# Document Content

This endorsement is issued by that company named below which is the insurer under the policy designated above issued to the Named Insured and forms a part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

## Premium Computation Endorsement

For the period Jan. 1, 1979 to Jan. 1, 1980 the rates and advance premium applicable are as shown below:

Comprehensive General Liability and Comprehensive Automobile Liability premium shall be computed by applying to each $1,000 of workers' compensation payroll, the composite rates as follows:

**Estimated Annual Payroll:** $4,850,000,000

| Coverage | Composite Rates | Advance Premium |
|----------|-----------------|------------------|
| Comp Gen-Auto Llaz. | (S) Retro (E) Excess | (B) $727,500 |
| AUTO NON-OWNERSHIP | FLAT CHARGE | (S) $60,000 (E) $45,000 |

Premiums are payable as follows:

| Date | Amount |
|------|--------|
| 1-1-79 | $239,250 |
| 2-1-79 | $239,250 |
| 3-1-79 | $239,250 |
| 4-1-79 | $239,250 |
| 5-1-79 | $239,250 |
| 6-1-79 | $239,250 |
| 7-1-79 | $239,250 |

**Endorsement Number:** 35
**Policy No.:** 88-26-23C
**Eff. Date of Pol.:** 1-1-76
**Eff. Date of End.:** 1-1-79
**Agency No.:** 50-515-810
**Adv. Premium:** $1,255,500
**Net Premium:** $0