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0~/18/2600 08:38 5035888804 BARKER SURVEYING CO <br />' ~" Vflianova /nsurance .Company <br />Workers Compensatlon and Employer's Llebility Insurance Policy <br />Extens(on 3chedule <br />Pollcy Num WC1-1204120 <br />Clasaltlcatlons <br />OR-36 <br />1 <br />OR <br />From 04/01/2000 To 04/01/2001 <br />ARCHITECT OR <br />ENGINEER-CONSULTING <br />CLERICAL OFFICE EMPLOYEES NOC <br />TOTAL UNMODIFIED PREMtUM <br />MERIT RATINO <br />TOTA~ MODIFIED PREMIUM <br />TOTAL ESTIMATED ANNUAL <br />PREMIUM ' <br />OREGON WC ASSESSMENT <br /><7.3000000> <br />Insured: 8arker Surveying Co. <br />Coda <br />Total Estimatsd <br />pr+~mlum B~~t~ <br />Annual RomuneraUon <br />Rate per <br />5100 of <br />Remuneretion <br />8601 <br />8810 <br />9885 <br />9999 <br />231,9b1 <br />140, 719 <br />0.86 <br />026 <br />0.100 <br />PAGE 03 <br />WC 99 03 09 <br />Page 1 <br />EeElmated Annual <br />Premlum <br />1,99b <br />368 <br />2,361 <br />-238 <br />2,125 <br />2,125 <br />155 <br />920004(12-87) <br />