .34 557 <br />5551 110,204 3.65 4,022 .32 1,287 <br />5606 179,350 .21 377 .32 121 <br />8810 1,248,120 .03 374 .45 168 <br />POLICY TOTALS:0 0 1,728,181 6,411 2,133 <br />Policy Period:09/01/23 to 09/01/24 Carrier 37354 Policy WCP109295900 <br />Claim Number Class Inj Open = 0 <br />Actual <br />Incurred <br />Primary <br />or #claims Code Typ Closed = 1 Losses <br />Actual <br />Losses <br />Class <br />Exp. <br />Loss Expected D <br />Code Payrol1 Rate Losses Ratio <br />Primary <br />Expected <br />Losses <br />$25500 and Over 5190 198,199 .86 1,704 .34 579 <br />WCV001102519 5190 05 1 31,804 25,500 5551 147,395 3.65 5,380 .32 1,722 <br />5606 161,290 .21 339 .32 108 <br />8227 93,409 1.00 934 .34 318 <br />Release Date:04/12/25 <br />Docusign Envelope ID: 44C13555-A1DE-83DE-8008-D9A38861DC35