Premium Calculation

June 18, 2007

Class Code 3628 8742 8810 Mod. Adj. Prem.

Est. Payroll 1,000,000 100,000 1,400,000

Divide/100 10,000 1,000 14,000

Prem. Rate 3.50 0.75 0.36

Premium $35,000 $750 $5,040

40,790 1.275 $52,007