Motion - Admin Expense - Everest Premier Insurance
20-12097-sccDoc 935Filed 05/26/21 Entered 05/26/21 15:53:02Pg 1 of 5Main DocumentUNITED STATES BANKRUPTCY COURTSOUTHERN DISTRICT OF NEW YORK§§§§§§IN RE:CORTLANDT LIQUIDATING LLC, et al.,Debtors.Chapter 11Case No. 20-12097 (SCC)(Jointly Administered)MOTION OF EVEREST PREMIER INSURANCE COMPANY FOR ALLOWANCEAND PAYMENT OF ADMINISTRATIVE EXPENSE CLAIMEverest Premier Insurance Company (“EPIC”), by and through its counsel, files thisMotion for Allowance and Payment of Administrative Expense Claim (the “Motion”). In supportof the Motion, EPIC respectfully states as follows:JURISDICTION1.This Court has jurisdiction over this Motion pursuant to 28 U.S.C. §§ 157 and 1334Venue in this district of proper under 28 U.S.C. §§ 1408 and 1409.2.This is a core proceeding under 28 U.S.C. §§ 157(b)(2)(A), (B) and (O).3.The statutory predicates for the relief sought herein include 11 U.S.C. §§ 105,503(a) and (b)(1)(A) and 507.BACKGROUND4.EPIC issued the following insurance policies to the Debtor Century 21 DepartmentStores LLC: (a) Policy No. RM1WC00023 for the period March 31, 2020 to March 31, 2021 and(b) Policy No. RM1GL00015 for the period March 31, 2020 to March 31, 2021. Collectively, theforegoing are referred to as the “Policies.” The Policies were cancelled at the request of theDebtors effective March 19, 2021.1
20-12097-scc5.Doc 935Filed 05/26/21 Entered 05/26/21 15:53:02Pg 2 of 5Main DocumentAs of the Petition Date, the Debtors had failed to pay a number of required premiumpayments, and despite seeking and obtaining authorization to maintain and pay all prepetition andpost-petition premiums owed on the Debtors’ insurance policies, see Final Order dated September30, 2020 (ECF. No. 96), the Debtors failed to pay all post-petition premiums owed to EPIC on thePolicies.6.As set forth in Exhibit A, the amounts owed to EPIC on Policy No. RM1WC00023and Policy No. RM1GL00015, following final audit and after application of all payments andadjustments, total 898,865.00.7.Attached as Exhibit B and Exhibit C are true and correct copies of the PremiumAdjustment Notice following the audit and the Rating Worksheets, respectively, for Policy No.RM1WC00023.8.The Debtors already have copies of the Policies in their possession, and EPICintends to rely on and use the Policies in evidence as and to the extent necessary. True and correctcopies of the Policies will be provided upon request.RELIEF REQUESTED9.EPIC respectfully requests that it be granted an allowed administrative expense inthe amount of 898,865.00 and that Debtors be ordered to pay such claim pursuant to 11 U.S.C. §503(b)(1)(A).10.Section 503(b)(1) provides “after notice and a hearing, there shall be allowedadministrative expenses including the actual, necessary costs and expenses of preserving theestate .” 11 U.S.C. § 503(b)(1)(A); see, e.g., In re Hostess Brand, Inc., 499 B.R. 406, 411(S.D.N.Y. 2013) (administrative expenses allowed under section 503(b) are defined as including“the actual, necessary costs and expenses of preserving the estate”).2
20-12097-scc11.Doc 935Filed 05/26/21 Entered 05/26/21 15:53:02Pg 3 of 5Main DocumentFor a claim to qualify for administrative priority, an expense must arise from “apost-petition transaction between the claimant and the debtor-in-possession and the considerationsupporting the right to payment must have been both supplied to and beneficial to the debtor-inpossession in the operation of its business post-petition. Id. at 411; see also In re Grubb & EllisCo., 478 B.R. 622, 624 (Bankr. S.D.N.Y. 2012 (“ Second Circuit use[s] a two-part test todetermine whether a specific claim qualifies as an administrative expense : first, there must bea postpetition transaction, and second, the estate must receive the benefit from the transaction.”)(citing Trs. of Amalgamated Ins. Fund v. McFarlin’s, Inc., 789 F.2d 98, 101 (2d Cir. 1986)).12.It is well established that “if a debtor in possession elects to continue to receivebenefits from the other party to an executory contract pending a decision to reject or assume acontract, the debtor in possession is obligated to pay for the reasonable value of those services.”NLRB v. Bildisco & Bildisco, 465 U.S. 513, 531 (1984). Fundamentally, “[t]ransactions in theordinary course of business of the debtor in possession create expenses of administration.” In reCrystal Apparel, Inc., 220 B.R. 816, 830 (Bankr. S.D.N.Y. 1998). Simply stated, a debtor mustpay administrative expenses if it accepts performance from the contract counter-party and receivesa benefit from that performance. In re Globe Metallurgical, Inc., 312 B.R. 24, 40 (Bankr. S.D.N.Y.2004).13.EPIC’s claim clearly satisfies the requirements for an administrative expense underBankruptcy Code § 503(b)(1). As set forth above, EPIC provided critical and necessary postpetition insurance coverage to the Debtors and their estates, without which the Debtors would havebeen unable to continue their operations or their Chapter 11 cases. The Debtors acknowledged asmuch in the earliest stages of these cases when they sought and obtained approval to maintain andpay for their ongoing insurance coverages—including the coverages provided by EPIC.3
20-12097-sccDoc 935Filed 05/26/21 Entered 05/26/21 15:53:02Pg 4 of 5Main DocumentSpecifically, the Debtors acknowledged that they “maintain the Insurance Policies to help manageand limit the various risks associated with operating their business. The Insurance Policies areessential to the preservation of the value of the Debtors’ assets.” See ECF No. 9, at ¶ 9.14.The essential nature of the EPIC Policies, and the direct and tangible benefitsreceived by the Debtors and their estates through the Policies, is demonstrated keenly by the factthat approximately 170 claims against the Debtors have been tendered under the Policies, the vastmajority of which were tendered after the Petition Date. But for the Policies, the Debtors and theirestates would have had no potentially available coverage for those claims, exposing the estates tosignificant and potentially massive liabilities.115.The Debtors and their estates continued to accept the critical post-petition insurancecoverages provided by EPIC, and they directly and significantly benefitted from such coveragesin an amount of at least 898,865.00. The Debtors, however, failed to pay their premiums andother obligations under the Policies. Thus, the amounts owed to EPIC constitute an administrativeexpense claim of the Debtors’ bankruptcy estates under 11 U.S.C. § 503(b)(1). There can be noquestion that the post-petition provision of such coverages were necessary to the continuation ofthe Debtors’ bankruptcy cases, directly and significantly benefitting the Debtors, their estates andcreditors.16.For these reasons, EPIC requests that the Court allow and require prompt paymentof its claim as an administrative expense under 11 U.S.C. § 503(b)(1) in the amount of 898,865.00.Each of the more than 300 tendered claims are assessed on their own merits under the terms,conditions and provisions of the applicable Policies and governing law. By filing this Motion,EPIC does not concede that coverage is available for any claim, and EPIC expressly reserves allrights with regard to same.14
20-12097-sccDoc 935Filed 05/26/21 Entered 05/26/21 15:53:02Pg 5 of 5Main DocumentRESERVATION OF RIGHTS17.This Motion is filed with full reservation of rights, including the right to assetadditional, supplementary and/or amended claims and requests for administrative expensereimbursement based on events, information and/or documents obtained through discovery orotherwise. Without in any way limiting the foregoing, EPIC’s rights to assert any claim it has orthat may arise against the Debtors, or against any other party or property other than the Debtorsand their estates, are expressly preserved.CONCLUSIONWHEREFORE, EPIC respectfully requests that the Court grant the relief requested in thisMotion and grant such other and further relief as may be just and proper.Dated: May 26, 2021.STEVENS & LEEBy:/s/ Constantine D. PourakisConstantine D. Pourakis485 Madison Avenue, 20th FloorNew York, New York 10022Telephone: 212-537-0409Facsimile: KER WILCOX MATOUSEK, LLPTony L. Draper(pro hac vice motion to be submitted)Texas State Bar No. 007981561001 McKinney, Suite 2000Houston, Texas 77002Telephone: (713) 343-6556Facsimile: (713) 343-6571tdraper@wwmlawyers.comATTORNEYS FOR EVERESTINSURANCE COMPANY5PREMIER
20-12097-sccDoc 935-1Filed 05/26/21 Entered 05/26/21 15:53:02Amounts Owed Pg 1 of 3Exhibit A{File: 02252172.DOCX / }Exhibit A -
20-12097-sccDoc 935-1Filed 05/26/21 Entered 05/26/21 15:53:02Amounts Owed Pg 2 of 3Exhibit A -EVEREST PREMIER INSURANCE COMPANYINVOICE DATE:Agent:14389Alliant Insurance Service333 Hope St Ste 3750Los Angeles CA 90071Due By:Carrier: EVEREST PREMIER INSURANCE COMPANYPolicyEffective DateExpiration 31/2020-9/10/20203/31/2020-9/10/2020Century 21 Department Stores LLCCentury 21 Department Stores LLCCentury 21 Department Stores LLCAudited PremiumAudited SurchargesAdjusted Premium 1.00000 1.00000 1.9230011100Audited PremiumAudited SurchargesAudited Payroll 31,036.00 21,257.00 16,370,998.00 155,852.01 0.00 958,346.73Subtotal 020-3/19/2021Century 21 Department Stores LLCCentury 21 Department Stores LLCCentury 21 Department Stores LLCAudited PremiumAudited SurchargesAdjusted Premium 1.00000 1.00000 1.9230011100Audited PremiumAudited SurchargesAudited Payroll 36,140.00 24,752.00 19,064,060.00 181,667.99 0.00 1,117,091.27Subtotal Due:TOTAL DUE (TO)/FROM INSURED:Check Remittance:Everest Insurance CoP.O. Box 409872Atlanta, GA 30384-9872Wire Instructions:Bank of AmericaA/C Name: Everest National INS CoA/C# 3752063813ABA# 026009593***We are available for your calls Monday through Friday between the hours of 8:30 AM and5:00 PM EST. Billing/Accounting Questions: Please call 1-877-604-1995Over Night Mailing:Bank of America Lockbox ServicesLockbox 4098726000 Feldwood Road3rd Floor EastCollege Park, GA 30349Premium 155,852.01 21,257.00 958,346.73 1,135,455.74 1,147,450.00- 11,994.26 181,667.99 24,752.00 1,117,091.27 1,323,511.26Paid-to-Date: 412,652.00Subtotal: 910,859.26Total Adjustment: 2,458,967.00Total Paid to Date: 1,560,102.00 898,865.00
20-12097-sccDoc 935-1Filed 05/26/21 Entered 05/26/21 15:53:02Amounts Owed Pg 3 of 3Exhibit A -EVEREST PREMIER INSURANCE COMPANYINVOICE DATE:Agent:14389Alliant Insurance Service333 Hope St Ste 3750Los Angeles CA 90071Due By:Carrier: EVEREST PREMIER INSURANCE COMPANYPolicyEffective DateExpiration 31/2020-3/19/20213/31/2020-3/19/2021Century 21 Department Stores LLCCentury 21 Department Stores LLCCentury 21 Department Stores LLCAudited PremiumAudited SurchargesAdjusted Premium 1.00000 1.00000 1.9230011100Audited PremiumAudited SurchargesAudited Payroll 113,184.00 0.00 35,435,058.00 337,520.00 46,007.00 2,075,438.00TOTAL DUE (TO)/FROM INSURED:Check Remittance:Everest Insurance CoP.O. Box 409872Atlanta, GA 30384-9872Wire Instructions:Bank of AmericaA/C Name: Everest National INS CoA/C# 3752063813ABA# 026009593***We are available for your calls Monday through Friday between the hours of 8:30 AM and5:00 PM EST. Billing/Accounting Questions: Please call 1-877-604-1995Over Night Mailing:Bank of America Lockbox ServicesLockbox 4098726000 Feldwood Road3rd Floor EastCollege Park, GA 30349Premium 337,520.00 46,007.00 2,075,438.00Subtotal Due: 2,458,965.00Total Paid to Date: 1,560,102.00 898,863.00
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 1 of 19Exhibit B{File: 02252172.DOCX / }Exhibit B -
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 2 of 19Exhibit B -POLICYWRITING INDEXACCOUNT NUMBERPOLICY NUMBERPREVIOUS POLICY NUMBEREFFECTIVE DATEEXPIRATION NAMED INSURED CENTURY 21 DEPARTMENT STORESMISCELLANEOUS INFORMATIONOPERATOR I.D.SIC CODETRANSACTION INFORMATIONTRANS. TYPEAUDIT TYPEDATE PROCESSEDTRANS. DATEENDORSEMENT #CANC/ REIN REASONBILLING TYPEPAYMENT PLANMPEGAN5311LINE OF BUSINESS/ COMMISSIONS:LINE OF BUSINESSDIRECT15% DOWN & 9 EQUAL INSTALLMENTSCOMMISSION %WORKERS’ COMPENSATIONTERM PREMIUMBILLED PREMIUMNAMED INSURED MAILING ADDRESSCENTURY 21 DEPARTMENT STORESLLC22 CORTLANDT STNEW YORKFINAL AUDITPHYSICAL05-25-2103-19-21NIL113185-224335AGENT INFORMATIONALLIANT INSURANCE SERVICES333 HOPE ST.STE 3750LOS ANGELES CA 90071NY07094WCPWNDX1ADVANCE COPYCODE14389
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 3 of 19Exhibit B -POLICYWRITING INDEXACCOUNT NUMBERPOLICY NUMBERPREVIOUS POLICY NUMBEREFFECTIVE DATE - EXPIRATION DATERM1WC00023201RM1WC0002319103-31-2020 03-19-2021COMPUTER PRODUCED FORMSAUDIT001402-09 AUDIT SCHEDULEWCPWNDX2ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 tice Pg4 of 19INSURER:EVEREST PREMIER INSURANCE COMPANY477 MARTINSVILLE ROADLIBERTY CORNER, NJ 07938-0830Exhibit B NTU:POLICY NO: RM1WC00023201DATE OF THIS NOTICE: 05-25-21PRODUCER:ALLIANT INSURANCE SERVICES333 HOPE ST.STE 3750LOS ANGELES CA 90071AUDIT TYPE: PHYSICALPOLICY PERIOD: 03-31-2020 TO 03-19-2021AGENT:INSURED:CENTURY 21 DEPARTMENT STORESLLC22 CORTLANDT STNEW YORK NY 07094CALCULATION OF EARNED PREMIUMState of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 03/31/20 TO 09/10/20002AUDFDRIVERS, CHAUFFEURS, MESSENGERSAND THEIR HELPERS NOC - COMMERCIAL7380 05.47 0STORE: CLOTHING, WEARING APPARELOR DRY GOODS-RETAIL8008 233,8961.36 3,181STORE: RETAIL NOC8017 01.56 0SALESPERSONS OR COLLECTORS OUTSIDE8742 0.35 0CLERICAL OFFICE EMPLOYEES NOC.8810 0.17 0Note: THIS IS NOT A BILLPage 1If there is a net balance, either the amount due will be remitted or a bill for the amount owed will be sent.Customer Service: 1-800-551-6501Hours of Operation: Monday thru Friday 8:30 to 4:30ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 5 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.TOTAL CLASS PREMIUMBLANKET WAIVER1.01INCREASE LIMITS1.014LARGE DEDUCTIBLE.228TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.33TOTAL MODIFIED PREMIUMSTANDARD TOTALTERRORISM.01TOTAL ESTIMATED PREMIUMFLORIDA WORKERS’ COMPENSATION INSURANCEGUARANTY ate of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremium 3,1813245-2,4568022651,0671,067231,090 44Experience Modification: 1.33Policy No. RM1WC00023201AUDFPage 2ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 6 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.FINAL TOTALState of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremium 1,134Experience Modification:Policy No. RM1WC00023201AUDFPage 3ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 7 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 09/10/20 TO 03/19/21002DRIVERS, CHAUFFEURS, MESSENGERSAND THEIR HELPERS NOC - COMMERCIAL7380 05.47 0STORE: CLOTHING, WEARING APPARELOR DRY GOODS-RETAIL8008 272,3721.36 3,704STORE: RETAIL NOC8017 01.56 0SALESPERSONS OR COLLECTORS OUTSIDE8742 0.35 0CLERICAL OFFICE EMPLOYEES NOC.8810 0.17 0 3,7043752-2,8599343081,2421,242271,269 51TOTAL CLASS PREMIUMBLANKET WAIVER1.01INCREASE LIMITS1.014LARGE DEDUCTIBLE.228TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.33TOTAL MODIFIED PREMIUMSTANDARD TOTALTERRORISM.01TOTAL ESTIMATED PREMIUMFLORIDA WORKERS’ COMPENSATION INSURANCEGUARANTY perience Modification: 1.33Policy No. RM1WC00023201AUDFPage 4ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 8 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.FINAL TOTALState of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremium 1,320Experience Modification:Policy No. RM1WC00023201AUDFPage 5ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 9 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.State of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremiumFL - STATE SUMMARYTOTAL CLASS PREMIUMBLANKET WAIVER1.01INCREASE LIMITS1.014LARGE DEDUCTIBLE.228TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.33TOTAL MODIFIED PREMIUMSTANDARD TOTALTERRORISM.01TOTAL ESTIMATED PREMIUMFLORIDA WORKERS’ COMPENSATION INSURANCEGUARANTY ASSOCIATIONSURCHARGE1.0109309812966398989740S091 6,8856997-5,3151,7365732,3092,309502,359 95Experience Modification:Policy No. RM1WC00023201AUDFPage 6ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 10 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.FINAL TOTALState of: FLORIDAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremium 2,454Experience Modification:Policy No. RM1WC00023201AUDFPage 7ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 11 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: NEW JERSEYExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 03/31/20 TO 09/10/20001DRIVERS, CHAUFFEURS AND THEIRHELPERS NOC-COMMERCIAL7380 126,00913.55 17,074STORE: CLOTHING, WEARING APPARELOR DRY GOODS-RETAIL8008 4,119,8712.62 107,941STORE: RETAIL NOC8017 03.44 0SALESPERSONS-OUTSIDE8742 0.42 0CLERICAL OFFICE EMPLOYEES NOC8810 3,855,630.18 6,940 ,9762,430 81016,51811,268027,786TOTAL CLASS PREMIUMINCREASE LIMITS1.014TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.577TOTAL MODIFIED PREMIUMSCHEDULE MOD.75STANDARD TOTALLARGE DEDUCTIBLE.0839TERRORISM.03CATASTROPHE (OTHER THAN CERTIFIED ACTSOF TERRORISM).01TOTAL ESTIMATED PREMIUMSECOND INJURY FUND SURCHARGE1.0534UNINSURED EMPLOYERS’ FUND SURCHARGE 1.00FINAL TOTAL61999898988796639740974109350936Experience Modification: 1.577Policy No. RM1WC00023201AUDFPage 8ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 12 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: NEW JERSEYExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 09/10/20 TO 03/19/21001DRIVERS, CHAUFFEURS AND THEIRHELPERS NOC-COMMERCIAL7380 146,73813.55 19,883STORE: CLOTHING, WEARING APPARELOR DRY GOODS-RETAIL8008 4,797,5982.62 125,697STORE: RETAIL NOC8017 03.44 0SALESPERSONS-OUTSIDE8742 0.42 0CLERICAL OFFICE EMPLOYEES NOC8810 4,489,889.18 8,082 ,8262,830 94319,23513,121032,356TOTAL CLASS PREMIUMINCREASE LIMITS1.014TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.577TOTAL MODIFIED PREMIUMSCHEDULE MOD.75STANDARD TOTALLARGE DEDUCTIBLE.0839TERRORISM.03CATASTROPHE (OTHER THAN CERTIFIED ACTSOF TERRORISM).01TOTAL ESTIMATED PREMIUMSECOND INJURY FUND SURCHARGE1.0534UNINSURED EMPLOYERS’ FUND SURCHARGE 1.00FINAL TOTAL61999898988796639740974109350936Experience Modification: 1.577Policy No. RM1WC00023201AUDFPage 9ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 13 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.State of: NEW JERSEYExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremiumNJ - STATE SUMMARYTOTAL CLASS PREMIUMINCREASE LIMITS1.014TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.577TOTAL MODIFIED PREMIUMSCHEDULE MOD.75STANDARD TOTALLARGE DEDUCTIBLE.0839TERRORISM.03CATASTROPHE (OTHER THAN CERTIFIED ACTSOF TERRORISM).01TOTAL ESTIMATED PREMIUMSECOND INJURY FUND SURCHARGE1.0534UNINSURED EMPLOYERS’ FUND SURCHARGE 1.00FINAL TOTAL61999898988796639740974109350936 13,8025,260 1,75335,75324,389060,142Experience Modification:Policy No. RM1WC00023201AUDFPage 10ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 14 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: NEW YORKExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 03/31/20 TO 09/10/20011DRIVERS, AND HELPERS NOC-COMMERCIAL7380 09.98 0STORES: CLOTHING OR WEARINGAPPAREL STORE - RETAIL8008 5,570,9611.03 57,381SALESPERSONS, COLLECTORS ORMESSENGERS-OUTSIDE8742 0.32 0EXECUTIVE OFFICERS NOC-NOTFOREMEN, WORKERS OR SALESPERSONS8809 205,035.21 431CLERICAL OFFICE EMPLOYEES NOC8810 1,912,022.14 2,677 ,843 84612,0339,919021,952TOTAL CLASS PREMIUMBLANKET WAIVER1.02INCREASE LIMITS1.028TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.29TOTAL MODIFIED PREMIUMCONTRACTORS RATING PLAN.00SCHEDULE MOD.95LARGE DEDUCTIBLE.0839STANDARD TOTALTERRORISM - PAYROLL.063CATASTROPHE (OTHER THAN CERTIFIED ACTSOF TERRORISM).011TOTAL ESTIMATED PREMIUMNY STATE ASSESSMENT SURCHARGE1.122WC SECURITY FUND SURCHARGE1.00FINAL TOTALExperience Modification: Policy No. RM1WC00023201AUDFPage 11ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 15 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: NEW YORKExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 09/10/20 TO 03/19/21011DRIVERS, AND HELPERS NOC-COMMERCIAL7380 09.98 0STORES: CLOTHING OR WEARINGAPPAREL STORE - RETAIL8008 6,487,3971.03 66,820SALESPERSONS, COLLECTORS ORMESSENGERS-OUTSIDE8742 0.32 0EXECUTIVE OFFICERS NOC-NOTFOREMEN, WORKERS OR SALESPERSONS8809 238,763.21 501CLERICAL OFFICE EMPLOYEES NOC8810 2,226,553.14 3,117 ,640 98514,01211,550025,562TOTAL CLASS PREMIUMBLANKET WAIVER1.02INCREASE LIMITS1.028TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.29TOTAL MODIFIED PREMIUMCONTRACTORS RATING PLAN.00SCHEDULE MOD.95LARGE DEDUCTIBLE.0839STANDARD TOTALTERRORISM - PAYROLL.063CATASTROPHE (OTHER THAN CERTIFIED ACTSOF TERRORISM).011TOTAL ESTIMATED PREMIUMNY STATE ASSESSMENT SURCHARGE1.122WC SECURITY FUND SURCHARGE1.00FINAL TOTALExperience Modification: Policy No. RM1WC00023201AUDFPage 12ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 16 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.State of: NEW YORKExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremiumNY - STATE SUMMARYTOTAL CLASS PREMIUMBLANKET WAIVER1.02INCREASE LIMITS1.028TOTAL SUBJECT PREMIUMEXPERIENCE PREMIUM1.29TOTAL MODIFIED PREMIUMCONTRACTORS RATING PLAN.00SCHEDULE MOD.95LARGE DEDUCTIBLE.0839STANDARD TOTALTERRORISM - PAYROLL.063CATASTROPHE (OTHER THAN CERTIFIED ACTSOF TERRORISM).011TOTAL ESTIMATED PREMIUMNY STATE ASSESSMENT SURCHARGE1.122WC SECURITY FUND SURCHARGE1.00FINAL TOTALExperience 749 ,73110,483 1,83126,04521,469047,514761944Policy No. RM1WC00023201AUDFPage 13ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 17 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: PENNSYLVANIAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 03/31/20 TO 09/10/20003DEPARTMENT STORE - ALL EMPLOYEESINCLUDING OFFICE.TOTAL CLASS PREMIUMBLANKET WAIVERINCREASE LIMITSTOTAL SUBJECT PREMIUMEXPERIENCE PREMIUMTOTAL MODIFIED PREMIUMSCHEDULE MODIFICATIONSTANDARD TOTALLARGE DEDUCTIBLEEXPENSE CONSTANTTERRORISMCATASTROPHE (OTHER THAN CERTIFIEDOF TERRORISM)TOTAL ESTIMATED PREMIUMEMPLOYER ASSESSMENT (NON-COAL)EMPLOYER ASSESSMENT (COAL)FINAL 09009740.00668ACTS.004461.01831.0183974109380938 347,5741.34 4,657 4,65793654,8152,9187,733-1,9335,800-4,5389423 161,3952601,421Experience Modification: 1.606Policy No. RM1WC00023201AUDFPage 14ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 18 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)State of: PENNSYLVANIAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationClassifications of OperationsCodeNo.EarnedPremiumFROM 09/10/20 TO 03/19/21003DEPARTMENT STORE - ALL EMPLOYEESINCLUDING OFFICE.TOTAL CLASS PREMIUMBLANKET WAIVERINCREASE LIMITSTOTAL SUBJECT PREMIUMEXPERIENCE PREMIUMTOTAL MODIFIED PREMIUMSCHEDULE MODIFICATIONSTANDARD TOTALLARGE DEDUCTIBLEEXPENSE CONSTANTTERRORISMCATASTROPHE (OTHER THAN CERTIFIEDOF TERRORISM)TOTAL ESTIMATED PREMIUMEMPLOYER ASSESSMENT (NON-COAL)EMPLOYER ASSESSMENT (COAL)FINAL 09009740.00668ACTS.004461.01831.0183974109380938 404,7501.34 5,424 5,424108765,6083,3989,006-2,2526,754-5,28410927 181,6243001,654Experience Modification: 1.606Policy No. RM1WC00023201AUDFPage 15ADVANCE COPY
20-12097-sccDoc 935-2 Filed 05/26/21 Entered 05/26/21 15:53:02Premium Adjustment Notice Pg 19 of 19Exhibit B -CALCULATION OF EARNED PREMIUM (Continued)Classifications of OperationsCodeNo.State of: PENNSYLVANIAExposure BasisRateTotal EarnedPer 100 ofAnnualRemunerationRemunerationEarnedPremiumPA - STATE SUMMARYTOTAL CLASS PREMIUMBLANKET WAIVERINCREASE LIMITSTOTAL SUBJECT PREMIUMEXPERIENCE PREMIUMTOTAL MODIFIED PREMIUMSCHEDULE MODIFICATIONSTANDARD TOTALLARGE DEDUCTIBLEEXPENSE CONSTANTTERRORISMCATASTROPHE (OTHER THAN CERTIFIEDOF TERRORISM)TOTAL ESTIMATED PREMIUMEMPLOYER ASSESSMENT (NON-COAL)EMPLOYER ASSESSMENT (COAL)FINAL 09740.00668ACTS.004461.01831.0183974109380938 50 343,0195603,075Experience Modification:Policy No. RM1WC00023201AUDFPage 16ADVANCE COPY
20-12097-sccDoc 935-3Filed 05/26/21 Entered 05/26/21 15:53:02Rating Worksheets Pg 1 of 28Exhibit C{File: 02252172.DOCX / }Exhibit C -
Policy Decisions20-12097-sccDoc 935-3Filed 05/26/21 Entered 05/26/21 15:53:02Rating Worksheets Pg 2 of 28Page 1 of 27Exhibit C -Everest National WCSEverest National Insurance Company477 Martinsville RoadLiberty Corner, NJ 07938Rating WorksheetsNamed Insured:CENTURY 21 DEPARTMENT STORES LDate:05/25/21Special Notes:03/16/20 DEDPolicy Number:Customer ID:System Assign:Business Type:RM1WC00023201Agy/Prod Number:Agy/Prod Name:Operator:14389ALLIANT INSURANCE SERVICEMPEGANInsurance Co.:EVEREST PREMIER INSURANCE COMPANYLine Of Business:Effective Date:Cancel Date:Anniversary Date:Policy Term:Predominant State:Transaction Type:WORKERS COMP (VOLUNTARY)03/31/2003/19/2139050710000000LIMITED LIABILITY COMPANY1 YEARNJFINAL AUDITExpiration Date:Cancel Type:Audit Frequency:03/31/21PRO-RATAANNUALTransaction Sequence:007POLICY PREMIUM TOTALSCoveragesClass PremiumWaiver Of Subrogation PremiumEmployer's Liab PremiumExperience Mod PremiumSchedule Mod PremiumContractors/Construction CreditStandard PremiumLarge Deductible PremiumExpense 478,869.00203.0015,843.003,618.00Estimated Premium67,176.00Taxes and Assessments46,009.00Estimated ges/CoPages/CoIFrameContainer.aspx?URL /PDPag.5/25/2021
Policy Decisions20-12097-sccDoc 935-3Filed 05/26/21 Entered 05/26/21 15:53:02Rating Worksheets Pg 3 of 28Page 2 of 27Exhibit C -Page 1Named Insured: CENTURY 21 DEPARTMENT STORES LCustomer ID:Policy Number: RM1WC00023201Transaction Type: FINAL AUDITTrans Seq: 007TERM STATE TOTALSStateFLNJNYPASplit d 5.001,624.00Taxes aspx?URL /PDPag.5/25/2021
Policy Decisions20-12097-sccDoc 935-3Page 3 of 27Exhibit C -Filed 05/26/21 Entered 05/26/21 15:53:02Rating Worksheets Pg 4 of 28Premium Recap by Rating GroupPage 1Named Insured: CENTURY 21 DEPARTMENT STORES LCustomer ID:Policy Number: RM1WC00023201Transaction Type: FINAL AUDITTrans Seq: 007PREMIUM RECAP BY RATING GROUPState: FLClass Code73808008801787428810Rating Group: 0003-01 601.560.350.17TOTAL CLASS
MOTION OF EVEREST PREMIER INSURANCE COMPANY FOR ALLOWANCE AND PAYMENT OF ADMINISTRATIVE EXPENSE CLAIM Everest Premier Insurance Company (“EPIC”), by and through its counsel, files this . followin
Step 5: Everest Standard Board / Everest Designer Board / Everest Heavy Duty Board shall be screw fixed to the bottom of the Ceiling Section framework with self embedding, self tapping- self drilling Everest Fibre Cement Board screws @ 300 / 200 mm center to center. Joints of the boards shall be staggered for rigidity.
Everest Flex High School 610 Brand Lane Stafford, Texas 77477 Website & Phone Number: www.everest-academy.com 281-261-3030 Email: FlexHS@everest-academy.com idaher@everest-academy.com. Title: Everest Flex Author: Inshirah Daher Created Date:
Schlage Everest full size cylinder service manual 5 Key control Since the late 1960's, patents on keys have been used primarily to prevent unauthorized key duplication. This is the case with Schlage's newest patented Everest 29 families. Both Everest and Everest 29 offer open keyways as well as families with restricted key control.
02250602 everest college - ontario metro proprietary 4 years or more: 88% 40.47: 03195400 everest college torrance proprietary less than 2 years: 69% 34.78: 01287301 everest college west l a proprietary 2 to 3 years: 72% 40.66: 01110700 everest college -anaheim proprietary 2 to 3 years: 73% 30.40: 01112300 everest college -gardena proprietary 2 .
Everest Academy was founded, there were 33 students. Twenty-five years later, the Everest Collegiate High School & Academy campus is home to approximately 500 students! EVEREST PARENT PROGRAM OPENS INFORMATIVE DIALOGUE The Everest Parent Program hosted a special event on February 11 and 12 called "All in God's Plan."
Everest has 6 state-of-art roofing sheet manufacturing plants across the country and a distribution reach to more than 1 lakh villages and 600 towns. Everest is synonymous with roofing in India. Everest Fibre Cement Roofs Everest Fibre Cement Roof is a legacy product of the Company, introduced in 1934. Made with the best quality fibre and cement,
a. the first people who climbed on Mount Everest b. the location of Mount Everest c. the first climbers to reach the top of Mount Everest d. the first time Queen Elizabeth climbed Mount Everest 2. How many years ago did this story take place? _ 3. Read the following sentence from the article and choose the meaning for the underlined word.
Elastic modulus Plastic modulus Buckling parameter Torsional index Warping constant Torsional constant Area of section Designation Serial size Axis Axis Axis Axis
