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Retrospective Rating Adjustment 20-May-88 <br /> • Named Insured: City of St Anthony <br /> Policy Period: 6/1/87-88 <br /> Evaluation: First <br /> Carrier: LMCIT <br /> Losses Valued as of: 3/1/88 <br /> Standard Premium: 85,484 <br /> Discounted Premium: 77,838 <br /> Basic Factor: 0. 350 <br /> Minimum Premium Factor: 35. 00% <br /> Maximum Premium Factor: 120.00% <br /> Loss Conversion Factor: 1. 10 <br /> Incurred Losses: 2, 913 <br /> Excess Loss Premium Factor: 0.00 <br /> Tax Multiplier: 1.00 <br /> Payment Percentage: 100% <br /> Basic Premium 27, 243 <br /> Converted Losses: 3, 204 <br /> Excess Loss Premium: 0 <br /> Minimum Premium Factor: 29,919 <br /> Maximum Premium Factor: 102,581 <br /> Retro Premium: 30,448 <br /> • Previously Billed *: 85,484 <br /> Chargeable Premium 30,448 <br /> Return Premium (Additional) : 55,036 <br /> * Previously Billed <br /> Pay In: 85,484 <br /> Non-Subject Premium: 0 <br /> Audit Subject: 0 <br /> Audit Non-Subject: 0 <br /> Previous Adjustments: 0 <br /> TOTALS: $85,484 <br /> • <br /> Prepared By: American Risk Services, Inc. <br />