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Get Premium Audit Report - Chesapeake Employers Insurance Company

) C.) Minus 1/3 of Total Overtime D.) Plus Misc. Labor / Uninsured Subcontractors (Provide Details on Reverse Side) E.) Plus / Minus other Adjustments (Explain On Reverse Side Other Info.) F.) Total A - E EMPLOYEE PAYROLL DETAIL: Excluding Officers / LLC Members Manual Class Class Description Total Employee 1/3 Average # Payroll Overtime Employees.

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