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WORKERS COMPENSATION EXPERIENCE RATING

StateWtSRPExp ExcessLossesExpectedLossesExp PrimLossesAct Exc LossesBallastAct Inc LossesAct PrimLossesIL0101,412117,88116,469052, (A)Wt(B)(C) Exp ExcessLosses (D - E)(D) ExpectedLosses(E) Exp PrimLosses(F) Act ExcLosses (H - I)(G) Ballast(H) Act IncLosses(I) Act ,412117,88116,469052,80000 SARAPARAP (J).84 (J) / (K)Exp Mod170,681 Primary LossesStabilizing ValueRatable ,469144,07110,141(I)C * (1 - A) + G (A) * (F) (K) (A) * (C)C * (1 - A) + G(E)Factors144,071 Actual0144,0710 MAARAPRisk ID:121467062CT MECHANICAL LLC WORKERS COMPENSATION EXPERIENCE ratings tate: RATING Effective Date:Production Date: ILLINOIS 02/22/201309/26/2012 Risk Name:Copyright 1993-2012, All rights reserved.

State Wt SRP Exp Excess Losses Expected Losses Exp Prim Losses Act Exc Losses Ballast Act Inc Losses Act Prim Losses IL.10 0 101,412 117,881 16,469 0 52,800 0 0 (A) Wt (B) (C) Exp Excess

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  Compensation, Worker, Ratings, Experience, Workers compensation experience rating

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