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Endorsement Endorsement Effective: Policy No.: Named Insured: D. Payroll means the gross pay of your Employees for each Payroll Reporting Period plus other amounts and items earned by your Employees as part of their pay for each Payroll Reporting Period. Payroll also includes: 1. Gross pay plus other amounts and items earned by your officers if covered under this Policy; 2. The contract price for materials and services performed by any individual deemed to be your Employee for liability purposes under the Workers’ Compensation Law, if you do not have Payroll records for this individual; and 3. Assigned Payroll attributed to volunteers for whom you are legally obligated to provide benefits under the Workers’ Compensation Law. Assigned Payroll means: a. For volunteers other than volunteer firefighters and volunteer police officers, the federal minimum hourly wage as of the effective date of this Policy multiplied by the hours worked by the volunteers, unless the work performed by the volunteers is similar to work performed by a paid Employee who is receiving more than the federal minimum hourly wage, in which event the wage reported for the volunteer worker shall be the same as the wage reported for the paid Employee; and b. For volunteer firefighters or volunteer police officers, the greater of $12,500 per year or the same wage as reported for a paid Employee performing similar work shall be included in Payroll for each such volunteer firefighter or volunteer police officer. Duties performed by volunteers shall be assigned to the classification code which the duties would be assigned to if performed by regular Employees. No amount is included in Assigned Payroll for any volunteer worker who is not covered under the Workers’ Compensation Law because Part One of this Policy does not apply with respect to that worker. E. Records. You shall keep records of information needed to compute premium. You shall provide us with copies of those records when we ask for them. F. Audit. Upon our request, you shall let us or our representatives examine and audit all your Payroll records. Payroll records include, but are not limited to, ledgers, journals, registers, vouchers, contracts, tax reports, Payroll and disbursement records, and programs for storing and retrieving data. The audits may be conducted during your regular business hours. Countersigned MIDWEST EMPLOYERS CASUALTY COMPANY Authorized Representative Secretary President This endorsement forms part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein. All other terms and conditions of the Policy remain unchanged. ISI-285 (8-13) Page 2 of 2 Date Printed: Page 45 of 201