EXHIBIT 10.34
ADVICE OF INSURANCE

NUMBER/DATE LAT97-0002A/February 20, 1997

NAMED INSURED OUTSOURCE INTERNATIONAL, INC. et. al.
ADDRESS 1144 E. Newport Center
Deerfield Beach, FL 33442

Attention: Mike McGowan

IN ACCORDANCE WITH YOUR INSTRUCTIONS, WE HAVE ARRANGED INSURANCE ATTACHING FROM
March 1, 1997 AND EXPIRING May 1, 1997

TYPE OF COVERAGE WORKERS COMPENSATION & EMPLOYER'S LIABILITY

Workers' Compensation:
Statutory, all scheduled states
Other States Insurance - all Non-monopolistic states
Employers Liability:
Bodily Injury by Accident - $1,000,000 each accident
Bodily Injury by Disease - $1,000,000 each employee
Bodily Injury by Disease - $1,000,000 policy limit
Terms and Conditions:
Deductible - $250,000 per Accident, $500,000 for USL&H
Retention - $250,000 per Accident, $500,000 for USL&H
Endorsements: Stop Gap - $1,000,000 limit - Monopolistic States
Voluntary Compensation Endorsement - USL&H Endorsement
Alternate Employer Endorsement - 90 Day Notice of Cancellation
90 Day Notice of Non-Renewal Endorsement

INSURANCE COMPANY OF THE STATE OF PA.
Pol. #2177940 All other States, Ex. ME, and Monopolistic States
Pol. #2177944 - AZ, MD, VA; Pol. #2177945 - CA
Pol. #2177946 - ID; Pol. #2177948 - OR

NATIONAL UNION UNION FIRE INSURANCE COMPANY OF PA
Pol. #2177943 - UT, WI
INSURING COMPANY(IES)

COVERAGE IS SUBJECT TO ALL TERMS, CONDITIONS AND EXCLUSIONS OF THE POLICY. THE
POLICY(IES) ARE BEING PREPARED AND WILL BE FORWARDED TO YOU AS SOON AS
POSSIBLE. IMPORTANT IF THERE IS ANY INACCURACY IN THE ABOVE DESCRIPTION OF
INSURANCE REQUIRED, PLEASE ADVISE US IMMEDIATELY.

/s/ GARY MORRIS
-------------------------
Gary Morris
Authorized Representative

[CENTURY FINANCIAL SERVICES LETTERHEAD]

ADVICE OF INSURANCE

NUMBER/DATE LAT97-0002/January 1, 1997

NAMED INSURED OUTSOURCE INTERNATIONAL, INC. et. al.
ADDRESS 1144 E. Newport Center
Deerfield Beach, FL 33442

Attention: Mike McGowan

IN ACCORDANCE WITH YOUR INSTRUCTIONS, WE HAVE ARRANGED INSURANCE ATTACHING FROM
January 1, 1997 AND EXPIRING March 1, 1997
(policies to be issued with January 1, 1998 expirations)

TYPE OF COVERAGE WORKERS COMPENSATION & EMPLOYER'S LIABILITY

Workers' Compensation:
Statutory, all scheduled states
Other States Insurance - all Non-monopolistic states
Employers Liability:
Bodily Injury by Accident - $1,000,000 each accident
Bodily Injury by Disease - $1,000,000 each employee
Bodily Injury by Disease - $1,000,000 policy limit
Terms and Conditions:
Deductible - $250,000 per Accident, $500,000 for USL&H
Retention - $250,000 per Accident, $500,000 for USL&H
Endorsements: Stop Gap - $1,000,000 limit - Monopolistic States
Voluntary Compensation Endorsement - USL&H Endorsement
Alternate Employer Endorsement-90 Day Notice of Cancellation
90 Day Notice of Non-Renewal Endorsement

INSURANCE COMPANY OF THE STATE OF PA.
Pol. #2177940 All other States, Ex. ME, and Monopolistic States
Pol. #2177944 - AZ, MD, VA; Pol. #2177945 - CA
Pol. #2177946 - ID; Pol. #2177948 - OR
NATIONAL UNION UNION FIRE INSURANCE COMPANY OF PA
Pol. #2177943 - UT, WI

INSURING COMPANY(IES)

/s/ GARY H. MORRIS
-------------------------
Gary H. Morris
Authorized Representative

[CENTURY FINANCIAL SERVICES LETTERHEAD]

NOTICE OF PREMIUM DUE [LOGO] Member Companies of
This premium is due and payable to the American International Group
company 15 days from the date of this
bill or 30 days from inceptionof the
contract, whichever is later. Additional
installments are due and payable on the FOR INSURANCE IN FAVOR OF:
indicated due date. If the payment is not
received within the time stipulated this
policy will be cancelled. OUTSOURCE INTERNATIONAL, INC.
8000 NORTH FEDERAL HIGHWAY
ISSUING COMPANY: BOCA RATON FL 33487-0000

INS CO OF THE STATE OF PENN

PRODUCER:

PRODUCER NUMBER: BILLING DATE:
CENTURY FINANCIAL SERVICES
185 N W SPANISH RIVER BLVD. 170 49565 04/10/97
BOCA RATON FL 33481-1088

POLICY NUMBER POLICY PERIOD COMM. RATE PREMIUM DUE
- --------------------------------------------------------------------------------
FROM TO
WC 217-79-40 01/01/97 01/01/98 0.00000 $2,562,180
- --------------------------------------------------------------------------------
STATE(S) SURCHARGE/TAX 0 $10,589
PAYMENT SCHEDULE: --------------------------------------------------------------

PREPAID DUE & PAYABLE
INSTALLMENT DATE DATE AMOUNT DUE
01/01/97 04/26/97 $2,572,729

[LOGO] REMIT TO:

AMERICAN INTERNATIONAL COMPANIES
AMERICAN INTERNATIONAL COMPANIES
P.O. BOX 10642 TOTAL PREMIUM: $2,572,729
NEWARK, N.J. 07193-0842

INSURED'S COPY

DATE: 04/11/97 POLICY NUMBER: 217-79-40

UNDERWRITER NAME: ROBERT WINDHAM

UNDERWRITER REGION: ATLANTA

UNDERWRITER BRANCH: MIAMI

UNDERWRITER TELEPHONE: (770) 671-2396 EXT:

FILE COPY

FSI

EPS TRACKING-ID: 0021779409022920 ANY1410D

ISSUED BY THE STOCK INSURANCE COMPANY
HEREIN CALLED THE COMPANY AGENT NUMBER POLICY NUMBER

THE INSURANCE COMPANY OF THE
STATE OF PENNSYLVANIA 13889 49565 RM WC 217-79-40

INCORPORATED UNDER THE LAWS OF PENNSYLVANIA
ITEM 1. NAMED INSURED: MAILING ADDRESS IDENTIFICATION NO.

OUTSOURCE INTERNATIONAL, INC. [LOGO] Member Companies of
8000 NORTH FEDERAL HIGHWAY American International Group

BOCA RATON FL 33487-0000 EXECUTIVE OFFICES:
70 PINE STREET, NEW YORK, N.Y. 10270
I.D.# 917-356254
PRODUCERS NAME & MAILING ADDRESS
WORKERS COMPENSATION AND
EMPLOYERS LIABILITY POLICY CENTURY FINANCIAL SERVICES
INFORMATION PAGE 185 N W SPANISH RIVER BLVD 170
POB 811088
BOCA RATON FL 33481-1088
- --------------------------------------------------------------------------------
INSURED IS CORPORATION PREVIOUS POLICY NUMBER
RMWC 2117626 (RENEWAL)
- --------------------------------------------------------------------------------
OTHER WORKPLACES NOT SHOWN ABOVE
- --------------------------------------------------------------------------------
ITEM 2 POLICY PERIOD 12:01 A.M. STANDARD TIME AT THE INSURED'S MAILING
ADDRESS FROM 01/01/97 TO 01/01/98
- --------------------------------------------------------------------------------

ITEM 3 A. WORKERS COMPENSATION INSURANCE: PART ONE OF THE POLICY APPLIES TO
WORKERS COMPENSATION LAW OF THE STATES LISTED HERE:
AK AL AR CT DC FL GA IA IL IN KY LA MA MI MN MO MS
NC NE NH NJ NM NY PA SC SD TN TX
-------------------------------------------------------------------------
B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE POLICY APPLIES TO THE
WORK IN EACH STATE LISTED IN ITEM 3.A.
THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE:

BODILY INJURY BY ACCIDENT $1,000,000 EACH ACCIDENT

BODILY INJURY BY DISEASE $1,000,000 POLICY LIMIT

BODILY INJURY BY DISEASE $1,000,000 EACH EMPLOYEE
-------------------------------------------------------------------------
C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO THE
STATES, IF ANY, LISTED HERE:
ALL STATES EXCEPT AZ CA ID ME MD NV ND OH OR UT VA WA WV WI WY
- --------------------------------------------------------------------------------
ITEM 4 THE PREMIUM FOR THIS POLICY WILL BE DETERMINED BY OUR MANUALS OF RULES,
CLASSIFICATIONS, RATES AND RATING PLANS.
ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE
BY AUDIT.
-------------------------------------------------------------------------
ESTIMATED TOTAL RATE PER ESTIMATED
CLASSIFICATIONS CODE NUMBER REMUNERATION $100 OF RE- PREMIUM
[X]ANNUAL [ ]3 YEAR NUMERATION [X]ANNUAL [ ]3 YEAR
- --------------------------------------------------------------------------------

SEE ATTACHED SCHEDULES
TAXES/ASSESSSMENTS/SURCHARGES $10,569
SEE EXTENSION OF INFORMATION PAGE

- --------------------------------------------------------------------------------
EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $190 MA
- --------------------------------------------------------------------------------
MINIMUM PREMIUM $1,725 PA TOTAL ESTIMATED PREMIUM $2,562,160
- --------------------------------------------------------------------------------
Indicated below, interim adjustments of premium shall be made:
[ ]Semi-Annually [ ]Quarterly [ ]Monthly DEPOSIT PREMIUM 2,562,160
- --------------------------------------------------------------------------------
ENDORSEMENTS (FORM NUMBER)

SEE ATTACHED SCHEDULE

- --------------------------------------------------------------------------------

04/10/97 ATLANTA 07
- -------------------------------------------------
ISSUE DATE PRINT DATE: 04/11/97 ISSUING OFFICE

----------------------------------------
9967 AUTHORIZED REPRESENTATIVE WC 00 00 01

INSURED'S COPY

FORMS SCHEDULE

Policy Number: RM WC 217-79-40 Effective Date: 01/01/97

- --------------------------------------------------------------------------------

53365WC SOLICITATION COMMENTS POL/HLDR
53690WC TEXAS NOTICE
WC7738 NOTE POL/HOLDRS ACC PREV SERVS
WC000000A TERMS & CONDITIONS

WC000101A DEFENSE BASE ACT COVERAGE ENDT
WC000106A USL&H WC ACT COVERAGE END.
WC000301A ALTERNATE EMPLOYER ENDORSEMENT
WC000311A VOL COMP & EL COVERAGE ENDT
WC000403 EXPERIENCE RATING MOD FACTOR
WC000414 NOTIFICATION OF CHG OWNERSHIP
WC53138 LOSS REIMBURSEMENT ENDORSEMENT
WC540002 ALASKA SURCHARGE
WC540301 AK LIMIT OF LIABILITY ENDT
WC540601 NOTICE OF INSTALLMENT OF OPT ENDT
LWNAKNOTE AK NOTICE TO EMPLOYEES
LWNALASKA AK YOU AND YOUR POLICY
59471WC AR NOTICE TO POLICYHOLDERS
WC030601A ARKANSAS AMENDATORY ENDT
LWNINPHA AR NOTICE TO POLICYHOLDERS
WC060301 CT-APPLICATION OF WC INS
WC060303A WC FUNDS COVERAGE ENDT.
WC060303B CONNECTICUT WC FUNDS ENDT.
WC060501 RETRO PREM SUPPLEM END-CT
LWNNPAH NOT POL/HOLDER AMERICAN HO INS
WC080601 DC-CANCELLATION
WC090402 FL EXPERIENCE RATING MOD ENDT
WC100601A GA CANCEL. NONREN CHANGE ENDT
WC120601B IL MANDATORY ENDORSEMENT
62958WC IN NOTICE TO POLICYHOLDERS
LWNINPOL NOTICE TO POLICYHOLDERS
60713WC KY ADDENDUM TO APPLICATION
WC000292 TAX AND ASSESSMENT-KENTUCKY
WC170302 PUNITIVE DAMAGES ENDT.
WC170601 LOUISIANA AMENDATORY ENDT
WC170602A LA COST CONTAINMENT ACT ENDT.
WC200301 MA-LIMITS OF LIABILITY
WC200302 MA-ASSESSMENT CHARGE
WC200303A NOTICE TO POLICYHOLDER ENDT
WC200601 MA CANCELLATION ENDORSEMENT
WC210303 MI-NOTICE TO POLICYHOLDER
WC210601 MI-LAW
WC220601A MN CANCELLATION AND RENEWAL EN
LWNMNIGA INSURANCE GUARANTY ASSOCIATION
WC240301 MO-LIMIT OF LIABILITY
WC240403 MO SAFETY CERTIFICATION ENDT.
WC240501 RETRO PREM SUPPLEM END-MO
WC240601A MISSOURI CANC/NONREW ENDT
WC240602A PROPERTY CASUALTY GUARANTY ASS
WC63612 NOTICE TO POLICYHOLDER

LW0418
(ED. 1-92) INSURED'S COPY

FORMS SCHEDULE

Policy Number: RM WC 217-79-40 Effective Date: 01/01/97

- --------------------------------------------------------------------------------

WC320301A NC AMENDED COVERAGE ENDT
WC260601A NE CANCELLATION ENDORSEMENT
WC280601 NH-SOLE REPRESENTATIVE
WC280604 NH AMENDATORY ENDORSEMENT
WC290301 NJ-PART TWO LIMIT OF LIABILITY
LWNNJSIF NEW JERSEY SECOND INJURY FUND
LWNNJUFEF NJ UNINSURED EMPLOY FUND SUR
WC300302 NM-SAFETY DEVICE EXCLUSION
WC300601 CANCELLATION & NONRENEWAL ENDT
WC310308 NY-LIMIT OF LIABILITY
WC62942 NOT POLICYHOLDER NY CHANGE ASS
59472WC PA NOTICE TO POLICYHOLDERS
WC370601 INSPECTION MANUALS-PA
WC370602 PA-NOTICE
WC370603 PA ACT 86-1986 ENDORSEMENT
WC400601 SD-DIRECT ACTION STATUTE
WC58978 SD NOTICE TO THE INSURED
WC420301D TEXAS AMENDATORY ENDORSEMENT
WC420306 MAINTENANCE TAX SURCHARGE END.
WC420403 TX-EXP RATING MOD FACTOR
LWNTXDED DED NOT/ELEC TO ACC TX WC BENE
WC880001 ST OF ME EXCEL
64478(7/96) LARGE RISK RATING PLAN

LW0418
(ED. 1-92) INSURED'S COPY

WORKERS COMPENSATION AND EMPLOYERS LIABILITY

INSURANCE POLICY

National Union Fire Insurance
Company of Pittsburgh, Pa. [LOGO]

American Home Assurance Company Member Companies of
American International Group, Inc.
The Insurance Company of EXECUTIVE OFFICES
The State of Pennsylvania 70 PINE STREET
NEW YORK, N.Y. 10270
Birmingham Fire Insurance Company
of Pennsylvania

Commerce and Industry
Insurance Company

Coverage is provided by the Company designated on the Information Page
A Stock Insurance Company

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY
QUICK REFERENCE

BEGINNING ON
PAGE

Information Page..........................................................i

GENERAL SECTION...........................................................1

A. The Policy........................................................1

B. Who Is Insured....................................................1

C. Workers Compensation Law..........................................1

D. State.............................................................1

E. Locations.........................................................1

PART ONE-WORKERS COMPENSATION INSURANCE...................................1

A. How This Insurance Applies........................................1

B. We Will Pay.......................................................1

C. We Will Defend....................................................1

D. We Will Also Pay..................................................1

E. Other Insurance...................................................2

F. Payments You Must Make............................................2

G. Recovery From Others..............................................2

H. Statutory Provisions..............................................2

THESE POLICY PROVISIONS WITH THE INFORMATION PAGE AND ENDORSEMENTS,
IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THIS POLICY.

"INCLUDES COPYRIGHT MATERIAL OF THE NATIONAL COUNCIL ON COMPENSATION
INSURANCE, USED WITH ITS PERMISSION.

39638C(04/92) WC 00 00 00 A (STANDARD)
INSURED'S COPY ED 4 O2

QUICK REFERENCE - CONTINUED

BEGINNING ON
PAGE

PART TWO - EMPLOYERS LIABILITY INSURANCE..................................2

A. How this Insurance Applies........................................2

B. We Will Pay.......................................................3

C. Exclusions........................................................3

D. We Will Defend....................................................3

E. We Will Also Pay..................................................4

F. Other Insurance...................................................4

G. Limits of Liability...............................................4

H. Recovery From Others..............................................4

I. Action Against Us.................................................4

PART THREE - OTHER STATES INSURANCE.......................................4

A. How this Insurance Applies........................................4

B. Notice............................................................5

PART FOUR - YOUR DUTIES IF INJURY OCCURS..................................5

PART FIVE - PREMIUM.......................................................5

A. Our Manuals.......................................................5

B. Classifications...................................................5

C. Renumeration......................................................5

D. Premium Payments..................................................5

E. Final Premium.....................................................5

F. Records...........................................................6

G. Audit.............................................................6

PART SIX - CONDITIONS.....................................................6

A. Inspection........................................................6

B. Lont Term Policy..................................................6

C. Transfer of Your Rights and Duties................................6

D. Cancellation......................................................6

E. Sole Representative...............................................6

IMPORTANT: This Quick Reference is NOT part of the Workers Compensation and
Employers Liability Policy and does NOT provide coverage. Refer to the Workers
Compensation and Employers Liability Policy itself for actual contractual
provisions.

PLEASE READ THE WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CAREFULLY

INSURED'S COPY

ATTACH FORM AND ENDORSEMENTS (IF ANY) HERE

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

In return for the payment of the premium and subject to all terms of this
policy, we agree with you as follows.

GENERAL SECTION

A. THE POLICY

This policy includes at its effective date the Information Page and all
endorsements and schedules listed there. It is a contract of insurance
between you (the employer named in Item 1 of the Information Page) and us
(the insurer named on the Information Page). The only agreements relating
to this insurance are stated in this policy. The terms of this policy may
not be changed or waived except by endorsement issued by us to be part of
this policy.

B. WHO IS INSURED

You are insured if you are an employer named in Item 1 of the Information
Page. If that employer is a partnership, and if you are one of its
partners, you are insured, but only in your capacity as an employer of the
partnership's employees.

C. WORKERS COMPENSATION LAW

Workers Compensation Law means the workers or workmen's compensation law
and occupational disease law of each state or territory named in Item 3.A.
of the Information Page. It includes any amendments to that law which are
in effect during the policy period. It does not include any federal workers
or workmen's compensation law, any federal occupational disease law or the
provisions of any law that provide nonoccupational disability benefits.

D. STATE

State means any state of the United States of America, and the District of
Columbia.

E. LOCATIONS

This policy covers all of your workplaces listed in Items 1 or 4 of the
Information Page; and it covers all other workplaces in Item 3.A states
unless you have other insurance or are self-insured for such workplaces.

PART ONE - WORKERS COMPENSATION INSURANCE

A. HOW THIS INSURANCE APPLIES

This workers compensation insurance applies to bodily injury by accident or
bodily injury by disease. Bodily injury includes resulting death.

1. Bodily injury by accident must occur during the policy period.

2. Bodily injury by disease must be caused or aggravated by the conditions
of your employment. The employee's last day of last exposure to the
conditions causing or aggravating such bodily injury by disease must
occur during the policy period.

B. WE WILL PAY

We will pay promptly when due the benefits required of you by the workers
compensation law.

C. WE WILL DEFEND

We have the right and duty to defend at our expense any claim, proceeding
or suit against you for benefits payable by this insurance. We have the
right to investigate and settle these claims, proceedings or suits.

We have no duty to defend a claim, proceeding or suit that is not covered
by this insurance.

D. WE WILL ALSO PAY

We will also pay these costs, in addition to other amounts payable under
this insurance, as part of any claim, proceeding or suit we defend:

1. reasonable expenses incurred at our request, but not loss of earnings;

2. premiums for bonds to release attachments and for appeal bonds in bond
amounts up to the amount payable under this insurance;

WC 00 00 00 A

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INSURED'S COPY

3. litigation costs taxed against you;

4. interest on a judgment as required by law until we offer the amount due
under this insurance; and

5. expenses we incur.

E. OTHER INSURANCE

We will not pay more than our share of benefits and costs covered by this
insurance and other insurance or self-insurance. Subject to any limits of
liability that may apply, all shares will be equal until the loss is paid.
If any insurance or self-insurance is exhausted, the shares of all
remaining insurance will be equal until the loss is paid.

F. PAYMENTS YOU MUST MAKE

You are responsible for any payments in excess of the benefits regularly
provided by the workers compensation law including those required because:

1. of your serious and willful misconduct;

2. you knowingly employ an employee in violation of law;

3. you fail to comply with a health or safety law or regulation; or

4. you discharge, coerce or otherwise discriminate against any employee in
violation of the workers compensation law.

If we make any payments in excess of the benefits regularly provided by the
workers compensation law on your behalf, you will reimburse us promptly.

G. RECOVERY FROM OTHERS

We have your rights, and the rights of persons entitled to the benefits of
this insurance, to recover our payments from anyone liable for the injury.
You will do everything necessary to protect those rights for us and to help
us enforce them.

H. STATUTORY PROVISIONS

These statements apply where they are required by law.

1. As between an injured worker and us, we have notice of the injury when
you have notice.

2. Your default or the bankruptcy or insolvency of you or your estate will
not relieve us of our duties under this insurance after an injury
occurs.

3. We are directly and primarily liable to any person entitled to the
benefits payable by this insurance. Those persons may enforce our
duties; so may an agency authorized by law. Enforcement may be against
us or against you and us.

4. Jurisdiction over you is jurisdiction over us for purposes of the
workers compensation law. We are bound by decisions against you under
that law, subject to the provisions of this policy that are not in
conflict with that law.

5. This insurance conforms to the parts of the workers compensation law
that apply to:

a. benefits payable by this insurance or;

b. special taxes, payments into security or other special funds, and
assessments payable by us under that law.

6. Terms of this insurance that conflict with the workers compensation law
are changed by this statement to conform to that law.

Nothing in these paragraphs relieves you of your duties under this policy.

PART TWO - EMPLOYERS LIABILITY INSURANCE

A. HOW THIS INSURANCE APPLIES

This employers liability insurance applies to bodily injury by accident or
bodily injury by disease. Bodily injury includes resulting death.

1. The bodily injury must arise out of and in the course of the injured
employee's employment by you.

2. The employment must be necessary or incidental to your work in a state
or territory listed in Item 3.A. of the Information Page.

3. Bodily injury by accident must occur during the policy period.

4. Bodily injury by disease must be caused or aggravated by the conditions
of your employment. The employee's last day of last exposure to the
conditions causing or aggravating such bodily injury by disease must
occur during the policy period.

5. If you are sued, the original suit and any related legal actions for
damages for bodily injury

WC 00 00 00 A

2 of 7
INSURED'S COPY

by accident or by disease must be brought in the United States of America,
its territories or possessions, or Canada.

B. WE WILL PAY

We will pay all sums you legally must pay as damages because of bodily
injury to your employees, provided the bodily injury is covered by this
Employers Liability Insurance.

The damages we will pay, where recovery is permitted by law, include
damages:

1. for which you are liable to a third party by reason of a claim or suit
against you by that third party to recover the damages claimed against
such third party as a result of injury to your employee;

2. for care and loss of services; and

3. for consequential bodily injury to a spouse, child, parent, brother or
sister of the injured employee;

provided that these damages are the direct consequence of bodily injury
that arises out of and in the course of the injured employee's employment
by you; and

4. because of bodily injury to your employee that arises out of and in the
course of employment, claimed against you in a capacity other than as
employer.

C. EXCLUSIONS

This insurance does not cover:

1. liability assumed under a contract. This exclusion does not apply to a
warranty that your work will be done in a workmanlike manner;

2. punitive or exemplary damages because of bodily injury to an employee
employed in violation of law;

3. bodily injury to an employee while employed in violation of law with
your actual knowledge or the actual knowledge of any of your executive
officers;

4. any obligation imposed by a workers compensation, occupational disease,
unemployment compensation, or disability benefits law, or any similar
law;

5. bodily injury intentionally caused or aggravated by you;

6. bodily injury occurring outside the United States of America, its
territories or possessions, and Canada. This exclusion does not apply to
bodily injury to a citizen or resident of the United States of America
or Canada who is temporarily outside these countries;

7. damages arising out of coercion, criticism, demotion, evaluation,
reassignment, discipline, defamation, harassment, humiliation,
discrimination against or termination of any employee, or any personnel
practices, policies, acts or omissions.

8. bodily injury to any person in work subject to the Longshore and Harbor
Workers' Compensation Act (33 USC Sections 901-950), the Nonappropriated
Fund Instrumentalities Act (5 USC Sections 8171-8173), the Outer
Continental Shelf Lands Act (43 USC Sections 1331-1356), the Defense
Base Act (42 USC Sections 1651-1654), the Federal Coal Mine Health and
Safety Act of 1969 (30 USC Sections 901-942), any other federal workers
or workmen's compensation law or other federal occupational disease law,
or any amendments to these laws.

9. bodily injury to any person in work subject to the Federal Employers'
Liability Act (45 USC Sections 51-60), any other federal laws obligating
an employer to pay damages to an employee due to bodily injury arising
out of or in the course of employment, or any amendments to those laws.

10. bodily injury to a master or member of the crew of any vessel.

11. fines or penalties imposed for violation of federal or state law.

12. damages payable under the Migrant and Seasonal Agricultural Worker
Protection Act (29 USC Sections 1801-1872) and under any other federal
law awarding damages for violation of those laws or regulations issued
thereunder, and any amendments to those laws.

D. WE WILL DEFEND

We have the right and duty to defend, at our expense, any claim, proceeding
or suit against you for damages payable by this insurance. We have the
right to investigate and settle these claims, proceedings and suits.

WC 00 00 00 A

3 of 7
INSURED'S COPY

We have no duty to defend a claim, proceeding or suit that is not covered
by this insurance. We hav no duty to defend or continue defending after we
have paid our applicable limit of liability under this insurance.

E. WE WILL ALSO PAY

We will also pay these costs, in addition to other amounts payable under
this insurance, as part of any claim proceeding, or suit we defend;

1. reasonable expenses incurred at our request; but not loss of earnings;

2. premiums for bonds to release attachments and for appeal bonds in bond
amounts up to the limit of our liability under this insurance;

3. litigation costs taxed against you;

4. interest on a judgment as required by law until we offer the amount due
under this insurance; and

5. expenses we incur.

F. OTHER INSURANCE

We will not pay more than our share of damages and costs covered by this
insurance and other insurance or self-insurance. Subject to any limits of
liability that apply, all shares will be equal until the loss is paid. If
any insurance or self-insurance is exhausted, the shares of all remaining
insurance and self-insurance will be equal until the loss is paid.

G. LIMITS OF LIABILITY

Our liability to pay for damages is limited. Our limits of liability are
shown in Item 3.B. of the Information Page. They apply as explained below.

1. Bodily Injury by Accident. The limit shown for "bodily injury by
accident-each accident" is the most we will pay for all damages covered
by this insurance because of bodily injury to one or more employees in
any one accident. A disease is not bodily injury by accident unless it
results directly from bodily injury by accident.

2. Bodily Injury by Disease. The limit shown for "bodily injury by
disease-policy limit" is the most we will pay for all damages covered by
this insurance and arising out of bodily injury by disease, regardless
of the number of employees who sustain bodily injury by disease. The
limit shown for "bodily injury by disease each employee" is the most we
will pay for all damages because of bodily injury by disease to any one
employee.

Bodily injury by disease does not include disease that results directly
from a bodily injury by accident.

3. We will not pay any claims for damages after we have paid the applicable
limit of our liability under this insurance.

H. RECOVERY FROM OTHERS

We have your rights to recover our payment from anyone liable for an injury
covered by this insurance. You will do everything necessary to protect
those rights for us and to help us enforce them.

I. ACTIONS AGAINST US

There will be no right of action against us under this insurance unless:

1. You have complied with all the terms of this policy; and

2. The amount you owe has been determined with our consent or by actual
trial and final judgment.

This insurance does not give anyone the right to add us as a defendant in
an action against you to determine your liability. The bankruptcy or
insolvency of you or your estate will not relieve us of our obligations
under this Part.

PART THREE - OTHER STATES INSURANCE

A. HOW THIS INSURANCE APPLIES

1. This other states insurance applies only if one or more states are shown
in Item 3.C. of the Information Page.

2. If you begin work in any one of those states after the effective date of
this policy and are not insured or are not self-insured for such work,
all provisions of the policy will apply as though that state were listed
in Item 3.A. of the Information Page.

3. We will reimburse you for the benefits required by the workers
compensation law of that state if we are not permitted to pay the
benefits directly to persons entitled to them.

4. If you have work on the effective date of this policy in any state not
listed in Item 3.A. of the

WC 00 00 00 A

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Information Page, coverage will not be afforded for that state unless we
are notified within thirty days.

B. NOTICE

Tell us at once if you begin work in any state listed in Item 3.C. of the
Information Page.

PART FOUR - YOUR DUTIES IF INJURY OCCURS

Tell us at once if injury occurs that may be covered by this policy. Your
other duties are listed here.

1. Provide for immediate medical and other services required by the workers
compensation law.

2. Give us or our agent the names and addresses of the injured persons and
of witnesses, and other information we may need.

3. Promptly give us all notices, demands and legal papers related to the
injury, claim, proceeding or suit.

4. Cooperate with us and assist us, as we may request, in the
investigation, settlement or defense of any claim, proceeding or suit.

5. Do nothing after an injury occurs that would interfere with our right to
recover from others.

6. Do not voluntarily make payments, assume obligations or incur expenses,
except at your own cost.

PART FIVE - PREMIUM

A. OUR MANUALS

All premium for this policy will be determined by our manuals of rules,
rates, rating plans and classifications. We may change our manuals and
apply the changes to this policy if authorized by law or a governmental
agency regulating this insurance.

B. CLASSIFICATIONS

Item 4 of the Information Page shows the rate and premium basis for certain
business or work classifications. These classifications were assigned based
on an estimate of the exposures you would have during the policy period. If
your actual exposures are not properly described by those classifications,
we will assign proper classifications, rates and premium basis by
endorsement to this policy.

C. REMUNERATION

Premium for each work classification is determined by multiplying a rate
times a premium basis. Remuneration is the most common premium basis. This
premium basis includes payroll and all other remuneration paid or payable
during the policy period for the services of:

1. All your officers and employees engaged in work covered by this policy;
and

2. All other persons engaged in work that could make us liable under Part
One (Workers Compensation Insurance) of this policy. If you do not have
payroll records for these persons, the contract price for their services
and materials may be used as the premium basis. This paragraph 2 will
not apply if you give us proof that the employers of these persons
lawfully secured their workers compensation obligations.

D. PREMIUM PAYMENTS

You will pay all premium when due. You will pay the premium even if part or
all of a workers compensation law is not valid.

E. FINAL PREMIUM

The premium shown on the Information Page, schedules, and endorsements is
an estimate. The final premium will be determined after this policy ends by
using the actual, not the estimated, premium basis and the proper
classifications and rates that lawfully apply to the business and work
covered by this policy. If the final premium is more than the premium you
paid to us, you must pay us the balance. If it is less, we will refund the
balance to you. The final premium will not be less than the highest minimum
premium for the classifications covered by this policy.

If this policy is canceled, final premium will be determined in the
following way unless our manuals provide otherwise.

1. If we cancel, final premium will be calculated pro rata based on the
time this policy was in force. Final premium will not be less than the
pro rate share of the minimum premium.

2. If you cancel, final premium will be more than pro rata; it will be
based on the time this policy was in force, and increased by our short
rate

WC 00 00 00 A

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cancellation table and procedure. Final premium will not be less than the
minimum premium.

F. RECORDS

You will keep records of information needed to compute premium. You will
provide us with copie of those records when we ask for them.

G. AUDIT

You will let us examine and audit all your records that relate to this
policy. These records include ledgers, journals, registers, vouchers,
contracts, tax reports, payroll and disbursement records, and programs for
storing and retrieving data. We may conduct the audits during regular
business hours during the policy period and within three years after the
policy period ends. Information developed by audit will be used to
determine final premium. Insurance rate service organizations have the same
rights we have under this provision.

PART SIX - CONDITIONS

A. INSPECTION

We have the right, but are not obliged to inspect your workplaces at any
time. Our inspections are not safety inspections. They relate only to the
insurability of the workplaces and the premiums to be charged. We may give
you reports on the conditions we find. We may also recommend changes. While
they may help reduce losses, we do not undertake to perform the duty of any
person to provide for the health or safety of your employees or the public.
We do not warrant that your workplaces are safe or healthful or that they
comply with laws, regulations, codes or standards. Insurance rate service
organizations have the same rights we have under this provision.

B. LONG TERM POLICY

If the policy period is longer than one year and sixteen days, all
provisions of this policy will apply as though a new policy were issued on
each annual anniversary that this policy is in force.

C. TRANSFER OF YOUR RIGHTS AND DUTIES

Your rights or duties under this policy may not be transferred without our
written consent.

If you die and we receive notice within thirty days after your death, we
will cover your legal representative as insured.

D. CANCELLATION

1. You may cancel this policy. You must mail or deliver advance written
notice to us stating when the cancellation is to take effect.

2. We may cancel this policy. We must mail or deliver to you not less than
ten days advance written notice stating when the cancellation is to take
effect. Mailing that notice to you at your mailing address shown in Item
1 of the Information Page will be sufficient to prove notice.

3. The policy period will end on the day and hour stated in the
cancellation notice.

4. Any of these provisions that conflicts with a law that controls the
cancellation of the insurance in this policy is changed by this
statement to comply with that law.

E. SOLE REPRESENTATIVE

The insured first named in Item 1 of the Information Page will act on
behalf of all insureds to change this policy, receive return premium, and
give or receive notice of cancellation.

WC 00 00 00 A

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In WITNESS WHEREOF, the company has caused this policy unless countersigned by a
duly authorized representative of the company.

/s/ WILLIAM D. SMITH /s/ [ILLEGIBLE]
-------------------- ---------------
William D. Smith

President President
The Insurance Company National Union Fire
of The State of Pennsylvania Insurance Company of
Birmingham Fire Insurance Pittsburgh, PA
Company of Pennsylvania

/s/ WALTER L. MOONEY /s/ [ILLEGIBLE]
-------------------- ---------------
Walter L. Mooney

President President
Commerce and Industry American Home
Insurance Company Assurance Company

/s/ ELIZABETH M. TUCK
---------------------
Elizabeth M. Tuck

Secretary
National Union Fire Insurance Company of Pittsburgh, PA
American Home Assurance Company
The Insurance Company of The State of Pennsylvania
Birmingham Fire Insurance Company of Pennsylvania
Commerce and Industry Insurance Company

WC 00 00 00 A

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STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ALASKA -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- ------------------------------------------------------------------------------------------------------------------------
ENTRIES IN THIS ITEM, EXCEPT AS CODE ESTIMATED TOTAL PER $100 OF ESTIMATED
SPECIFICALLY PROVIDED ELSEWHERE IN NO. ANNUAL RENUMERATION RENUMBERATION ANNUAL PREMIUM
THIS POLICY, DO NOT MODIFY ANY OF
THE OTHER PROVISIONS OF THIS POLICY.

SYNADYNE I

JOBSITE ONLY
ANCHORAGE, AK 99501

CLERICAL OFFICE EMPLOYEES NOC 8810 781,737 0.58 4,534

UNMODIFIED PREMIUM 4,534
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 150
TOTAL UNMODIFIED PREMIUM 4,684
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 984
SCHEDULE MODIFICATION 25% 9887 - 925
MODIFIED STANDARD PREMIUM 2,775
LOSS REIMBURSEMENT $250,000 9862 - 1,318
UNDISCOUNTED PREMIUM 1,457
TOTAL ESTIMATED ANNUAL PREMIUM 1,457

TOTAL DUE 1,457

WC 7754 (Ed. 4-81)

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RM WC 217-79-40 ALABAMA -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
BIRMINGHAM, AL 35201

STORE: RETAIL NOC 8017 17,200 2.37 408

CLERICAL OFFICE EMPLOYEES NOC 8810 813,800 0.37 3,011

UNMODIFIED PREMIUM 3,419
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 113
LOSS REIMBURSEMENT $250,000 9962 - 1,961
TOTAL UNMODIFIED PREMIUM 1,571
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 330
SCHEDULE MODIFICATION 15% 9887 - 186
MODIFIED STANDARD PREMIUM 1,055
DISCOUNTED PREMIUM 1,055
TOTAL ESTIMATED ANNUAL PREMIUM 1,055

TOTAL DUE 1,055

WC7754 (Ed. 4-81)

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RM WC 217-79-40 ARKANSAS -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, AR 99999

FEED MFG. 2014 24,500 7.37 1,806

CREAMERY OR DAIRY & ROUTE 2070 1,200 3.74 45
SUPERVISORS, DRIVERS

PACKAGING HOUSE - ALL OPERATIONS NPD 2089 50 7.59 4

BOTTLING NOC & ROUTE SUPERVISORS, 2157 18,700 3.76 703
DRIVERS

CLOTHING MFG. 2501 4,700 2.97 140

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 4,200 4.56 192
SALESMEN, DRIVERS

PIPE OR TUBE MFG. - IRON OR STEEL - NOT 3028 1,000 5.15 52
CAST IRON - & DRIVERS

SHEET METAL WORK - SHOP 3066 700 4.54 32

METAL STAMPING MFG 3400 4,100 4.68 192
APPLICABLE TO MASS PRODUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT LIMITED
TO, LICENSE PLATES, TAGS, TOYS, PIE
PLATES, BUCKETS AND WASTE BASKETS.

MILLWRIGHT WORK NOC & DRIVERS 3724 600 7.16 43

AUTOMOBILE, BUS, TRUCK, OR TRAILER 3824 1,100 7.85 86
BODY MFG: NOC

CONCRETE PRODUCTS MFG. & DRIVERS 4034 2,100 9.46 199

BOOKBINDING 4307 150 2.80 4

BIOGRAPH RECORD MFG 4431 5,200 2.78 145

WC 7754 (Ed. 4-81)

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- ------------------------------------------------------------------------------------------------------------------------

PLASTICS MFG: FABRICATED PRODUCTS NOC 4452 300 2.70 8

RENDERING WORKS NOC & DRIVERS 4665 100 13.12 13

PHOTOGRAPHIC SUPPLIES MFG 4923 100 1.57 2

FURNITURE OR FIXTURES INSTALLATION - 5146 1,100 7.90 87
PORTABLE - NOC

PLUMBING NOC & DRIVERS 5183 1,500 5.36 80

ELECTRICAL WIRING - WITHIN BUILDINGS 5190 1,000 4.30 43
& DRIVERS.

VENDING OR COIN OPERATED 5192 60 4.85 3
MACHINES-INSTALLATION SERVICE OR
REPAIR-INCLUDING SALESMEN DRIVERS

CONCRETE CONSTRUCTION NOC 5213 4,500 13.24 596

TILE, STONE, MOSAIC OR TERRAZZO WORK - 5348 300 4.33 13
INSIDE.

SHEET ROCK INSTALLATION - WITHIN 5445 140 9.38 13
BUILDINGS & DRIVERS

STREET OR ROAD CONSTRUCTION OR 5506 600 6.46 39
RECONSTRUCTION & DRIVERS
FILLING OR GRADING TUNNELING BRIDGE OR
CULVERT BUILDING QUARRYING STONE
CRUSHING TO BE SEPARATELY RATED
FILLING OR GRADING TUNNELING BRIDGE OR
CULVERT BUILDING QUARRYING STONE
CRUSHING TO BE SEPARATELY RATED

CLEANER - DEBRIS REMOVAL 5610 82,300 7.45 6.131

CARPENTRY - DETACHED ONE OR TWO FAMILY 5645 300 12.75 38
DWELLINGS

CARPENTRY-DWELLINGS-THREE STORIES 5651 3,300 12.98 428
OR LESS

___GAS WELL: DRILLING OR REDRILLING 6235 3,000 16.87 506

WC 7754 (Ed. 4-81)

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- ------------------------------------------------------------------------------------------------------------------------

& DRIVERS

FOOD SUNDRIES MFG. N O C - NO CEREAL 6504 1,600 4.34 69
MILLING

TRUCKING - LOCAL HAULING ONLY & DRIVERS 7228 700 13.43 94

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 10,000 5.51 551
NOC-COMMERCIAL

ALE OR BEER DEALER - WHOLESALE - & 7390 13,400 3.59 481
DRIVERS

STORE: GROCERY - RETAIL 8006 1,500 3.79 57

STORE: HARDWARE 8010 1,500 1.57 24

___CK PRINTING - COPYING OR DUPLICATING 8015 150 1.57 2
___SCE - ALL EMPLOYEES & CLERICAL,
SALESPERSONS, DRIVERS

STORE: RETAIL NOC 8017 1,200 1.57 19

STORE RISKS - WHOLESALE OR COMBINED 8018 20,700 4.46 923
WHOLESALE AND RETAIL - N.O.C.

DEPARTMENT STORES--RETAIL 8039 150 2.02 3

FURNITURE STORES--WHOLESALE OR RETAIL - 8044 5,900 3.59 212
& DRIVERS

RUBBER STOCK DEALER - USED - AND 8264 21,400 7.12 1,524
DRIVERS NPD

STORAGE WAREHOUSE - FURNITURE - & 8293 4,700 9.23 434
DRIVERS

AUTOMOBILE SERVICE OR REPAIR CENTER 8380 4,300 3.47 149
AND DRIVERS

METAL SCRAP DEALER & DRIVERS NPD 8500 14,200 9.57 1,359

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 15,600 0.62 97
___IDE

WC 7754 (Ed. 4-81)
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- ------------------------------------------------------------------------------------------------------------------------

LETTER SERVICE SHOP & CLERICAL NPD 8800 700 2.71 19

CLERICAL OFFICE EMPLOYEES NOC 8810 61,200 0.36 220

BUILDINGS-OPERATION BY CONTRACTORS 9014 1,000 4.46 45

BUILDINGS NOC-OPERATION BY OWNER OR 9015 700 5.04 35
LESSEE

AMUSEMENT PARK OR EXHIBITION 9016 600 3.44 21
OPERATION & DRIVERS

HOSPITAL: ALL OTHER EMPLOYEES 9040 100 4.09 4

HOTEL - ALL EMPLOYEES & SALESPERSON & 9052 10,000 4.13 413
DRIVERS

RESTAURANT NOC 9082 700 2.49 17

CARPET INSTALLATION 9521 30,400 5.39 1,639

UNMODIFIED PREMIUM 20,054
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 662
TOTAL UNMODIFIED PREMIUM 20,716
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 4,350
MODIFIED STANDARD PREMIUM 16,366
LOSS REIMBURSEMENT $250,000 9862 - 10,887
UNDISCOUNTED PREMIUM 5,479
TOTAL ESTIMATED ANNUAL PREMIUM 5,479

TOTAL DUE 5,479

WC 7754 (Ed. 4-81)
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RM WC 217-79-40 CONNECTICUT -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

LABOR WORLD OF AMERICA, INC.

101 AIRPORT ROAD
HARTFORD, CT 06114

FARM: NURSERY EMPLOYEES & DRIVERS 0005 131,700 5.54 7,296
INCLUDES INCIDENTAL LANDSCAPE
GARDENING

LANDSCAPE GARDENING & DRIVERS 0042 5,200 9.37 487
CODES 0042 AND 9102 PARK NOC MAY BE
ASSIGNED TO THE SAME RISK. THE PAYROLL OF
AN INDIVIDUAL EMPLOYEE MAY BE DIVIDED
AND ALLOCATED BETWEEN CODES 0042 AND
9102 PROVIDED THAT THE ENTRIES ON THE
ORIGINAL RECORDS OF THE INSURED DISCLOSE
ALLOCATION OF EACH INDIVIDUAL'S._______ AN
ESTIMATE OR PERCENTAGE ALLOCATION OF
PAYROLL IS NOT PERMITTED.

CLOTHING MFG. 2501 4,600 5.34 246

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 22,300 6.29 1,403
SALESMEN, DRIVERS

RATTAN, WILLOW OR TWISTED FIBER PRODUCTS 2913 3,400 6.53 222
MFG

HEAT TREATING-METAL-N P D 3307 700 6.52 46

WELDING OR CUTTING NOC & DRIVERS 3365 3,100 13.74 426

COMPUTING, RECORDING OR OFFICE MACHINE 3574 478,503 2.53 12,106
MFG NOC

PRECISION MACHINED PARTS MFG NOC NPD 3629 12,500 2.72 340

ELECTRICAL CORD SET, RADIO OR IGNATION 3681 4,800 2.78 133
HARNESS ASSEMBLY

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 9,000 5.50 495

___NER - DEBRIS REMOVAL 5610 15,500 8.54 1,324

WC 7754 (Ed. 4-81)
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- ------------------------------------------------------------------------------------------------------------------------

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 300 10.23 31
NON-COMMERCIAL

STORE: HARDWARE 8010 3,000 2.98 89

STORE: RETAIL NOC 8017 2,100 2.64 55

STORE-MEAT, GROCERY AND PROVISION 8033 2,300 4.36 100
COMBINED RETAIL NOC

SEED MERCHANT 8102 12,400 2.93 363

MACHINERY DEALER NOC - STORE OR YARD - 8107 2,200 6.50 143
& DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8232 14,300 9.58 1,370

ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

RUBBER STOCK DEALER - USED - AND 8264 14,200 13.69 1,944
DRIVERS NPD

STORAGE WAREHOUSE NOC 8292 300 12.70 38

STORAGE WAREHOUSE - FURNITURE - & 8293 2,700 16.15 436
DRIVERS

ARCHITECT OR ENGINEER - CONSULTING NPD 8601 60,700 1.45 880

CLERICAL OFFICE EMPLOYEES NOC 8810 913,600 0.42 3,837

BUILDINGS-OPERATION BY CONTRACTORS 9014 29,200 4.44 1.296

BUILDINGS NOC-OPERATION BY OWNER OR 9015 53,600 6.94 3,720
LESSEE

WC 7754 (Ed. 4-81)
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- ------------------------------------------------------------------------------------------------------------------------

UNMODIFIED PREMIUM 38,826
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 1,281
TOTAL UNMODIFIED PREMIUM 40,107
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 8,422
MODIFIED STANDARD PREMIUM 31,685
LOSS REIMBURSEMENT $250,000 9862 - 4,663
UNDISCOUNTED PREMIUM 31,685
TOTAL ESTIMATED ANNUAL PREMIUM 27,022
ASSESSMENT FUND .8% 0088 253
SECOND INJURY FUND SURCHARGE 13.5% 0088 4,277

TOTAL DUE 31,552

WC 7754 (Ed. 4-81)
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RM WC 217-79-40 DISTRICT OF COLUMBIA -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

JOBSITE ONLY
WASHINGTON, DC 20315

CLERICAL OFFICE EMPLOYEES NOC 8810 571,300 0.30 1,714

UNMODIFIED PREMIUM 1,714
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 57
TOTAL UNMODIFIED PREMIUM 1,771
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 372
MODIFIED STANDARD PREMIUM 1,399
LOSS REIMBURSEMENT $250,000 9862 - 704
UNDISCOUNTED PREMIUM 695
TOTAL ESTIMATED ANNUAL PREMIUM 695

TOTAL DUE 695

WC 7754 (Ed. 4-81)
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STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 GEORGIA -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

LEATHER GOODS MFG 2268 4,300 6.19 266

PLANING OR MOLDING MILL 2731 2,700 9.20 248

CARPENTRY SHOP ONLY AND DRIVERS 2802 1,000 14.87 149

CABINET WORKS - WITH POWER MACHINERY 2812 800 9.17 73

FURNITURE ASSEMBLING-WOOD-FROM 2881 44,600 7.95 3,546
MANUFACTURED PARTS

FURNITURE MFG - WOOD - NOC 2883 1,500 12.41 186

SIGN MFG - METAL 3064 100 8.50 9

SHEET METAL WORK - SHOP 3066 20,100 12.50 2,513

___TON OR FASTENER MFG-METAL 3131 700 3.51 25

BRASS OR COPPER GOODS MFG 3315 800 5.76 46

WELDING OR CUTTING NOC & DRIVERS 3365 6,750 20.84 1,407

METAL STAMPING MFG 3400 9,900 11.23 1,112
APPLICABLE TO MASS PRODUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT LIMITED
TO, LICENSE PLATES, TAGS, TOYS,
PIE PLATES, BUCKETS AND WASTE
BASKETS.

COMPUTING, RECORDING OR OFFICE MACHINE 3574 4,000 1.88 75
MFG NOC

PUMP MFG 3612 10,100 4.07 411

MACHINE SHOP NOC 3632 352,500 6.48 22,842

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 16,500 3.48 574

CONCRETE PRODUCTS MFG & DRIVERS 4034 44,900 18.17 8,158

PAPER MFG 4239 15,200 2.88 438

BOX MFG - FOLDING PAPER - NOC 4243 119,100 6.50 7,742

WC 7754 (Ed. 4-81)

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RM WC 217-79-40 FLORIDA -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

8000 NORTH FEDERAL HIGHWAY
BOCA RATON, FL 33487

CLERICAL OFFICE EMPLOYEES NOC 8810 9,063,300 0.56 50,754

SYNADYNE I

4601 NORTHWEST 17TH WAY
FT. LAUDERDALE, FL 33309

CLERICAL OFFICE EMPLOYEES NOC 8810 18,667,300 0.56 104,537

COLLEGE: PROFESSIONAL EMPLOYEES & 8868 120,465 1.06 1,277
CLERICAL

LABOR WORLD OF AMERICA, INC.

6301 N.W. 5TH WAY
FT. LAUDERDALE, FL 33309

FARM: NURSERY EMPLOYEES & DRIVERS 0005 2,300 12.19 280
INCLUDES INCIDENTAL LANDSCAPE GARDENING

FARMS: POTATO & DRIVERS 0008 900 8.07 73

FARM: FLORIST & DRIVERS 0035 21,000 4.46 937

LANDSCAPE GARDENING & DRIVERS 0042 28,500 15.43 4,398

GROVE CARETAKING OPERATIONS-BY 0050 6,400 15.57 996
CONTRACTORS-INCLUDING DRIVERS

IRRIGATION WORKS OPERATION 0251 3,000 8.55 257

___NSERVANT 0913 6 405.00 2,430

DOMESTIC SERVICE CONTRACTOR - INSIDE 0917 100 11.26 11

___E MFG 1701 15,000 5.20 780

WC 7754 (Ed. 4-81)
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- ------------------------------------------------------------------------------------------------------------------------

STONE CRUSHING & DRIVERS NPD 1710D 1,200 14.90 179

CREAMERY OR DAIRY & ROUTE 2070 200 8.24 16
SUPERVISORS, DRIVERS

CLOTHING MFG. 2501 2,300 4.54 104

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 200 10.71 21
SALESMEN, DRIVERS

CLEANING OR DYEING & ROUTE SUPERVISORS, 2586 900 4.97 45
SALESMEN, DRIVERS

BOX, BOX SHOOK OR PALLET MFG 2759 9,600 9.15 878
WOODEN

FURNITURE ASSEMBLING-WOOD-FROM 2881 13,200 6.01 793
MANUFACTURED PARTS

SHEET METAL WORK - SHOP 3066 5,400 11.30 610

METAL EQUIPMENT MFG 3076 46,600 7.74 3,607

TOOL MFG - NOT DROP OR MACHINE FORGED - 3113 210,000 4.11 8,631
NOC

BUTTON OR FASTENER MFG-METAL 3131 1,900 4.23 80

ELECTRICAL APPARATUS MFG NOC 3179 50,200 4.48 2,249

ELECTRIC OR GAS LIGHTING FIXTURES MFG. 3180 156,700 6.91 10,828

WELDING OR CUTTING NOC & DRIVERS 3365 15,000 32,28 4,842

COMPUTING, RECORDING OR OFFICE MACHINE 3574 1,950,500 0.93 18,140
FG NOC

BOILERMAKING 3620 1,800 12.78 230

MACHINE SHOP NOC 3632 105,000 7.45 7,823

AUTOMATIC SPRINKLER HEAD MFG. 3634 1,050 3.78 40

___FG OR GRINDING-N P D 3635 1,500 4.99 75

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- ------------------------------------------------------------------------------------------------------------------------

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 356,400 2.48 8,839

ELECTRICAL APPARATUS INSTALLATION OR 3724 15,500 15.95 2,472
REPAIR & DRIVERS

CONCRETE PRODUCTS MFG & DRIVERS 4034 300 14.24 43

POTTERY MFG: CHINA OR TABLEWARE 4053 5,100 9.08 463

LIGHT BULB MFG 4112 9,200 2.63 242
INCLUDES INCANDESCENT FLOURESCENT,
X-RAY, TELEVISION OR CATHODE TUBE
MFG.

PRINTING 4299 138,100 4.81 6,643

ENGRAVING 4352 188,600 2.62 4,941

BONE OR IVORY GOODS MFG 4452 21,000 5.30 1,113

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 577,000 7.02 40,505

IRON ERECTION NON-STRUCTURAL 5102 400 17.82 71
- - INTERIOR

FURNITURE OR FIXTURES INSTALLATION - 5146 1,600 16.50 264
PORTABLE - NOC

PLUMBING NOC & DRIVERS 5183 1,500 13.50 203

ELECTRICAL WIRING - WITHIN BUILDINGS 5190 131,700 11.51 15,159
& DRIVERS.

OFFICE MACHINE OR APPLIANCE 5191 334,900 2.22 7,435
INSTALLATION, INSPECTION, ADJUSTMENT
OR REPAIR

CONCRETE WORK-INCIDENTAL TO THE 5215 16,200 20.21 3,274
CONSTRUCTION OF PRIVATE RESIDENCE

CONCRETE OR CEMENT WORK - FLOORS, 5221 96,400 16.35 15,761
DRIVEWAYS, YARDS OR SIDEWALKS - &
___RS

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

SWIMMING POOL CONSTRUCTION AND MAINTE- 5223 100 12.91 13
ANCE

FENCE ERECTION - WOOD NOC 5403 15,800 29.77 4,704

CARPENTRY - INSTALLATION OF FINISHED 5437 15,400 21.45 3,303
WOODEN FLOORING

PAINTING-OR PAPER HANGING NOC & SHOP 5474 47,100 28.47 13,409
OPERATIONS, DRIVERS

PAPER HANGING & DRIVERS 5491 2,000 13.08 262

STREET OR ROAD CONSTRUCTION & DRIVERS 5507 1,500 15.77 237

STREET OR ROAD MAINTENANCE OR 5509 400 9.50 38
___TIFICATION-NO CONSTRUCTION-INCLUDING
___RS

HEATING AND AIR CONDITION DUCT 5536 900 18.56 167
WORKSHOP AND OUTSIDE-& DRIVERS

METAL CEILING OR WALL COVERING 5538 31,800 18.56 5,902
INSTALLATION & SHOP, DRIVERS

CLEANER - DEBRIS REMOVAL 5610 330,100 20.34 67,142
& CONSTRUCTION OR ERECTION CONTRACTOR.

CARPENTRY - DETACHED ONE OR TWO FAMILY 5645 43,683 35.27 15,407
DWELLINGS

GRADING OF LAND NOC & DRIVERS 6217 700 14.88 104

FOOD SUNDRIES MFG.N O C - NO CEREAL 6504 46,400 5.92 2,747
MILLING

TRUCKING: 7231 244,700 9.58 23,442
MAIL, PARCEL OR PACKAGE DELIVERY-ALL
EMPLOYEES & DRIVERS

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 62,300 9.73 6,062
___OC-COMMERCIAL

___MOBILE RENTAL CO: ALL OTHER 7382 310,700 11.62 36,103

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

EMPLOYEES & DRIVERS

ALE OR BEER DEALER - WHOLESALE - & 7390 400 8.36 33
DRIVERS

TELEPHONE COMPANY - ALL OTHER EMPLOYEES 7600 8,300 4.35 361
INCLUDING DRIVERS.

BURGLAR ALARM INSTALLATION OR REPAIR & 7605 222,100 6.29 13,970
DRIVERS

STORE: COFFEE, TEA OR SPICE - RETAIL 8006 54,500 9.47 5,161

STORE: SHOE - RETAIL 8008 70,200 2.28 1,601

STORE: HARDWARE 8010 3,100 3.44 107

STORE: JEWELRY 8013 202,100 1.46 2,951

QUICK PRINTING - COPYING OR DUPLICATING 8015 151,400 3.30 4,996
SERVICE - ALL EMPLOYEES & CLERICAL,
SALESPERSONS, DRIVERS

STORE: RETAIL NOC 8017 2,691,000 3.30 88,803

STORE GROCERY WHOLESALE 8018 1,242,700 6.98 86,740

STORE: SHOE WHOLESALE 8032 36,900 3.45 1,273

FURNITURE STORES -- WHOLESALE OR RETAIL - 8044 90,900 6.10 5,545
& DRIVERS

METAL MERCHANT & DRIVERS 8106 94,400 9.18 8,666
APPLIES TO DEALERS OF IRON, STEEL OR
NONFERROUS METAL.

MACHINERY DEALER NOC - STORE OR YARD - 8107 200 9.30 19
& DRIVERS

VEGETABLE PACKAGING & SALESMEN, DRIVERS 8209 500 7.26 36

BUILDING MATERIAL DEALER - NEW MATERIALS 8232 24,000 11.31 2,714
ONLY:
ALL OTHER EMPLOYEES & YARD, WAREHOUSE
DRIVERS

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

RUBBER STOCK DEALER - USED - AND 8264 166,100 12.69 21,078
DRIVERS NPD

STORAGE WAREHOUSE NOC 8292 113,900 9.57 10,900

STORAGE WAREHOUSE - FURNITURE - & 8293 2,200 18.68 411
DRIVERS

AUTOMOBILE SERVICE OR REPAIR CENTER 8380 506,700 6.69 33,898
AND DRIVERS

AUTOMOBILE STORAGE GARAGE OR PARKING 8392 1,300 5.47 71
STATION & DRIVERS

AUTOMOBILE BUMPER REPAIR 8393 535,821 5.79 31,024

BONDED WAREHOUSING - ALL EMPLOYEES 8710 100 3.42 3
& CLERICAL

REAL ESTATE APPRAISAL COMPANY-OUTSIDE 8721 193,800 1.16 2,248
EMPLOYEES

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 4,044,700 1.16 46,919
OUTSIDE

AUTOMOBILE SALESMEN 8748 830,500 1.61 13,371

COMPUTER SYSTEM DESIGNERS OR 8803 1,690,100 0.34 5,746
PROGRAMMERS:
TRAVELING

CLERICAL OFFICE EMPLOYEES NOC 8810 37,708,600 0.56 211,168

LAW OFFICE-ALL EMPLOYEES & CLERICAL 8820 2,201,300 0.45 9,906
MESSENGERS, DRIVERS NPD

PHYSICIAN & CLERICAL 8832 3,722,600 0.76 28,292

HOSPITAL - PROFESSIONAL EMPLOYEES 8833 2,031,900 2.42 49,172

COLLEGE: PROFESSIONAL EMPLOYEES & 8868 2,579,700 1.06 27,345
CLERICAL

TELEPHONE OR TELEGRAPH CO: OFFICE OR 8901 100 0.28 0

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

EXCHANGE EMPLOYEES & CLERICAL

JANITORIAL SERVICE BY CONTRACTOR--NO 9000 333,800 8.17 27,271
WINDOW CLEANING

BUILDINGS-OPERATION BY CONTRACTORS 9014 99,800 7.69 7,675

BUILDINGS NOC-OPERATION BY OWNER OR 9015 384,700 9.00 34,623
LESSEE

AMUSEMENT PARK OR EXHIBITION 9016 10,100 7.55 763
OPERATION & DRIVERS

HOSPITAL: ALL OTHER EMPLOYEES 9040 125,000 8.37 10,463

HOTEL - ALL EMPLOYEES & CLERICAL 9052 99,900 6.92 6,913

HOTEL: RESTAURANT EMPLOYEES 9058 203,100 5.58 11,333

CLUB - COUNTRY, GOLF, FISHING OR YACHT - 9060 51,800 5.09 2,637
& CLERICAL

CLUB NOC & CLERICAL 9061 1,100 4.65 51

RESTAURANT NOC 9082 150 5.64 8

ROLLER SKATING RINK OPERATION 9093 1,200 2.51 30

COLLEGES OR SCHOOLS ALL OTHER EMPLOYEES 9101 90,900 7.16 6,508

LAWN MAINTENANCE-COMMERCIAL OR 9102 33,300 8.02 2,671
DOMESTIC & DRIVERS

SEWER CLEANING & DRIVERS 9402 100 11.86 12

HOUSEHOLD APPLIANCES - ELECTRICAL - 9519 83,900 5.77 4,841
INSTALLATION, SERVICE OR REPAIR - &
DRIVERS.

CARPET INSTALLATION 9521 1,000 13.97 140

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

UNMODIFIED PREMIUM 1,342,858
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 44,314
TOTAL UNMODIFIED PREMIUM 1,387,172
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 291,306
MODIFIED STANDARD PREMIUM 1,095,866
LOSS REIMBURSEMENT $250,000 9862 - 165,298
UNDISCOUNTED PREMIUM 930,568
TOTAL ESTIMATED ANNUAL PREMIUM 930,568

TOTAL DUE 930,568

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

PRINTING 4299 6,500 4,09 266

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 31,900 7,50 2,393

PAINT MFG 4558 1,600 6.81 109

AWNING, TENT OR CANVAS GOODS ERECTION 5102 12,100 8.17 989
REMOVAL OR REPAIR & DRIVERS

FURNITURE OR FIXTURES INSTALLATION - 5146 163,800 6.39 10,467
PORTABLE - NOC

PLUMBING NOC & DRIVERS 5183 2,400 6.63 159

CABLE INSTALLATION & DRIVERS 5190 12,900 7.00 903

CONCRETE CONSTRUCTION NOC 5213 5,500 14.06 773

CONCRETE OR CEMENT WORK - FLOORS, 5221 5,400 11.18 604
DRIVEWAYS, YARDS OR SIDEWALKS - &
DRIVERS

CARPENTRY - INSTALLATION OF FINISHED 5437 750 9.54 72
WOODEN FLOORING

SHEET ROCK INSTALLATION - WITHIN 5445 5,400 10.86 586
BUILDINGS - & DRIVERS

PAINTING OR PAPER HANGING NOC & SHOP 5474 7,540 12.71 958
OPERATIONS, DRIVERS

EATING AND AIR CONDITIONING DUCT 5536 6,500 11.34 737
WORKSHOP AND OUTSIDE-& DRIVERS

CLEANER - DEBRIS REMOVAL 5610 837,400 9.25 77,460

CARPENTRY-DWELLINGS-THREE STORIES 5651 1,200 18.47 222
OR LESS

WOOD SUNDRIES MFG.N O C - NO CEREAL 6504 100,200 5.33 5,341
MILLING

CHAUFFEURS & HELPERS NOC COMMERCIAL 7380 24,000 8.50 2,040

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 9,900 8.50 842
NOC-COMMERCIAL

ALE OR BEER DEALER - WHOLESALE - & 7390 600 4.51 27
DRIVERS

AUTOMOBILE RENTAL CO: 8002 37,600 3.19 1,199
ALL OTHER EMPLOYEES & COUNTER
PERSONNEL, DRIVERS

STORE: SHOE - RETAIL 8008 9,600 2.82 271

STORE: HARDWARE 8010 60 3.52 2

STORE: RETAIL NOC 8017 54,600 3.06 1,671

STORE: WHOLESALE NOC 8018 451,700 5.62 25,386

FURNITURE STORES -- WHOLESALE OR RETAIL - 8044 15,800 5.68 897
& DRIVERS

ICE DEALER & DRIVERS 8203 11,200 11.71 1,312

CONTRACTOR'S PERMANENT YARD 8227 14,600 5.68 829

LUMBER YARD - NEW MATERIALS ONLY: 8232 38,300 9.49 3,635
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

SASH, DOOR OR ASSEMBLED MILLWORK 8235 1,500 7.45 112
DEALER & DRIVERS

RUBBER STOCK DEALER - USED - AND 8264 600 15.40 92
DRIVERS NPD

STORAGE WAREHOUSE NOC 8292 665,400 9.28 61,749

STORAGE WAREHOUSE - FURNITURE - & 8293 4,700 13.82 650
DRIVERS

AUTOMOBILE STORAGE GARAGE OR PARKING 8392 25,900 5.99 1,551
STATION & DRIVERS

___BONDED WAREHOUSING - ALL EMPLOYEES 8710 17,400 4.81 837

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

- ------------------------------------------------------------------------------------------------------------------------

& CLERICAL

SALESPERSONS, COLLECTORS OR 8742 168,400 0.90 1,516
MESSENGERS - OUTSIDE

AUDITOR, ACCOUNTANT OR FACTORY COST 8803 24,800 0.21 52
OR OFFICE SYSTEMATIZER - TRAVELING

CLERICAL OFFICE EMPLOYEES NOC 8810 9,060,100 0.50 45,301

PHYSICIAN & CLERICAL 8832 61,300 0.42 257

BUILDINGS-OPERATION BY CONTRACTORS 9014 21,400 7.10 1,519

BUILDINGS-OPERATION BY OWNER OR LESSEE 9015 300 7.05 21

HOTEL - ALL EMPLOYEES & SALESPERSON & 9052 84,100 5.39 4,533
DRIVERS

COLLEGE: ALL OTHER EMPLOYEES 9101 297,000 6.26 18,592

CARPET INSTALLATION 9521 2,100 10.36 218

UNMODIFIED PREMIUM 361,413
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 11,927
LOSS REIMBURSEMENT $250,000 9962 - 207,281
TOTAL UNMODIFIED PREMIUM 166,059
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 34,872
MODIFIED STANDARD PREMIUM 131,187
UNDISCOUNTED PREMIUM 131,187
TOTAL ESTIMATED ANNUAL PREMIUM 131,187

TOTAL DUE 131,187

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 IOWA -------------------------------
- --------------- --------------- STATE EMPLOYER/UNEMPLOYER ID
POLICY PREFIX & NO. SCHEDULE
-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, IA 99999

FARM: NURSERY EMPLOYEES & DRIVERS 0005 200 3.77 8
INCLUDES INCIDENTAL LANDSCAPE
GARDENING

TEXTILE FIBER MFG - SYNTHETIC 2305 2,400 1.88 45

IRON OR STEEL: MANUFACTURING 3018 100 5.36 5
ROLLING MILL NOC & DRIVERS

IRON OR STEEL WORKS - SHOP - 3030 14,300 7.10 1,015
STRUCTURAL

IRON WORKS - SHOP - DECORATIVE & 3041 1,000 4.26 43
___RIES

PAPER MFG 4239 23,300 2.42 564

PHONOGRAPH RECORD MFG 4431 150 3.77 6

FOOD SUNDRIES MFG.N O C - NO CEREAL 6504 2,300 2.24 52
MILLING

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 200 3.64 7
NOC-COMMERCIAL

STORAGE WAREHOUSE NOC 8292 400 5.40 22

CLERICAL OFFICE EMPLOYEES NOC 8810 79,600 0.29 231

HOSPITAL: ALL OTHER EMPLOYEES 9040 16,600 3.44 571

- --------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)

INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 IOWA 40
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

ENTRIES IN THIS ITEM, EXCEPT AS CODE ESTIMATED TOTAL PER $100 OF ESTIMATED
SPECIFICALLY PROVIDED ELSEWHERE IN NO. ANNUAL REMUNERATION REMUNERATION ANNUAL PREMIUMS
THIS POLICY, DO NOT MODIFY ANY OF
THE OTHER PROVISIONS OF THIS POLICY

UNMODIFIED PREMIUM 2,569
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 85
TOTAL UNMODIFIED PREMIUM 2,654
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 - 557
MODIFIED STANDARD PREMIUM 2,097
LOSS REIMBURSEMENT $250,000 9862 - 1,165
UNDISCOUNTED PREMIUM 932
TOTAL ESTIMATED ANNUAL PREMIUM 932

TOTAL DUE 932

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

LABOR WORLD OF AMERICA, INC.

449 S. ADDISON RD.
ADDISON, IL 60101

FARM: NURSERY EMPLOYEES & DRIVERS 0005 249,900 5.47 13,670
INCLUDES INCIDENTAL LANDSCAPE GARDENING

FARM: DAIRY & DRIVERS 0036 1,000 9.90 99

LANDSCAPE GARDENING & DRIVERS 0042 28,700 8.60 2,468
CODES 0042 AND 9102 PARK NOC MAY BE
ASSIGNED TO THE SAME RISK. THE PAYROLL OF
AN INDIVIDUAL EMPLOYEE MAY BE DIVIDED
AND ALLOCATED BETWEEN CODES 0042 AND
_____2 PROVIDED THAT THE ENTRIES ON THE
__INAL RECORDS OF THE INSURED DISCLOSED
ALLOCATION OF EACH INDIVIDUAL'S
PAYROLL. AN ESTIMATE OR PERCENTAGE
ALLOCATION OF PAYROLL IS NOT PERMITTED.

FARM MACH OPERATIONS - BY CONTRACTORS - 0050 2,100 8.20 172
& DRIVERS

TREE PRUNING, SPRAYING, REPAIRING, 0106 100 20.24 20
& DRIVERS

DOMESTIC SERVICE CONTRACTOR - INSIDE 0917 143,000 8.78 12,555

CEMENT MFG 1701 600 5.65 34

EMERY WORKS & DRIVERS 1747 1,600 5.60 90

DIE CASTING MFG. 1925 43,000 7.55 3,247

CRACKER MFG. 2001 17,400 4.96 863

BAKERY & DRIVERS, ROUTE SUPERVISORS 2003 245,300 5.05 12,388

BREAKFAST FOOD MFG. 2016 3,800 1.33 51

ICE CREAM MFG & SALESMEN, DRIVERS 2039 5,300 4.88 259

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

CONFECTION MFG 2041 82,400 4.32 3,560

PACKING HOUSE - ALL OPERATIONS NPD 2089 82,100 8.31 6,823

CANNERY NOC 2111 71,900 6.31 4,537

BREWERY & DRIVERS 2121 2,100 3.77 79

BOTTLING - NOT CARBONATED LIQUIDS OR 2156 37,600 5.67 2,132
SPIRITOUS LIQUORS - & ROUTE
SUPERVISORS, DRIVERS NPD

CANNING OR BOTTLING OF CARBONATED 2157 213,000 7.51 15,996
BEVERAGES

EMBROIDERY MFG. 2388 22,100 3.60 796

_____ING MFG. 2501 245,700 3.45 8,477

HAIR GOODS MFG. 2534 124,400 5.45 6,780

MATTRESS OR BOX SPRING MFG. 2570 300 8.51 26

AWNING OR TENT MFG - SHOP 2576 16,000 6.23 997

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 55,400 6.60 3,656
SALESMEN, DRIVERS

CLEANING OR DYEING & ROUTE SUPERVISORS, 2586 174,200 2.26 3,937
SALESMEN, DRIVERS

DRY CLEANING AND LAUNDRY STORE - RETAIL 2589 27,200 3.34 908
__ & ROUTE SUPERVISORS, SALESMEN, DRIVERS

HOE STOCK MFG. 2651 3,000 5.27 158

LEATHER GOODS MFG, NOC 2688 45,000 4.39 1,976

FURNITURE STOCK MFG. 2735 79,600 9.83 7,825

BOX, BOX SHOOK OR PALLET MFG. 2759 66,100 14.76 9,756
_OODEN

_______-MAKING NOC NPD 2790 6,000 2.38 143

- -----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 GEORGIA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

6049 A NEW PEACHTREE RD.
DORAVILLE, GA 30345

CLERICAL OFFICE EMPLOYEES NOC 8810 625,400 0.50 3,127

LABOR WORLD OF AMERICA, INC.

1030 WINDY HILL ROAD, S.E.
SMYRNA, GA 30080

FARM: NURSERY EMPLOYEES & DRIVERS 0005 1,000 7.19 72
INDLUDES INCIDENTAL LANDSCAPE GARDENING

LANDSCAPE GARDENING & DRIVERS 0042 14,000 13.16 1,842
CODES 0042 AND 9102 PARK NOC MAY BE
ASSIGNED TO THE SAME RISK. THE PAYROLL OF
AN INDIVIDUAL EMPLOYEE MAY BE DIVIDED
AND ALLOCATED BETWEEN CODES 0042 AND
9102 PROVIDED THAT THE ENTRIES ON THE
ORIGNAL RECORDS OF THE INSURED DISCLOSE
AN ALLOCATION OF EACH INDIVIDUAL'S
PAYROLL. AN ESTIMATE OR PERCENTAGE
ALLOCATION OF PAYROLL IS NOT PERMITTED.

DOMESTIC SERVICE CONTRACTOR - INSIDE 0917 200 7.74 15

TEXTILE FIBER MFG - SYNTHETIC 2305 36,800 3.86 1,420

CARPET OR RUG MFG NOC 2402 11,100 10.02 1,112

CLOTHING MFG. 2501 47,200 4.23 1,997

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 348,200 6.87 23,921
SALESMEN, DRIVERS

CLEANING OR DYEING & ROUTE SUPERVISORS, 2586 22,300 3.80 847
SALESMEN, DRIVERS

_______ MFG-LEATHER OR TEXTILE 2670 2,000 4.49 90

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

CARPENTRY SHOP ONLY AND DRIVERS 2802 13,700 8.91 1,221

CABINET WORKS - WITH POWER MACHINERY 2812 99,600 5.75 5,727

BRUSH OR BROOM MFG NOC 2836 11,700 7.59 888

FURNITURE ASSEMBLING-WOOD-FROM 2881 90,700 6.73 6,104
MANUFACTURED PARTS

FURNITURE MFG - WOOD - NOC 2883 143,400 6.29 9,020

IRON OR STEEL: MANUFACTURING 3018 10,000 7.72 772
ROLLING MILL NOC & DRIVERS

PIPE OR TUBE MFG NOC & DRIVERS 3022 13,700 6.66 912

_____ OR STEEL WORKS - SHOP - STRUCTURAL 3030 9,200 14.43 1,328

SIGN MFG - METAL 3064 16,600 7.21 1,197

SHEET METAL WORK - SHOP 3066 66,600 6.49 4,322

FIREPROOF EQUIPMENT MFG 3076 454,100 7.69 34,920

FOUNDRY - FERROUS - NOC 3081D 300 12.48 37

FOUNDRY - NON-FERROUS 3085D 211,200 13.24 27,963

TOOL MFG - NOT DROP OR MACHINE FORGED - 3113 84,500 3.18 2,687
NOC

TOOL MFG - DROP OR MACHINE FORGED - NOC: 3114 140,200 5.28 7,403
MACHINING OR FINISHING OF TOOLS OR DIE
MACHINE OPERATIONS

TOOL MFG - AGRICULTURAL, CONSTRUCTION, 3126 1,200 8.76 105
LOGGING, MINING, OIL OR ARTESIAN WELL

BUTTON OR FASTENER MFG-METAL 3131 947,800 3.16 29,950

BOLT OR NUT MFG. 3132 628,900 8.11 51,004

AUTOMATIC SCREW MACHINE PRODUCTS 3145 210,000 3.20 6,720
_____________ N.P.D.

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

HARDWARE MFG. N.O.C. 3146 440,800 5.50 24,244

RADITOR OR HEATER MFG 3175D 4,700 4.00 188

ELECTRICAL APPARATUS MFG NOC 3179 1,466,900 4.59 67,331

ELECTRIC OR GAS LIGHTING FIXTURES MFG. 3180 24,500 4.83 1,183

PLUMBERS' SUPPLIES MFG NOC 3188 3,700 2.48 92

CAN MFG 3220 527,200 5.13 27,045

ALUMINUM WARE MFG 3227 71,900 5.42 3,897

WIRE DRAWING-IRON OR STEEL 3241 4,900 9.01 441

_____ GOODS MFG NOC 3257 813,700 4.76 38,732

TACK MFG 3270 4,700 4.57 215

SPRING MFG 3303 26,200 7.11 1,863

HEAT TREATING-METAL-N P D 3307 1,600 6.24 100

BRASS OR COPPER GOODS MFG 3315 7,500 4.07 305

WELDING OR CUTTING NOC & DRIVERS 3365 24,800 13.41 3,326

ELECTROPLATING NPD 3372 279,300 5.39 15,054

WATCH MFG 3385 92,600 2.70 2,500

METAL GOODS MFG. NOC 3400 4,601,100 6.63 305,053

CONSTRUCTION OR AGRICULTURAL MACHINERY 3507 321,800 7.51 24,167
MFG

PRINTING MACHINE MFG. 3548 1,864,300 3.59 66,928

COMPUTING, RECORDING OR OFFICE MACHINE 3574 79,400 2.93 2,326
MFG NOC

______ MFG 3612 309,500 4.72 14,608

- --------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

PRECISION MACHINED PARTS MFG.-NOC 3629 153,700 3.56 5,472

MACHINE SHOP NOC 3632 1,404,300 6.01 84,398

VALVE MFG 3634 18,000 5.41 974

GEAR MFG OR GRINDING - N P D 3635 27,300 5.20 1,420

BALL OR ROLLER BEARING MFG 3638 40,200 2.54 1,021

ELECTRIC POWER OR TRANSMISSION EQUIPMENT 3643 5,800 4.96 288
MFG

BATTERY MFG-STORAGE 3647 150 5.25 8

AUTOMOTIVE LIGHTING IGNITION OR STARTING 3648 26,600 5.63 1,498
APARATUS MFG NOC

RADIO APPRATUS MFG OR ASSEMBLY NOC 3681 1,529,700 2.65 40,537

INSTRUMENT MFG NOC 3685 162,100 2.94 4,766

ELECTRICAL APPRATUS INSTALLATION OR 3724 15,000 13.61 2,042
REPAIR & DRIVERS

AUTOMOBILE MFG 3808 600 5.97 36

MOTORCYCLE MFG OR ASSEMBLY 3851 1,500 6.16 92

BRICK OR CLAY PRODUCTS MFG NOC & DRIVERS 4021 29,400 9.13 2,684

PLASTER BOARD OR PLASTER BLOCK MFG & 4036 24,900 4.03 1,003
DRIVERS

PLASTER STATUARY OR ORNAMENT MFG 4038 25,800 6.60 1,703

LIGHT BULB MFG 4112 39,100 2.54 993
INCLUDES INCANDESCENT FLOURESCENT,
X-RAY, TELEVISION OR CATHODE TUBE
MFG.

OPTICAL GOODS MFG NOC 4150 3,000 2.32 70

______ MFG 4239 3,500 5.12 179

- --------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

BOX MFG - FOLDING PAPER - NOC 4243 74,000 5.65 4,181

CORRUGATED OR FIBER BOARD CONTAINER MFG 4244 1,000 6.75 68

PAPER COATING 4250 238,000 4.39 10,448

LOOSE-LEAF LEDGER OR NOTE BOOK MFG 4251 341,600 5.52 18,856

BAG MFG - PAPER 4273 14,900 6.62 986

PAPER GOODS MFG NOC 4279 900,100 4.58 41,225

DRESS PATTERN MFG - PAPER -& CLERICAL 4282 29,000 3.01 873

PRINTING 4299 1,114,700 4.57 50,942

BOOK BINDING 4307 773,100 3.62 27,986

MOTION PICTURE: DEVELOPMENT OF 4360 1,500 1.32 20
NEGATIVES, PRINTING AND ALL SUBSEQUENT
OPERATIONS

BLUEPRINT REPRODUCTION - ALL EMPLOYEES & 4361 8,100 1.54 125
SALESPERSONS, DRIVERS

RUBBER GOODS MFG N O C 4410 1,092,200 6.45 70,447

PLASTICS MFG: FABRICATED PRODUCTS NOC 4452 111,100 5.50 6,111

WIRE INSULATING OR COVERING 4470 35,400 9.05 3,204

PLASTICS MFG. - MOLDED PROD. NOC 4484 7,820,000 4.85 379,270

CANDLE MFG NPD 4557 737,600 4.46 32,897

PAINT MFG 4558 55,200 3.07 1,695

DRUG MEDICINE OR PHARMACEUTICAL PREP. 4611 1,167,300 2.72 31,751
TO MFG. OF INGREDIENTS

GLUE MFG & DRIVERS NPD 4653 600 3.27 20

PHARMACEUTICAL OR SURGICAL GOODS MFG NOC 4693 100 2.45 2

- --------------------------------------------------------------------------------------------------------------

WC 7754 (Ed 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

DEXTRINE MFG. 4703 12,700 4.76 605

SOAP OR SYNTHETIC DETERGENT MFG 4720 854,300 6.40 54,675

OIL REFINING - PETROLEUM - & DRIVERS 4740 8,000 3.23 258

EXTRACT MFG - DYEWOOD 4825 29,100 2.67 777

CHEMICAL BLENDING OR MINING NOC - ALL 4828 257,800 3.63 9,358
OPERATIONS & DRIVERS

SPORTING GOODS MFG NOC 4902 5,000 3.49 175

AUDIO OR VISUAL RECORDING MEDIA MFG 4923 11,600 2.82 327
INCLUDES TAPES OR DISKS, PHONOGRAPH
RECORD MFG. TO BE SEPARATELY RATED
_____ CODE 4431.

MASONRY NOC 5022 1,000 19.35 194

TENT ERECTION & DRIVERS 5102 4,000 21.30 852

FURNITURE OR FIXTURES INSTALLATION - 5146 70,900 11.46 8,125
PORTABLE - NOC

PLUMBING NOC & DRIVERS 5183 2,000 12.07 241

OFFICE MACHINE OR APPLIANCE 5191 11,200 2.03 227
INSTALLATION, INSPECTION, ADJUSTMENT
OR REPAIR

VENDING OR COIN OPERATED 5192 700 4.52 32
MACHINES-INSTALLATION SERVICE OR
REPAIR-INCLUDING SALESMEN DRIVERS

FENCE ERECTION - WOOD NOC 5403 6,200 19.18 1,189

CARPENTRY - INSTALLATION OF FINISHED 5437 9,400 10.45 982
WOODEN FLOORING

SHEET ROCK INSTALLATION - WITHIN 5445 8,100 9.26 750
BUILDING - & DRIVERS

___________ WORK NOC & DRIVERS 5479 21,600 21.27 4,594

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

STREET OR ROAD CONSTRUCTION OR 5506 48,400 10.85 5,251
RECONSTRUCTION & DRIVERS
FILLING OR GRADING TUNNELING BRIDGE OR
CULVERT TO BE SEPARATELY RATED
FILLING OR GRADING TUNNELING BRIDGE OR
CULVERT BUILDING QUARRYING STONE
CRUSHING TO BE SEPARATELY RATED

SHEET METAL WORK - SHOP AND OUTSIDE - & 5538 700 14.19 99
NOC & DRIVERS

CLEANER - DEBRIS REMOVAL 5610 656,900 8.00 52,552

CARPENTRY - DETACHED ONE OR TWO FAMILY 5645 26,100 15.95 4,163
DWELLINGS

CARPENTRY - DWELLINGS - THREE STORIES 5651 700 15.78 110
OR LESS

SALVAGE OPERATION - NO WRECKING OR ANY 5705 2,300 10.97 252
STRUCTURAL OPERATIONS

DRILLING NOC & DRIVERS NPD 6204 150 18.39 28

GRADING OF LAND NOC & DRIVERS 6217 5,500 8.69 478

FOOD SUNDRIES MFG. NOC - NO CEREAL 6504 10,646,300 4.99 531,250
MILLING

TRUCKING - LOCAL HAULING ONLY - & DRIVERS 7228 43,600 13.58 5,921

TRUCKING: 7230 6,000 11.68 701
PARCEL OR PACKAGE DELIVERY - ALL EMPLOYEES
& DRIVERS

TRUCKING: 7231 1,900 8.98 171
MAIL, PARCEL OR PACKAGE DELIVERY - ALL
EMPLOYEES & DRIVERS

CHAUFFEURS, DRIVERS & THEIR HELPERS 7380 199,000 7.64 15,204
NOC - COMMERCIAL

AT_____WORKS OPERATION & SALESMEN, DRIVERS 7520 11,700 5.94 695

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

GARBAGE WORKS 7590 365,000 8.00 29,200

FLORIST - STORE - DRIVERS 8001 14,800 2.68 397

STORE: FRUIT OR VEGETABLE - RETAIL 8006 16,700 3.39 566

STORE: CLOTHING, WEARING APPAREL OR DRY 8008 19,300 1.38 266
GOODS - RETAIL

STORE: HARDWARE 8010 816,300 2.99 24,407

STORE: RETAIL NOC 8017 2,062,700 2.36 48,680

FRUIT OR VEGETABLE STORES - WHOLESALE 8018 10,398,700 5.40 561,530

STORE: MEAT, FISH OR POULTRY DEALER - 8021 593,800 6.20 36,816
______ - SALE

STORE: MEAT, FISH OR POULTRY - RETAIL 8031 1,500 3.82 57

STORE: CLOTHING, WEARING APPEAREL OR DRY 8032 269,800 2.76 7,446
GOODS - WHOLESALE

DEPARTMENT STORES--RETAIL 8039 2,300 1.70 39

FURNITURE STORES--WHOLESALE OR RETAIL - 8044 33,400 4.20 1,403
& DRIVERS

AUTOMOBILE ACCESSORY STORES - RETAIL - 8046 3,400 2.68 91
NOC - & DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8058 235,400 2.99 7,038
ONLY:
STORE EMPLOYEES

METAL MERCHANT & DRIVERS 8106 122,000 8.65 10,553
APPLIES TO DEALERS OF IRON, STEEL OR
NONFERROUS METAL.

MACHINERY DEALER NOC - STORE OR YARD - 8107 262,300 6.53 17,128
& DRIVERS

______ERS' SUPPLIES DEALER & DRIVERS NPD 8111 4,800 5.94 285

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

LUMBER YEAR - NEW MATERIALS ONLY: 8232 75,100 8.25 6,196
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

SASH, DOOR OR ASSEMBLED MILLWORK 8235 1,000 6.36 64
DEALER & DRIVERS

PAPER STOCK OR RAG DEALER - USED - & 8264 759,900 10.50 79,790
DRIVERS NPD

STORAGE WAREHOUSE - COLD 8291 209,300 6.84 14,316

STORAGE WAREHOUSE NOC 8292 17,100 7.85 1,342

STORAGE WAREHOUSE - FURNITURE - & 8293 55,800 15.92 8,883
DRIVERS

_______ GASOLINE DEALER & DRIVERS 8350 8,200 7.19 590

AUTOMOBILE SERVICE OR REPAIR CENTER 8380 29,700 4.60 1,366
AND DRIVERS

AUTOMOBILE STORAGE GARAGE OR PARKING 8392 1,200 3.08 37
STATION & DRIVERS

AUTOMOBILE BODY REPAIR 8393 11,600 3.35 389

SALESPERSONS, COLLECTIONS OR MESSENGERS - 8742 1,636,700 0.62 10,148
OUTSIDE

AUTOMOBILE SALESMEN 8748 4,700 0.75 35

ADDRESSING OR MAILING CO & CLERICAL 8800 776,500 3.23 25,081

CLERICAL OFFICE EMPLOYEES NOC 8810 10,625,000 0.31 32,938

RETIREMENT LIVING CENTERS: 8825 600 2.43 15
FOOD SERVICE EMPLOYEES

CHARITABLE OR WELFARE 8861 900 0.61 5
ORGANIZATION:
PROFESSIONAL EMPLOYEES & CLERICAL

JANITORIAL SERVICE BY CONTRACTOR 9014 1,557,900 6.09 94,876

- ----------------------------------------------------------------------------------------------------------------

WC (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

BUILDING NOC - OPERATION BY OWNER OR 9015 150,400 4.72 7,099
LESSEE

AMUSEMENT PARK OR EXHIBITION 9016 17,800 4.51 803
OPERATION & DRIVERS

HOUSING AUTHORITY & CLERICAL, SALESMEN, 9033 6,400 6.37 408
DRIVERS

HOSPITAL: ALL OTHER EMPLOYEES 9040 4,400 5.31 234

HOTEL - ALL EMPLOYEES & SALESMEN & 9052 106,900 4.21 4,500
DRIVERS

HOTEL: RESTAURANT EMPLOYEES 9058 72,200 2.43 1,754

______-COUNTRY, GOLF, FISHING OR YACHT - 9060 20,400 2.62 534
& CLERICAL

RESTAURANT NOC 9082 87,900 3.15 2,769

LAWN MAINTENANCE - COMMERCIAL OR 9102 7,100 4.37 310
DOMESTIC & DRIVERS
CODES 9102 AND 0042, LANDSCAPE GARDENING
AND DRIVERS MAY BE ASSIGNED TO THE SAME
RISK, THE PAYROLL OF AN INDIVIDUAL
EMPLOYEE MAY BE DIVIDED AND ALLOCATED BE-
TWEEN CODES 0042 AND 9102 PROVIDED THAT
THE ENTRIES ON THE ORIGINAL RECORDS OF
THE INSURED DISCLOSE AN ALLOCATION OF
EACH INDIVIDUAL'S PAYROLL. AN ESTIMATE
OR PERCENTAGE ALLOCATION OF PAYROLL IS
NOT PERMITTED.

CHARITABLE OR WELFARE 9110 1,000 4.81 48
ORGANIZATION:
ALL OTHER EMPLOYEES & DRIVERS

THEATERE NOC: ALL OTHER EMPLOYEES 9154 1,500 2.51 38

ATHLETIC TEAM OR PARK: OPERATION & 9182 3,000 7.62 229
DRIVERS

STREET CLEANING & DRIVERS 9402 35,600 9.56 3,403

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 ILLINOIS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

ASHES, GARBAGE OR REFUSE COLLECTION & 9403 78,800 11.00 8,668

TOWNSHIP EMPLOYEES N O C 9410 101,200 4.13 4,180

PAINTING: SHOP ONLY & DRIVERS NPD 9501 131,200 4.88 6,403

VIDEO, TELEVISION, RADIO AND AUDIO 9516 6,600 4.99 329
EQUIPMENT INSTALLATION, SERVICE OR
REPAIR & DRIVERS

HOUSEHOLD APPLIANCES - ELECTRICAL - 9519 13,200 4.99 659
INSTALLATION, SERVICE OR REPAIR - &
DRIVERS.

CARPET INSTALLATION 9521 10,200 9.54 973

UPOLSTERING NPD 9522 15,900 3.97 631

UNMODIFIED PREMIUM 3,512,828
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 115,923
TOTAL UNMODIFIED PREMIUM 3,628,751
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (762,038)
SCHEDULE MODIFICATION 25% 9887 (716,678)
MODIFIED STANDARD PREMIUM 2,150,035
LOSS REIMBURSEMENT $250,000 9862 (1,142,504)
UNDISCOUNTED PREMIUM 1,007,531
TOTAL ESTIMATED ANNUAL PREMIUM 1,007,531

TOTAL DUE 1,007,531

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 INDIANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
FREEMONT, IN 46737

CLERICAL OFFICE EMPLOYEES NOC 8810 1,233,222 0.23 2,836

LABOR WORLD OF AMERICA, INC.

6935 GRAND AVENUE
HAMMOND, IN 46323

FARM: NURSERY EMPLOYEES & DRIVERS 0005 4,500 3.58 161
INCLUDES INCIDENTAL LANDSCAPE GARDENING

SMELTING - ELECTRIC PROCESS - & DRIVERS 1438 14,400 2.94 423

CANNERY NOC 2111 900 2.58 23

COTTON BATTING, WADDING OR WASTE MFG. 2211 300 4.98 15

AWNING OR TENT MFG - SHOP 2576 8,200 3.11 255

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 6,400 2.89 185
SALESMEN, DRIVERS

PATTERN-MAKING NOC NPD 2790 63,100 1.37 864

CARPENTRY SHOP ONLY AND DRIVERS 2802 102,000 4.85 4,947

FURNITURE ASSEMBLING-WOOD-FROM 2881 20,800 3.36 699
MANUFACTURED PARTS

VENEER PRODUCTS MFG 2915 174,300 5.89 10,266

IRON OR STEEL: MANUFACTURING 3018 5,600 2.45 137
ROLLING MILL NOC & DRIVERS

____ OR TUBE MFG NOC & DRIVERS 3022 17,400 3.24 564

____ WORKS - SHOP - DECORATIVE & 3041 400 2.93 12
FOUNDRIES

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 INDIANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

METAL EQUIPMENT MFG 3076 93,000 3.27 3,041

FOUNDRY - NON-FERROUS 3085D 34,100 3.36 1,146

PIPE BENDING AND CUTTING 3111 2,600 3.31 86

SCREW MFG 3145 50,200 1.48 743

ELECTRICAL APPARATUS MFG NOC 3179 11,100 2.04 226

ELECTRIC OR GAS LIGHTING FIXTURES MFG. 3180 2,200 2.45 54

ALUMINUM WARE MFG 3227 2,500 2.99 75

WIRE GOODS MFG NOC 3257 34,000 2.98 1,013

BOX SPRING OR WIRE MATTRESS MFG 3300 53,600 3.36 1,801

BRASS OR COPPER GOODS MFG 3315 9,900 3.28 325

METAL STAMPING MFG 3400 49,400 3.58 1,769

APPLICABLE TO MASS PRODUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT LIMITED
TO, LICENSE PLATES, TAGS, TOYS,PIE
PLATES, BUCKETS AND WASTE BASKETS.

AGRICULTURAL OR CONSTRUCTION MACHINERY 3507 10,600 2.64 280
MFG

COMPUTING, RECORDING OR OFFICE MACHINE 3574 500 1.14 6
MFG NOC

PRECISION MACHINED PARTS MFG NOC NPD 3629 3,400 1.07 36

MACHINE SHOP NOC 3632 100,700 2.23 2,246

ELECTRIC POWER OR TRANSMISSION EQUIPMENT 3643 41,100 1.47 604
MFG

LOCOMOTIVE LIGHTING IGNITION OR STARTING 3648 21,500 4.36 93
______RATUS MFG NOC

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 99,900 2.98 2,97

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INDURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 INDIANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

AUTO,BUS,TRUCK,OR,TRAIL.-NOC 3824 40,300 5.13 2,067

CONCRETE PRODUCTS MFG & DRIVERS 4034 57,900 5.21 3,017

PAPER CREPEING 4250 600 1.77 11

BAG MFG - PAPER 4273 4,100 2.16 89

RUBBER GOODS MFG N 0 C 4410 120,600 2.67 3,220

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 384,300 2.50 9,608

COMPUTER DEVICE INSTALLATION 5191 5,400 0.88 48
INSPECTION SERVICE OR REPAIR
INCLUDES SHOP OPERATIONS.
COMPUTER MFG. TO BE SEPARATELY
________ED.

FENCE ERECTION - WOOD NOC 5403 1,200 6.97 84

PAINTING OR PAPER HANGING NOC & SHOP 5474 4,700 4.61 217
OPERATIONS, DRIVERS

STREET OR ROAD CONSTRUCTION & DRIVERS 5507 300 2.78 8

TIMEKEEPERS-CONSTRUCTION OR ERECTION 5610 49,700 4.52 2,246

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 15,500 2.52 391
NOC-COMMERCIAL

BEER OR ALE DEALER- WHOLESALE- & 7390 44,500 4.48 1,994
DRIVERS

GARBAGE WORKS 7590 20,100 7.10 1,427

STORE: HARDWARE 8010 22,200 1.29 286

STORE: RETAIL NOC 8017 150 1.15 2

STORE: WHOLESALE NOC 8018 12,000 2.89 347

FURNITURE STORES --WHOLESALE OR RETAIL 8044 10,100 2.14 216
DRIVERS

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 INDIANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

METAL MERCHANT & DRIVERS 8106 8,l00 4.44 360
APPLIES TO DEALERS OF IRON, STEEL OR
NONFERROUS METAL.

MACHINERY DEALER NOC - STORE OR YARD 8107 900 2.70 24
& DRIVERS

SASH, DOOR OR ASSEMBLED MILLWORK 8235 9,100 3.25 296
DEALER & DRIVERS

BOTTLE DEALER -USED- & DRIVERS 8264 16,000 6.58 1,053

IRON SCRAP DEALER NPD 8265 2,600 5.50 143

STORAGE WAREHOUSE NOC 8292 4,600 4.19 193

AUTOMOBILE CAR WASH AND DRIVERS 8380 65,500 2.17 1,421

METAL SCRAP DEALER & DRIVERS NPD 8500 11,150 6.00 669

ADDRESSING OR MAILING CO & CLERICAL 8800 1,300 3.08 40

CLERICAL OFFICE EMPLOYEES NOC 8810 241,700 0.23 556

THEATRE NOC: PLAYERS, ENTERTAINERS OR 9156 150 1.12 2
MUSICIANS

PAINTING: SHOP ONLY & DRIVERS NPD 9501 10,800 2.40 259

HOUSEHOLD APPLIANCES - ELECTRICAL 9519 1,500 1.72 26
INSTALLATION, SERVICE OR REPAIR - &
DRIVERS.

AUTOMOBILE, BUS, TRUCK, OR TRAILER 9522 70,200 2.05 1,439
BODY MFG: UPHOLSTERING

- -----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed.4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 INDIANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

UNMODIFIED PREMIUM 70,511
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 2,327
TOTAL UNMODIFIED PREMIUM 72,838
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (15,296)
SCHEDULE MODIFICATION 50% 9887 (28,771)
MODIFIED STANDARD PREMIUM 28,771
LOSS REIMBURSEMENT $250,000 9862 (15,415)
UNDISCOUNTED PREMIUM 13,356
TOTAL ESTIMATED ANNUAL PREMIUM 13,356

TOTAL DUE 13,356

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 KENTUCKY
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
FORT KNOX, KY 40121

CLERICAL OFFICE EMPLOYEES NOC 8810 1,012,239 0.36 3,644

UNMODIFIED PREMIUM 3,644

INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 120
LOSS REIMBURSEMENT $250,000 9962 (2,024)
TOTAL UNMODIFIED PREMIUM 1,740
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (365)
MODIFIED STANDARD PREMIUM 1,375
UNDISCOUNTED PREMIUM 1,375
TOTAL ESTIMATED ANNUAL PREMIUM 1,375
_____SMENTS/TAXES 9% 0088 268

TOTAL DUE 1,643

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 LOUISIANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

SYNADYNE 1

2050 #100 CANAL ST
NEW ORLEANS, LA 70112

CLERICAL OFFICE EMPLOYEES NOC 8810 2,799,000 0.72 20,158

LABOR WORLD OF AMERICA, INC.
JOBSITE ONLY
NEW ORLEANS, LA 70101

LANDSCAPE GARDENING & DRIVERS 0042 105,400 13.96 14,714
CODES 0042 AND 9102 PARK NOC MAY BE
CONTINUED TO THE SAME RISK.THE PAYROLL OF
AN INDIVIDUAL EMPLOYEE MAY BE DIVIDED
AND ALLOCATED BETWEEN CODES 0042 AND
9102 PROVIDED THAT THE ENTRIES ON THE
ORIGINAL RECORDS OF THE INSURED DISCLOSE
AN ALLOCATION OF EACH INDIVIDUAL'S
PAYROLL.AN ESTIMATE OR PERCENTAGE
ALLOCATION OF PAYROLL IS NOT PERMITTED.

SPIRITUOUS LIQUOR BOTTLING 2131 48,500 6.81 3,303

CARBONATED BEVERAGE MFG NOC & ROUTE 2157 1,000 7.54 75
SUPERVISORS, DRIVERS

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 2,200 7.76 171
SALESMEN, DRIVERS

ARMS MFG NOC 3548 350 4.73 17

MACHINE SHOP NOC 3632 500 10.23 51

BOOKBINDING 4307 2,800 5.55 155

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 44,300 7.65 3,389

OPERATE MACHINE OR APPLIANCE, 5191 58,600 2.63 1,541
INSTALLATION, INSPECTION, ADJUSTMENT
OR REPAIR

- ------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 LOUISANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

CLEANER - DEBRIS REMOVAL 5610 25,500 22.02 5,615

FOOD SUNDRIES MFG.N 0 C -NO CEREAL 6504 38,700 7.57 2,930
MILLING

ARMORED CAR CREWS -- (NOT APPLICABLE) 7380 16,700 10.42 1,740
TO CONTRACTORS WHO PROVIDE SUCH
SERVICES) -- & DRIVERS

FLORIST-STORE-DRIVERS 8001 1,800 3.28 59

STORE: RETAIL NOC 8017 34,200 3.83 1,310

STORE: WHOLESALE NOC 8018 2,000 10.54 211

DEPARTMENT STORES--RETAIL 8039 150 3.64 5

AUTOMOBILE ACCESSORY STORES - RETAIL - 8046 4,400 4.06 179
N0C - & DRIVERS

MACHINERY DEALER NOC - STORE OR YARD - 8107 1,000 10.54 105
& DRIVERS

STORAGE WAREHOUSE 8292 10,000 10.25 1,025
N0C. APPLIES TO GENERAL MERCHANDISE

STORAGE WAREHOUSE - FURNITURE - & 8293 2,200 18.54 408
DRIVERS

AUTOMOBILE STORAGE GARAGE OR PARKING 8392 900 4.43 40
STATION & DRIVERS

LETTER SERVICE SHOP & CLERICAL NPD 8800 7,600 5.92 450

CLERICAL OFFICE EMPLOYEES NOC 8810 4,000 0.72 29

BUILDINGS-OPERATION BY CONTRACTORS 9014 42,600 9.49 4,043

AMUSEMENT PARK OR EXHIBITION 9016 70,700 5.75 4,065
OPERATION & DRIVERS

______RANT NOC 9082 64,700 6.92 4,477

ASHES, GARBAGE OR REFUSE COLLECTION 9403 4,200 20.71 870

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 LOUISANA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

DRIVERS

UNMODIFIED PREMIUM 71,135
INCREASED LIMITS-EMPLOYER LIABILITY 2% 9812 1,423
TOTAL UNMODIFIED PREMIUM 72,558
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (15,237)
MODIFIED STANDARD PREMIUM 57,321
LOSS REIMBURSEMENT $250,000 9862 (32,146)
UNDISCOUNTED PREMIUM 25,175
TOTAL ESTIMATED ANNUAL PREMIUM 25,175

TOTAL DUE 25,175

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MASSACHUSETTS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, MA 99999

BOTTLING NOC & ROUTE SUPERVISORS, 2157 35,400 8.36 2,959
DRIVERS

YARN OR THREAD MFG - SILK 2302 4,100 5.66 232

CLOTHING MFG. 2501 600 4.06 24

SHOE OR BOOT MFG NOC 2660 6,800 3.54 241

SHADE ROLLER MFG - WOOD 2841 6,800 5.97 406

WIRE DRAWING-IRON OR STEEL 3241 20,200 5.64 1,139

ELECTROPLATING NPD 3372 4,300 4.60 198

METAL STAMPING MFG 3400 1,200 6.44 77
APPLICABLE TO MASS PRODUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT LIMITED
TO, LICENSE PLATES, TAGS, TOYS,PIE
PLATES, BUCKETS AND WASTE BASKETS.

MACHINE SHOP NOC 3632 3,900 3.60 140

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 8,700 2.13 185

CORRUGATED OR FIBER BOARD CONTAINER MFG 4244 600 5.57 33

BAG MFG - PAPER & PLASTIC 4273 19,300 5.56 1,073

PRINTING 4299 182,900 3.25 5,944

MOTION PICTURE: DEVELOPMENT OF 4360 1,500 1.07 16
NEGATIVES, PRINTING AND ALL SUBSEQUENT
OPERATIONS

____R GOODS MFG N 0 C 4410 19,800 4.87 964

- --------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MASSACHUSETTS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

BONE OR IVORY GOODS MFG 4452 27,000 4.36 1,177

WIRE INSULATING OR COVERING 4470 9,800 5.24 514

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 236,600 5.16 12,209

CARPENTRY NOC 5403 5,600 22.82 1,278

SHEET METAL WORK-ERECTION INSTALLATION 5538 2,700 13.20 356
OR REPAIR N 0 C-SHOP AND
OUTSIDE-INCLUDING DRIVERS SHEET METAL
ROOFING ON SLOPING ROOFS TO BE
SEPARATELY RATED

TIMEKEEPERS-CONSTRUCTION OR ERECTION 5610 34,700 23.48 8,148

SUNDRIES MFG.N 0 C -NO CEREAL 6504 71,200 6.62 4,713
______NG

ELECTRIC LIGHT OR POWER CO NOC - ALL 7539 14,500 3.31 480
EMPLOYEES & SALESMEN, DRIVERS

STORE: RETAIL NOC 8017 3,200 1.98 63

STORE: WHOLESALE - NOC 8018 125,600 6.79 8,528

FURNITURE STORES --WHOLESALE OR RETAIL - 8044 5,200 5.23 272
& DRIVERS

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 44,900 0.53 238
OUTSIDE

CLERICAL OFFICE EMPLOYEES NOC 8810 548,300 0.28 1,535

LAWN MAINTENANCE - COMMERCIAL OR 9102 100 4.37 4
DOMESTIC & DRIVERS
CODES 9102 AND 0042, LANDSCAPE GARDENING
AND DRIVERS MAY BE ASSIGNED TO THE SAME
RISK. THE PAYROLL OF AN INDIVIDUAL
EMPLOYEE MAY BE DIVIDED AND ALLOCATED BE-
TWEEN CODES 0042 AND 9102 PROVIDED THAT
THE ENTRIES ON THE ORIGINAL RECORDS OF
_______ INSURED DISCLOSE AN ALLOCATION OF
EACH INDIVIDUAL'S PAYROLL. AN ESTIMATE

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MASSACHUSETTS
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

OR PERCENTAGE ALLOCATION OF PAYROLL IS
NOT PERMITTED.

SIGN PAINT OR LETTERING INSIDE OF 9501 1,200 4.97 60
BUILDING- & DRIVERS

UNMODIFIED PREMIUM 53,206
INCREASED LIMITS-EMPLOYER LIABILITY 2% 9812 1,064
TOTAL UNMODIFIED PREMIUM 54,270
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (11,397)
MODIFIED STANDARD PREMIUM 42,873
LOSS REIMBURSEMENT $250,000 9862 (22,064)
UNDISCOUNTED PREMIUM 42,873
EXPENSE CONSTANT 0900 190
TOTAL ESTIMATED ANNUAL PREMIUM 20,999
ASSESSMENTS/TAXES 4.2% 0088 1,801

TOTAL DUE 22,800

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MICHIGAN
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
DETROIT, MI 48073

CLERICAL OFFICE EMPLOYEES NOC 8810 5,385,600 0.30 16,157
LABOR WORLD OF AMERICA, INC.
3313 ROSCHESTER RD.
ROYAL OAK, MI 48073

FLORISTS-CULTIVATING OR GARDENING- 0035 9,300 2.91 271
INCLUDING DRIVERS

BAKERY & DRIVERS, ROUTE SUPERVISORS 2003 304,500 6.41 19,518

CARPET, RUG OR UPHOLSTERY CLEANING--SHOP 2585 8,200 8.92 731
- --AND SALESMEN DRIVERS

CLEANING OR DYEING & ROUTE SUPERVISORS, 2586 70,100 3.98 2,790
SALESMEN, DRIVERS

FURNITURE ASSEMBLING-WOOD-FROM 2881 5,160 3.27 169
MANUFACTURED PARTS

TOOL MFG - NOT DROP OR 3113 1,659,600 4.16 69,039
MACHINE FORGED NOC

AUTOMATIC SCREW MACHINE PRODUCTS 3145 17,800 4.71 838
MFG.- N.P.D.

SKATE MFG 3146 33,200 6.02 1,999

ELECTRICAL APPARATUS MFG NOC 3179 5,500 4.26 234

SPRING MFG 3303 12,900 7.31 943

HEAT TREATING-METAL-N P D 3307 40,700 5.48 2,230

_________ OR COPPER GOODS MFG 3315 2,100 4.92 103

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MICHIGAN
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

WELDING OR CUTTING NOC & DRIVERS 3365 900 10.32 93

ELECTROPLATING NPD 3372 4,100 9.57 392

JEWELRY MFG 3383 150 3.22 5

METAL STAMPING MFG 3400 86,300 9.92 8,561
APPLICABLE TO MASS PRODUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT LIMITED
TO, LICENSE PLATES, TAGS, TOYS, PIE
PLATES, BUCKETS AND WASTE BASKETS.

MINING OR ORE MILLING MACHINERY MFG 3507 11,400 8.26 942

P____TING MACHINE MFG. 3548 4,300 2.45 105

MACHINE SHOP NOC 3632 32,100 6.85 2,199

AUTOMOTIVE LIGHTING IGNITION OR STARTING 3648 1,200 6.09 73
APPARATUS MFG NOC

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 23,000 3.45 794

INSTRUMENT MFG NOC 3685 19,800 2.45 485

GLASS MERCHANT 4130 11,900 8.24 981

BOX MFG - FOLDING PAPER - NOC 4243 6,400 6.33 405

PRINTING 4299 5,600 3.62 203

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 10,900 6.91 753

METAL CEILING OR COVERAGE 5538 76,600 9.53 7,300
INSTALLATION & SHOP, DRIVERS

CLEANER--DEBRIS REMOCAL 5610 78,800 6.42 5,059

CARPENTRY-DWELLINGS-THREE STORIES 5651 5,500 11.76 647
OR LESS

_____ SUNDRIES MFG.N 0 C -NO CEREAL 6504 1,300 4.16 54
MILLING

- --------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MICHIGAN
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

CHAUFFERS & HELPERS NOC COMMERCIAL 7380 17,400 6.55 1,140

STORE: HARDWARE 8010 11,500 1.95 224

STORE: RETAIL NOC 8017 31,600 1.88 594

STORE: WHOLESALE NOC 8018 73,000 5.88 4,292

FURNITURE STORES--WHOLESALE OR RETAIL - 8044 18,900 3.03 573
DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8058 46,800 3.10 1,451
ONLY:
STORE EMPLOYEES

PLUMBERS' SUPPLIES DEALER & DRIVERS NPD 8111 7,800 4.30 335

____STOCK DEALER - USED 8264 66,900 9.41 6,295

STORAGE WAREHOUSE NOC 8292 118,900 5.68 6,754

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 9,200 0.57 52
OUTSIDE

ADDRESSING OR MAILING CO NPD 8800 116,900 2.89 3,378

CLERICAL OFFICE EMPLOYEES NOC 8810 920,000 0.30 2,760

BUILDING NOC-OPERATION BY OWNER OR 9015 11,600 5.60 650
LESSEE

HOTEL: RESTAURANT EMPLOYEES 9058 2,000 2.58 52

PAINTING: SHOP ONLY & DRIVERS NPD 9501 30,500 6.63 2,022

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MICHIGAN
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

UNMODIFIED PREMIUM 174,645
INCREASED LIMITS-EMPLOYER LIABILITY 2% 9812 3,493
TOTAL UNMODIFIED PREMIUM 178,138
SCHEDULE MODIFICATION 25% 9887 (44,535)
MODIFIED STANDARD PREMIUM 133,603
LOSS REIMBURSEMENT $250,000 9862 (73,461)
UNDISCOUNTED PREMIUM 60,142
TOTAL ESTIMATED ANNUAL PREMIUM 60,142

TOTAL DUE 60,142

- --------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MINNESOTA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
PRINCETON, MN 55371

CLERICAL TELECOMMUTER EMPLOYEES. 8810 225,600 0.30 677
SUBJECT TO THE MINNESOTA STANDARD
EXCEPTION MANUAL RULE.

LABOR WORLD OF AMERICA, INC.

JOBSITE ONLY
MINNEAPOLIS, MN 55401

LANDSCAPE GARDENING & DRIVERS 0042 600 16.64 100
CODES 0042 AND 9102 PARK NOC MAY BE
ASSIGNED TO THE SAME RISK.THE PAYROLL OF
AN INDIVIDUAL EMPLOYEE MAY BE DIVIDED
AND ALLOCATED BETWEEN CODES 0042 AND
9102 PROVIDED THAT THE ENTRIES ON THE
ORIGINAL RECORDS OF THE INSURED DISCLOSE
AN ALLOCATION OF EACH INDIVIDUAL'S
PAYROLL.AN ESTIMATE OR PERCENTAGE
ALLOCATION OF PAYROLL IS NOT PERMITTED.

CLOTHING MFG. 2501 4,100 4.36 179

CARPENTRY SHOP ONLY AND DRIVERS 2802 5,200 4.64 241

CABINET WORKS - WITH POWER MACHINERY 2812 21,100 6.15 1,298

F1REPROOF EQUIPMENT MFG 3076 55,300 5.77 3,191

HEAT TREATING-METAL-N P D 3307 15,300 8.28 1,267

MACHINE SHOP NOC 3632 39,100 4.64 1,814

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 800 3.11 25

_______G - SET-UP PAPER 4240 900 4.84 44

PRINTING 4299 32,200 3.85 1,240

- -------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MINNESOTA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

BOOKBINDING 4307 106,100 3.46 3,671

PHOTOGRAPHER - ALL EMPLOYEES & CLERICAL, 4361 27,800 1.66 461
SALESPERSONS, DRIVERS.

PAINT MFG 4558 8,250 4.87 402

DRUG MEDICINE OR PHARMACEUTICAL PREP. 4611 4,400 3.07 135
NO MFG. OF INGREDIENTS

PHARMACEUTICAL OR SURGICAL GOODS MFG NOC 4693 1,600 2.10 34

SOAP OR SYNTHETIC DETERGENT MFG 4720 700 3.36 24

AUDIO OR VISUAL RECORDING MEDIA MFG 4923 11,100 2.84 315
INCLUDES TAPES OR DISKS, PHONOGRAPH
RECORD MFG. TO BE SEPARATELY RATED
AS CODE 4431.

FURNITURE OR FIXTURES INSTALLATION 5146 7,600 7.54 573
PORTABLE - NOC

PLUMBING NOC & DRIVERS 5183 1,800 10.63 191

PAINTING OR PAPER HANGING NOC & SHOP 5474 5,200 13.97 726
OPERATIONS, DRIVERS

ALE OR BEER DEALER - WHOLESALE - & 7390 84,100 11.36 9,554
DRIVERS

AUDIO OR CALL BOX SYSTEMS INSTALLATION 7605 500 1.70 9
WITHIN BUILDINGS

FLORIST-STORE-DRIVERS 8001 1,200 2.60 31

STORE: RETAIL NOC 8017 111,300 2.12 2,360

STORE: WHOLESALE NOC 8018 34,600 5.16 1,785

HARDWARE STORES-RETAIL EXCLUSIVELY 8036 28,100 2.33 655

FURNITURE STORES --WHOLESALE OR RETAIL 8044 29,500 3.64 1,074
& DRIVERS

- -------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MINNESOTA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

STORE: DRUG - WHOLESALE 8047 10,600 6.29 667

BUILDING MATERIAL DEALER - NEW MATERIALS 8232 1,500 6.96 104
ONLY:
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

STORAGE WAREHOUSE - FURNITURE - & 8293 700 19.00 133
DRIVERS

DRAIN ELEVATOR OPERATION & LOCAL 8304 28,900 6.64 1,919
MANAGERS, DRIVERS

CLERICAL TELECOMMUTER EMPLOYEES. 8810 105,000 0.30 315
SUBJECT TO THE MINNESOTA STANDARD
_______TION MANUAL RULE.

BUILDINGS-OPERATION BY CONTRACTORS 9014 68,200 6.53 4,453

HOSPITAL: ALL OTHER EMPLOYEES 9040 5,100 4.82 246

HOTEL - ALL EMPLOYEES & CLERICAL, 9052 118,600 3.18 3,771
SALESMEN, DRIVERS

RESTAURANT NOC 9082 44,300 3.18 1,409

LAWN MAINTENANCE - COMMERCIAL 9102 2,750 4.91 135
OR DOMESTIC & DRIVERS
CODES 9102 AND 0042, LANDSCAPE GARDENING
AND DRIVERS MAY BE ASSIGNED TO THE SAME
RISK. THE PAYROLL OF AN INDIVIDUAL
EMPLOYEE MAY BE DIVIDED AND ALLOCATED BE-
TWEEN CODES 0042 AND 9102 PROVIDED THAT
THE ENTRIES ON THE ORIGINAL RECORDS OF
THE INSURED DISCLOSE AN ALLOCATION OF
EACH INDIVIDUAL'S PAYROLL. AN ESTIMATE
OR PERCENTAGE ALLOCATION OF PAYROLL IS
N0T PERMITTED.

THEATRE NOC: ALL OTHER EMPLOYEES 9154 5,490 1.73 95

PAINTING OR LETTERING-INSIDE OF 9501 17,900 4.26 763
___INGS-INCLUDING SHOP OPERATIONS
DRIVERS-N P 0 WITH 9549 ADVERTISING

- ----------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MINNESOTA
- ------------------- --------------- -----------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- -------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- -------------------------------------------------------------------------------------------------------------------

COMPANIES OUTDOOR 3064 SIGN MFG OR 5474
PAINTING OR PAPER HANGING

HOUSEHOLD APPLIANCES - ELECTRICAL 9519 2,100 4.49 94
INSTALLATION, SERVICE OR REPAIR
DRIVERS.

UNMODIFIED PREMIUM 46,180
INCREASED LIMITS-EMPLOYER LIABILITY 2% 9812 924
TOTAL UNMODIFIED PREMIUM 47,104
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (9,892)
SCHEDULE MODIFICATION 25% 9887 (9,303)
MODIFIED STANDARD PREMIUM 27,909
LOSS REIMBURSEMENT $250,000 9862 (15,496)
UNDISCOUNTED PREMIUM 27,909
TOTAL ESTIMATED ANNUAL PREMIUM 12,413
MINNESOTA SURCHARGE 8.7% 9135 2,428

TOTAL DUE 14,841

- ---------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MISSOURI
- ------------------- -------------- ------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------
ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- ------------------------------------------------------------------------------------------------------------
ENTRIES IN THIS ITEM, EXCEPT AS CODE ESTIMATED TOTAL PER $100 OF ESTIMATED
SPECIFICALLY PROVIDED ELSEWHERE IN NO. ANNUAL REMUNERATION REMUNERATION ANNUAL PREMIUMS
THIS POLICY, DO NOT MODIFY ANY OF
THE OTHER PROVISIONS OF THIS POLICY.

OUTSOURCE INTERNATIONAL, INC.

DEED ADDRESS
ENTIRE STATE, MO 99999

CLERICAL OFFICE EMPLOYEES NOC 8810 44,000 0.41 180

UNMODIFIED 180
TOTAL UNMODIFIED PREMIUM 180
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (38)
MODIFIED STANDARD PREMIUM 142
LOSS REIMBURSEMENT $250,000 9862 (22)
UNDISCOUNTED PREMIUM 142
TOTAL ESTIMATED ANNUAL PREMIUM 120
_____ COND INJURY FUND SURCHARGE 1.5% 0088 2

TOTAL DUE 122

- ----------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 MISSISSIPPI
- ------------------- -------------- ------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

SYNADYNE I

6310 I-55 NORTH, STE 400
JACKSON, MS 39211

CLERICAL OFFICE EMPLOYEES NOC 8810 176,400 0.39 688

UNMODIFIED PREMIUM 688
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 23
TOTAL UNMODIFIED PREMIUM 711
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (149)
MODIFIED STANDARD PREMIUM 562
LOSS REIMBURSEMENT $250,000 9862 (313)
UNDISCOUNTED PREMIUM 249
TOTAL ESTIMATED ANNUAL PREMIUM 249

TOTAL DUE 249

- -------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NORTH CAROLINA
- ------------------- -------------- ------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

SYNADYNE I

8801 J.M. KEYNES DR., STE 300
CHARLOTTE, NC 28213

TRUCKING: MAIL, PARCEL OR PACKAGE 7231 33,700 5.60 1,887
DELIVERY-ALL EMPLOYEES & SALESPERSONS,
DRIVERS

SALESPERSONS, COLLECTORS OR MESSENGERS- 8742 34,200 0.86 294
OUTSIDE

CLERICAL OFFICE EMPLOYEES NOC 8810 2,953,300 0.33 9,746

UNMODIFIED PREMIUM 11,927
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 394
TOTAL UNMODIFIED PREMIUM 12,321
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (2,587)
MODIFIED STANDARD PREMIUM 9,734
LOSS REIMBURSEMENT $250,000 9862 (5,405)
UNDISCOUNTED PREMIUM 4,329
TOTAL ESTIMATED ANNUAL PREMIUM 4,329

TOTAL DUE 4,329

- -------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEBRASKA
- ------------------- -------------- ------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, NE 99999

COLD STORAGE LOCKER - FROZEN FOODS 8031 400 3.59 14

DEPARTMENT STORES - RETAIL 8039 111,100 1.39 1,544

FURNITURE STORES - WHOLESALE OR RETAIL - 8044 300 1.94 6
& DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8058 200 2.75 6
ONLY:
STORE EMPLOYEES

______ MERCHANT 8102 200 4.23 8

OIL OR GAS WELL: SUPPLIES OR EQUIPMENT 8204 1,000 7.83 78
DEALER - USED - & LOCAL MANAGERS,
DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8232 5,000 3.94 197
ONLY:
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

STORAGE WAREHOUSE NOC 8292 900 5.56 50

STORAGE WAREHOUSE - FURNITURE - & 8293 3,300 8.65 285
DRIVERS

AUTOMOBILE CAR WASH AND DRIVERS 8380 700 3.10 22

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 20,700 0.68 141
OUTSIDE

CLERICAL OFFICE EMPLOYEES NOC 8810 29,700 0.33 98

BUILDINGS-OPERATION BY CONTRACTORS 9014 45,200 3.70 1,672

BUILDINGS NOC-OPERATION BY OWNER OR 9015 700 3.03 21
LESSEE

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEBRASKA
- ------------------- -------------- ------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

------------------------------
INTRA/INDEPENDENT STATE RISK ID

HOSPITAL: ALL OTHER EMPLOYEES 9040 55,900 2.44 1,364

HOTEL - ALL EMPLOYEES & SALESPERSON & 9052 9,700 2.93 284
DRIVERS

HOTEL: RESTAURANT EMPLOYEES 9058 30 2.17 1

RESTAURANT NOC 9082 40,000 1.97 79

RELIGIOUS ORGANIZATION: 9101 5,700 3.20 182
ALL OTHER EMPLOYEES

CEMETERY OPERATION & DRIVERS 9220 3,000 4.57 137

______, GARBAGE OR REFUSE COLLECTION & 9403 9,700 10.04 974
DRIVERS

UNMODIFIED PREMIUM 7,163
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 236
TOTAL UNMODIFIED PREMIUM 7,399
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (1,554)
MODIFIED STANDARD PREMIUM 5,845
LOSS REIMBURSEMENT $250,000 9862 (894)
UNDISCOUNTED PREMIUM 4,951
TOTAL ESTIMATED ANNUAL PREMIUM 4,951

TOTAL DUE 4,951

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW HAMPSHIRE
- --------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, NH 99999

LANDSCAPE GARDENING & DRIVERS 0042 10,600 12.98 1,376
CODES 0042 AND 9102 PARK NOC MAY BE
ASSIGNED TO THE SAME RISK. THE
PAYROLL OF AN INDIVIDUAL EMPLOYEE
MAY BE DIVIDED AND ALLOCATED
BETWEEN CODES 0042 AND 9102
PROVIDED THAT THE ENTRIES ON THE
ORIGINAL RECORDS OF THE INSURED
DISCLOSE AN ALLOCATION OF EACH
INDIVIDUAL'S PAYROLL. AN ESTIMATE
OR PERCENTAGE ALLOCATION OF
PAYROLL IS NOT PERMITTED.

CEMENT MFG 1701 1,600 8.69 139

ICE CREAM MFG. & SALESMEN, DRIVERS 2039 23,200 8.12 1,884

MEAT PRODUCTS MFG NOC 2095 100 14.24 14

SAW MILL 2710 700 13.85 97

BOX, BOX SHOOK OR PALLET MFG 2759 16,800 17.44 2,930
WOODEN

FURNITURE ASSEMBLING-WOOD-FROM 2881 29,100 10.05 2,925
MANUFACTURED PARTS

PHONOGRAPH CABINET MFG 2883 49,800 8.22 4,094

SHEET METAL WORK - SHOP 3066 8,600 7.45 641

SCREW MFG 3145 34,900 4.47 1,560

CAN MFG 3220 300 5.27 16

ARMS MFG NOC 3548 4,500 2.29 103

_______ SHOP NOC 3632 3,000 4.60 138

RADIO APPARATUS MFG OR ASSEMBLY NOC 3681 37,400 3.86 1,444

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW HAMPSHIRE
- --------------- --------------- -------------------------------
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-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

INSTRUMENT MFG NOC 3685 3,000 4.80 144

BOX MFG - FOLDING PAPER - NOC 4243 25,300 4.64 1,174

CORRUGATED OR FIBER BOARD CONTAINER 4244 200 4.68 9
MFG

BOOKBINDING 4307 1,500 6.83 102

BONE OR IVORY GOODS MFG 4452 16,700 7.81 1,304

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 50,400 7.61 3,835

FABRIC COATING OR IMPREGNATING 4493 126,300 6.50 8,210

PAINT MFG 4558 19,000 4.20 798

_______ MEDICINE OR PHARMACEUTICAL 4611 22,300 4.63 1,032
PREP __ MFG. OF INGREDIENTS

FURNITURE OR FIXTURES INSTALLATION - 5146 4,200 12,27 515
PORTABLE - NOC

PLUMBING NOC & DRIVERS 5183 600 9.17 55

UNITING - NOT CHIMNEYS - ALL 5213 81,800 40.57 33,186
OPERATIONS

CONCRETE OR CEMENT WORK - FLOORS, 5221 900 12.86 166
DRIVEWAYS, YARDS OR SIDEWALKS - &
DRIVERS

FENCE ERECTION - WOOD NOC 5403 284,000 19.52 55,437

_LAZIER - AWAY FROM SHOP - & DRIVERS 5462 100 17.30 17

PAINTING OR PAPER HANGING NOC & SHOP 5474 2,000 17.96 359
OPERATIONS, DRIVERS

STREET OR ROAD CONSTRUCTION OR 5506 400 15.68 63
RECONSTRUCTION & DRIVERS
_ILLING OR GRADING TUNNELING BRIDGE OR
CULVERT BUILDING QUARRYING STONE
_______ TO BE SEPARATELY RATED
_______ OR GRADING TUNNELING BRIDGE OR
CULVERY BUILDING QUARRYING STONE

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW HAMPSHIRE
- --------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

CRUSHING TO BE SEPARATELY RATED

TIMEKEEPERS-CONSTRUCTION OR ERECTION 5610 28,400 19.48 5,532

SEWER CONSTRUCTION - ALL OPERATIONS & 6306 1,280 7.65 98
DRIVERS

FOOD SUNDRIES MFG.N O C -NO CEREAL 6504 209,500 9.13 19,127
MILLING

TRUCKING:
PARCEL OR PACKAGE DELIVERY-ALL 7230 300 9.60 29
EMPLOYEES & DRIVERS

REFRIGERATOR CAR LOADING OR UNLOADING 7360 4,000 14.39 576

LIMOUSINE COMPANY - ALL OTHER EMPLOYEES 7370 100 11.10 11
______VERS & NON-SCHEDULED

CHAUFFEURS & HELPERS NOC COMMERCIAL 7380 48,400 9.15 4,429

ALE OR BEER DEALER - WHOLESALE - & 7390 8,400 7.09 596
DRIVERS

GARBAGE WORKS 7590 100 10.13 10

STORE: HARDWARE 8010 2,000 2.49 50

STORE GROCERY WHOLESALE 8018 78,500 9,48 7,442

FURNITURE STORES -- WHOLESALE OR RETAIL - 8044 3,000 6.99 210
& DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8232 9,400 6.54 615
ONLY:
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

RUBBER STOCK DEALER - USED - AND 8264 114,200 10.73 12,254
DRIVERS NPD

STORAGE WAREHOUSE NOC 8292 2,400 9.95 239

STORAGE WAREHOUSE - FURNITURE - & 8293 5,500 23.44 1,289
DRIVERS

- ------------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW HAMPSHIRE
- --------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

AUTOMOBILE CAR WASH AND DRIVERS 8380 900 5.49 49

SALESPERSONS, COLLECTORS OR 8742 8,700 1.04 90
MESSENGERS - OUTSIDE

CLERICAL OFFICE EMPLOYEES NOC 8810 335,400 0.56 1,878

BUILDINGS-OPERATION BY CONTRACTORS 9014 1,600 9.50 152

BUILDINGS NOC-OPERATION BY OWNER OR 9015 1,000 8.02 80
LESSEE

RELIGIOUS ORGANIZATION: 9101 3,900 4.92 192
ALL OTHER EMPLOYEES

LAWN MAINTENANCE - COMMERCIAL OR 9102 45,000 8.07 3,632
____IC & DRIVERS
CODES 9102 AND 0042, LANDSCAPE
GARDENING AND DRIVERS MAY BE
ASSIGNED TO THE SAME RISK. THE
PAYROLL OF AN INDIVIDUAL
EMPLOYEE MAY BE DIVIDED AND
ALLOCATED BETWEEN CODES 0042
AND 9102 PROVIDED THAT THE
ENTRIES ON THE ORIGINAL RECORDS
OF THE INSURED DISCLOSE AN
ALLOCATION OF EACH INDIVIDUAL'S
PAYROLL. AN ESTIMATE OR
PERCENTAGE ALLOCATION OF
PAYROLL IS NOT PERMITTED.

THEATRE NOC: OTHER EMPLOYEES 9154 200 2.69 5

PAINTING: SHOP ONLY & DRIVERS NPD 9501 6,900 6.73 464

UNMODIFIED PREMIUM 182,766
INCREASED LIMITS - EMPLOYER 3.3% 9812 6,031
TOTAL UNMODIFIED PREMIUM 188,797
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (39,647)
MODIFIED STANDARD PREMIUM 149,150

- ------------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW HAMPSHIRE
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-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

LOSS REIMBURSEMENT $250,000 9862 (82,809)
UNDISCOUNTED PREMIUM 66,341
TOTAL ESTIMATED ANNUAL PREMIUM 66,341

TOTAL DUE 66,341

- ------------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW JERSEY
- --------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

LABOR WORLD OF AMERICA, INC.

301 NORTH ALMONESSON RD.
DEPTFORD, NJ 08096

STORE: RETAIL-N.O.C. 8017 180,000 2.75 4,950

CLERICAL OFFICE EMPLOYEES N.O.C. 8810 56,500 0.33 186

UNMODIFIED PREMIUM 5,136
TOTAL UNMODIFIED PREMIUM 5,136
MODIFIED STANDARD PREMIUM 5,136
LOSS REIMBURSEMENT $250,000 9862 (2,331)
UNDISCOUNTED PREMIUM 5,136
TOTAL ESTIMATED ANNUAL PREMIUM 2,805
_______ 5% 0935 257
_______ .2% 0936 10

ESTIMATED TOTAL DUE 3,072

- ------------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW MEXICO
- --------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
ABUELO, NM 87732

LANDSCAPE GARDENING & DRIVERS 0042 10,000 16.31 1,631

CEMENT MFG 1701 7,700 4.38 337

BAKERY & DRIVERS, ROUTE SUPERVISORS 2003 94,800 7.41 7,025

MILK DEPOT OR MILK DEALER & ROUTE 2070 40 9.17 4
SUPERVISORS, SALESMEN, DRIVERS

BOTTLING NOC & ROUTE SUPERVISORS, 2157 42,300 8.40 3,553
DRIVERS

RUG, CARPET OR UPHOLSTERY CLEANING 2585 400 8.57 34

DRY CLEANING AND LAUNDRY STORE - RETAIL 2589 700 5.03 35
- - & ROUTE SUPERVISORS, SALESMEN, DRIVERS

PLANING OR MOLDING MILL 2731 4,400 8.07 355

FURNITURE ASSEMBLING-WOOD-FROM 2881 9,400 6.03 567
MANUFACTURED PARTS

PHONOGRAPH CABINET MFG 2883 900 7.32 66

ELECTROPLATING NPD 3372 3,700 8.83 327

METAL STAMPING MFG 3400 700 6.36 45
APPLICABLE TO MASS PRODUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT
LIMITED TO, LICENSE PLATES, TAGS,
TOYS, PIE PLATES, BUCKETS AND
WASTE BASKETS.

___ MFG NOC 3548 900 3.52 32

______ MAKING 3620 43,600 9.36 4,081

MACHINE SHOP NOC 3632 4,600 7.00 322

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW MEXICO
- --------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

ELECTRICAL APPARATUS INSTALLATION OR 3724 2,200 14.92 328
REPAIR & DRIVERS

PAPER GOODS MFG NOC 4279 5,700 9.90 564

PRINTING 4299 3,500 3.28 115

BONE OR IVORY GOODS MFG 4452 2,000 6.34 127

PLASTICS MFG: SHEET RODS OR TUBES 4459 1,700 8.34 142

ASSAYING-NPD 4511 10,100 1.85 187

ERECTION - METAL BRIDGES 5040 100 44.64 45

FURNITURE OR FIXTURES INSTALLATION - 5146 7,900 7.13 563
_______ - NOC

PLUMBING NOC & DRIVERS 5183 16,300 8.06 1,314

ELECTRICAL WIRING - WITHIN BUILDINGS 5190 200 5.31 11
& DRIVERS.

CONCRETE OR CEMENT WORK - FLOORS, 5221 4,400 15.51 682
DRIVEWAYS, YARDS OR SIDEWALKS - &
DRIVERS

FENCE ERECTION - WOOD NOC 5403 47,000 17.95 8,437

METAL CEILING OR WALL COVERING 5538 600 9.54 57
INSTALLATION & SHOP, DRIVERS

TIMEKEEPERS-CONSTRUCTION OR 5610 16,600 8.82 1,464
ERECTION

GRADING OF LAND NOC & DRIVERS 6217 2,300 8.75 201

CHAUFFEURS & HELPERS NOC COMMERCIAL 7380 9,500 8.15 774

BURGLER ALARM INSTALLATION OR REPAIR 7605 700 4.42 31
DRIVERS

STORE: HARDWARE 8010 18,000 2.82 508

STORE: RETAIL NOC 8017 14,200 2.89 410

- ------------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW MEXICO
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

STORE GROCERY WHOLESALE 8018 40,200 7.20 2,894

STORE: MEAT, FISH OR POULTRY DEALER - 8021 1,100 13.91 153
WHOLESALE

FURNITURE STORES -- WHOLESALES OR RETAIL - 8044 34,900 4.23 1,476
& DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8058 12,500 3.73 466
ONLY:
STORE EMPLOYEES

METAL MERCHANT & DRIVERS 8106 31,100 9.67 3,007
APPLIES TO DEALERS OF IRON, STEEL OR
NONFERROUS METAL.

MACHINERY DEALER NOC - STORE OR YARD - 8107 5,700 6.54 373
& DRIVERS

PLUMBERS' SUPPLIES DEALER & DRIVERS NPD 8111 5,800 6.30 365

CONTRACTOR'S PERMANENT YARD 8227 3,300 5.65 186

BUILDING MATERIAL DEALER - NEW MATERIALS 8232 2,600 11.07 288
ONLY:
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

STORAGE WAREHOUSE NOC 8292 100 7.69 8

STORAGE WAREHOUSE - FURNITURE - & 8293 400 16.57 66
DRIVERS

AUTOMOBILE CAR WASH AND DRIVERS 8380 19,200 4.08 783

ARCHITECT OR ENGINEER - CONSULTING NPD 8601 4,600 1.49 69

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 39,000 1.02 398
OUTSIDE

CLERICAL OFFICE EMPLOYEES NOC 8810 1,100,300 0.49 5,391

_________ - VETERINARY - & DRIVERS 8831 2,200 2.44 54

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW MEXICO
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

HOTEL - ALL EMPLOYEES & SALESPERSON & 9052 100 7.28 7
DRIVERS

SEWER CLEANING & DRIVERS 9402 1,100 8.25 91

ASHES, GARBAGE OR REFUSE COLLECTION & 9403 4,000 11.19 448
DRIVERS

CARPET INSTALLATION 9521 1,000 8.86 89

SIGN MFG - ERECTION, REPAIR OR 9552 50 13.35 7
MAINTENANCE - & SHOP, DRIVERS

UNMODIFIED PREMIUM 50,993
INCREASED LIMITS - EMPLOYER LIABILITY 3.3% 9812 1,683
TOTAL UNMODIFIED PREMIUM 52,676
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (11,062)
SCHEDULE MODIFICATION 25% 9887 (10,404)
MODIFIED STANDARD PREMIUM 31,210
LOSS REIMBURSEMENT $250,000 9862 (17,329)
UNDISCOUNTED PREMIUM 13,881
TOTAL ESTIMATED ANNUAL PREMIUM 13,881
NEW MEXICO FILING FEE 5 0088 5

TOTAL DUE 13,886

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 NEW YORK
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, NY 99999

STORES RETAIL STORES N O C - NO SERVICE OF 8017 289,800 2.61 7,564
FOOD

CLERICAL OFFICE EMPLOYEES NOC 8810 1,400 0.44 6

UNMODIFIED PREMIUM 7,570
TOTAL UNMODIFIED PREMIUM 7,570
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (1,590)
MODIFIED STANDARD PREMIUM 5,980
LOSS REIMBURSEMENT $250,000 9862 (3,075)
______ COUNTED PREMIUM 5,980
TOTAL ESTIMATED ANNUAL PREMIUM 2,905
NEW YORK STATE ASSESSMENT 13.9% 9704 831

TOTAL DUE 3,736

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 PENNSYLVANIA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

JOBSITE ONLY
PITTSBURGH, PA 15201

CLERICAL OFFICE EMPLOYEES 0953 528,100 0.49 2,588

SYNADYNE I

10500 ROOSEVELT BLVD.
PHILADELPHIA, PA 19116

CLERICAL OFFICE EMPLOYEES 0953 489,600 0.49 2,399

WORLD OF AMERICA, INC.

720 EAST JOHNSON HWY.
NORRISTOWN, PA 19401

CONTRACT GARDENERS NURSERYMEN AND 0013 1,600 9.48 152
LANDSCAPE CONTRACTORS ALL EMPLOYEES
EXCEPT OFFICE NPD

BAKERIES-INCLUDING STORE - ALL EMPLOYEES 0105 39,000 9.77 3,810
EXCEPT OFFICE

PRESERVING OR CANNING OF FOOD 0113 8,500 6.70 570

LAUNDRIES INCLUDING DYEING AND CLEANING 0141 33,400 12.45 4,158
AND INCLUDING RECEIVING STATIONS-ALL
EMPLOYEES EXCEPT OFFICE

PLASTICS ARTICLES MFG INJECTION MOLDING 0221 469,600 9.03 42,405
NPD WITH CLASS 222 AT THE SAME OR
CONTIGOUS LOCATIONS

PLASTICS ARTICLES MFG N.O.C. 0222 500 8.69 43

PAPER BOX AND CONTAINER MFG INCLUDING 0257 63,300 10.65 6,741
__________ PAPER BAGS MAILING TUBES FILE
JACKETS WALLETS AND PAPER DISHES

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 PENNSYLVANIA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

PRINTING - INCLUDING INCIDENTAL ENGRAV- 0281 196,500 6.27 12,321
ING, AND THE ASSEMBLY, STAPLING OR BIND-
ING OF CIRCULARS PAMPHLETS OR CATALOGUES

NEWSPAPER AND PERIODICAL PRINTING OR 0282 6,100 8.93 545
PUBLISHING.

CARPENTRY SHOP, INCLUDING PLANING MILL. 0305 12,000 11.36 1,363

CABINET WORKS WITH POWER 0311 1,400 7.06 99
DRIVEN MACHINERY

ROLLING, DRAWING OR EXTRUDING OF NON- 0403 9,400 8.66 814
FERROUS METALS
ALSO INCLUDES MAKING NON-FERROUS PIP
OR TUBES OR FORGING NON-FERROUS METALS

_______ MFG AXES AGRICULTURAL AND GARDENING 0433 2,500 11.28 282
TOOLS SLEDGEHAMMERS LOGGING TOOLS
CONSTRUCTION TOOLS WHEELBARROWS AND OIL
WELL TOOLS

HARDWARE MFG N O C INCLUDING FOUNDRY 0445 36,200 7.73 2,798
BUILDERS HARDWARE GAS AND ELECTRIC
FIXTURES MEAT CHOPPERS COFFEE GRINDERS
SADIRONS AND PLUMBERS FITTINGS

ELECTROPLATING 0449 1,700 7.58 129

SHEET METAL WORK SHOP ONLY 0454 21,600 9.31 2,011

WIRE GOODS MFG N P D 0457 350 9.12 32

EYELET, NEEDLE PIN PEN AND TACK MFG. 0459 1,900 2.87 55

MACHINE SHOPS--NO WOODWORKING--NO BOILER 0461 4,900 6.98 342
MAKING

ELECTRICAL APPARATUS MFG-NO IRON OR 0473 2,600 4.01 104
STEEL FOUNDRY

INSTRUMENT MFG PROFESSIONAL OR 0487 157,400 1.82 2,865
______TIFIC

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WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 PENNSYLVANIA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

EMPLOYMENT CONTACTOR - TEMPORARY STAFF - 0544 33,200 21.47 7,128
MANUFACTURING OR LIGHT INDUSRTIAL
OPERATIONS, N.O.C.

PAINT AND COLORS MFG-NO RED OR WHITE 0563 22,900 6.15 1,408
LEAD MFG

WALLBOARD INSTALLATION--WITHIN BUILDINGS 0645 2,600 13.71 356
INCLUDES THE ENTIRE OPERATION OF IN-
STALLING DRYWALL/WALLBOARD INCLUDING
TAPING, SEAMING, TEXTURING, BUT NOT
PAINTING

FURNITURE OR FIXTURE INSTALLATION - 0646 11,700 11.06 1,294
PORTABLE - IN OFFICES OR STORES

_____TICAL INSULATION MATERIAL 0647 300 19.78 59
INSTALLATION

CARPENTRY--INSTALLATION OF CABINET WORK, 0648 5,300 8.02 425
FINISHED WOODEN FLOORING OR INTERIOR
TRIM

BOARDING UP OF ABANDONED BUILDINGS 0651 6,200 17.63 1,093

CARPENTRY - DETACHED DWELLINGS 0652 1,300 13.47 175

CONCRETE CONSTRUCTION 0654 14,000 25.01 3,501

MACHINERY OR EQUIPMENT ERECTION OR 0675 11,900 11.89 1,415
REPAIR

PUBLIC WEIGHERS AND SAMPLERS STEAMSHIP 0709 14,300 4.50 644
AGENCIES ALL EMPLOYEES EXCEPT OFFICE
AND SALESMEN

FURNITURE MOVING AND/OR STORAGE. 0806 14,200 25.63 3,639

TRUCKMEN-ALL EMPLOYEES EXCEPT OFFICE 0811 1,900 18.92 359

STORAGE ALL EMPLOYEES EXCEPT OFFICE 0813 12,100 14.66 1,774

STORAGE DISTRIBUTORS, WHOLESALE 0821 3,500 14.55 509

- ----------------------------------------------------------------------------------------------------------------------

WC7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 PENNSYLVANIA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

DEALERS IN CLOTH CLIPPING WIPING RAGS 0862 47,000 12.94 6,082
OLD RAGS AND PAPER FOR PAPER STOCK AND
DEALERS IN SECONDHAND BOTTLES AND RUBBER
STOCK-NO DEALING IN METALS OR BUILDING
MATERIALS, BUT INCLUDING BEVERAGE CAN RE-
CYCLING
DEALERS IN CLOTH CLIPPINGS, NEW GOODS
ONLY, MUST BE REFERED TO THE BUREAU
FOR CLASSIFICATION AND RATING

MEAT, FISH AND/OR POULTRY STORE- 0915 9,600 5.40 518
RETAIL, ALL EMPLOYEES EXCEPT
OFFICE

DRY GOODS AND CLOTHING STORES WHOLESALE 0916 2,900 3.36 97
OR RETAIL ALL EMPLOYEES INCLUDING OFFICE

BAKERY SHOP--RETAIL, INCLUDING ON-SITE 0918 22,800 6.23 1,420
PREPARATION, INCLUDING OFFICE.
APPLIES TO RISKS PRODUCING BAKERY PRO-
DUCTS AND RISKS WHO BUY FINISHED BAKERY
PRODUCTS FROM UNRELATED PRODUCERS.
SALES ARE OVER THE COUNTER FOR PERSONAL
OR HOUSEHOLD CONSUMPTION, EITHER ON
PREMISES OR THROUGH SATELLITE OUTLETS.

FLORIST STORE - RETAIL OR WHOLESALE 0919 1,100 4.02 44

FURNITURE STORE - RETAIL OR WHOLESALE 0922 166,000 7.08 11,753
NO WOODWORKING

WHOLESALE STORES N O C 0924 23,300 9.94 2,316

HARDWARE STORES - WHOLESALE 0926 41,000 5.93 2,431

RETAIL STORES N O C-ALL EMPLOYEES 0928 307,200 4.09 12,564
INCLUDING OFFICE

EMPLOYMENT CONTRACTOR-TEMPORARY STAFF - 0929 163,300 10.99 17,947
MERCHANTILE OPERATIONS

VENDING OR COIN OPERATED 0933 5,900 6.99 412
MACHINES

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 PENNSYLVANIA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

AUTO PARTS DEALER - WHOLESALE 0934 259,800 4.88 12,678

EMPLOYMENT CONTRACTOR-TEMPORARY STAFF - 0937 5,500 30.45 1,675
HEAVY SERVICE.

CLUB - COUNTRY, GOLF, OR YACHTING - ALL 0944 14,100 4.77 673
EMPLOYEES EXCEPT OFFICE.

HOTEL RESTAURANT EMPLOYEES, ALL EMPLOY- 0945 13,100 6.01 787
EES EXCEPT OFFICE.

EMPLOYMENT CONTRACTOR-TEMPORARY STAFF - 0947 50,900 12.70 6,464
MAINTENANCE OR SERVICE.

MAILING OR ADDRESSING COMPANY - ALL 0948 19,500 1.14 222
EMPLOYEES INCLUDING OFFICE

____ETING SERVICE -- TEMPORARY HELP 0949 40,600 1.84 747

SALESPERSON - OUTSIDE 0951 103,100 1.03 1,062

OFFICE MACHINE SERVICE OR REPAIR. 0952 400 1.83 7

CLERICAL OFFICE EMPLOYEES 0953 268,000 0.49 1,313

ENGINEER, CONSULTING -- MECHANICAL, 0955 23,500 1.06 249
CIVIL, ELECTRICAL OR MINING ENGINEERS,
OR ARCHITECTS.

COLLEGES AND SCHOOLS ALL EMPLOYEES 0965 7,400 1.09 81
INCLUDING OFFICE EXCEPT PURNELL ACT
EMPLOYEES

AMUSEMENTS OUTDOOR FAIRS EXHIBITIONS 0969 3,500 7.37 258
HORSE SHOWS AND AMUSEMENT PARKS N P D
ALL EMPLOYEES EXCEPT OFFICE INCLUDING
TICKET SELLERS AND TICKET COLLECTORS BUT
EXCLUDING ORGANIZED ATHLETICS

APARTMENT HOUSE -- OPERATED BY OWNER, 0971 188,500 9.53 17,964
LESSEE OR MANAGEMENT AGENCY

____S-ALL OTHER EMPLOYEES, EXCEPT 0973 4,250 8.04 342
OFFICE.

- ---------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 PENNSYLVANIA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

RESTAURANTS AND CLUBS-ALL EMPLOYEES 0975 200 5.19 10
INCLUDING OFFICE

SANITARY COMPANY (SEPTIC TANK, CESSPOOL 0992 5,000 8.85 443
OR CHEMICAL PORTABLE TOILET CLEANING)

CEMETERIES-ALL EMPLOYEES EXCEPT OFFICE 0999 7,000 13.62 953
AND SALESMEN

UNMODIFIED PREMIUM 211,917
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 6,993
TOTAL UNMODIFIED PREMIUM 218,910
MODIFIED STANDARD PREMIUM 218,910
LOSS REIMBURSEMENT $250,000 9862 (121,539)
UNDISCOUNTED PREMIUM 97,371
TOTAL ESTIMATED ANNUAL PREMIUM 97,371

TOTAL DUE 97,371

- -----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 SOUTH CAROLINA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

SYNADYNE I

JOBSITE ONLY
ABBEVILLE, SC 29620

CLERICAL OFFICE EMPLOYEES 8810 886,000 0.28 2,481

BUILDINGS NOC-OPERATION BY OWNER OR 9015 40,500 4.01 1,624
LESSEE

UNMODIFIED PREMIUM 4,105
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 135
TOTAL UNMODIFIED PREMIUM 4,240
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (890)
SCHEDULE MODIFICATION 25% 9887 (838)
MODIFIED STANDARD PREMIUM 2,512
LOSS REIMBURSEMENT $250,000 9862 (1,435)
UNDISCOUNTED PREMIUM 1,077
TOTAL ESTIMATED ANNUAL PREMIUM 1,077

TOTAL DUE 1,077

- --------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 SOUTH DAKOTA
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, SD 99999

CLERICAL OFFICE EMPLOYEES NOC 8810 14,700 0.45 66

UNMODIFIED PREMIUM 66
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 2
TOTAL MODIFIED PREMIUM 68
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (14)
MODIFIED STANDARD PREMIUM 54
LOSS REIMBURSEMENT $250,000 9862 (29)
UNDISCOUNTED PREMIUM 25
TOTAL ESTIMATED ANNUAL PREMIUM 25
SOUTH DAKOTA POLICY FEE 0088 14

TOTAL DUE 39

- ---------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

SYNADYNE I

151 LAFAYETTE STREET
NASHVILLE, TN 37210

CLERICAL OFFICE EMPLOYEES NOC 8810 1,049,700 0.38 3,989

LABOR WORLD OF AMERICA, INC.

JOBSITE ONLY
KNOXVILLE, TN 37901

BOTTLING NOC & ROUTE SUPERVISORS, 2157 1,500 5.54 83
DRIVERS

____NING OR DYEING & ROUTE SUPERVISORS, 2586 500 3.20 16
SALESMEN, DRIVERS

DRY CLEANING AND LAUNDRY STORE - RETAIL 2589 300 3.35 10
& ROUTE SUPERVISORS, SALESMEN, DRIVERS

SHEET METAL WORK - SHOP 3066 27,100 7.18 1,946

TOOL MFG - NOT DROP OR MACHINE FORGED - 3113 134,000 2.94 3,940
NOC

BUTTON OR FASTENER MFG - METAL 3131 23,000 3.92 902

MACHINERY OR EQUIPMENT ERECTION OR 3724 4,700 10.75 505
REPAIR NOC & DRIVERS

PAPER MFG 4239 160,300 2.37 3,799

BOX MFG - FOLDING PAPER - NOC 4243 2,100 5.35 112

PLUMBING NOC & DRIVERS 5183 1,200 6.97 84

CONCRETE OR CEMENT WORK - FLOORS, 5221 2,400 8.76 210
DRIVEWAYS, YARDS OR SIDEWALKS - &
DRIVERS

CARPENTRY NOC 5403 33,300 13.66 4,549

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

CARPENTRY-INSTALLATION OF CABINET WORK 5437 1,500 7.80 117
OR INTERIOR TRIM

SHEET ROCK INSTALLATION - WITHIN 5445 9,000 13.95 1,256
BUILDINGS - & DRIVERS

PAINTING OR PAPER HANGING NOC & SHOP 5474 1,500 13.14 197
OPERATIONS, DRIVERS

INSULATION WORK NOC & DRIVERS 5479 120 17.91 21

FOOD SUNDRIES MFG. NOC - NO CEREAL 6504 126,100 4.49 5,662
MILLING

METAL MERCHANT & DRIVERS 8106 5,300 7.23 383
APPLIES TO DEALERS OF IRON, STEEL OR
FERROUS METAL.

SALESPERSONS, COLLECTORS OR MESSENGERS - 8742 215,500 0.83 1,789
OUTSIDE

CLERICAL OFFICE EMPLOYEES NOC 8810 1,041,400 0.38 3,957

BUILDINGS-OPERATION BY CONTRACTORS 9014 100,300 5.95 5,968

BUILDINGS NOC-OPERATION BY OWNER OR 9015 50,600 5.86 2,965
LESSEE

HOTEL - ALL EMPLOYEES & SALESPERSON & 9052 280,500 4.87 13,660
DRIVERS

HOTEL: RESTAURANT EMPLOYEES 9058 51,500 3.52 1,813

JOBSITE ONLY
NASHVILLE, TN 37201

FARM: NURSERY EMPLOYEES & DRIVERS 0005 150 7.27 11
INCLUDES INCIDENTAL LANDSCAPE GARDENING

FARM: VEGETABLE & DRIVERS 0008 17,200 4.20 722

ORCHARD & DRIVERS 0016 9,300 8.10 753

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

HATCHERIES NO FARMING OPERATIONS 0034 4,600 7.60 350
INCLUDING DRIVERS

LANDSCAPE GARDENING & DRIVERS 0042 57,400 10.14 5,820
CODES 0042 AND 9102 PARK NOC MAY BE
ASSIGNED TO THE SAME RISK. THE PAYROLL OF
AN INDIVIDUAL EMPLOYEE MAY BE DIVIDED
AND ALLOCATED BETWEEN CODES 0042 AND
9102 PROVIDED THAT THE ENTRIES ON THE
ORIGINAL RECORDS OF THE INSURED DISCLOSE
AN ALLOCATION OF EACH INDIVIDUAL'S
PAYROLL. AN ESTIMATE OR PERCENTAGE
ALLOCATION OF PAYROLL IS NOT PERMITTED.

DOMESTIC SERVICE CONTRACTOR - INSIDE 0917 52,000 5.47 2,844

_____RY & DRIVERS 2121 30,500 3.60 1,098

__CE MFG 2150 4,000 12.79 512

___ET MFG 2380 1,000 3.42 34

CARPET OR RUG MFG NOC 2402 2,500 4.71 118

TEXTILE - BLEACHING, DYEING 2413 17,800 9.64 1,716
MERCERIZING, FINISHING

YARN OR THREAD DYEING OR FINISHING NPD 2416 22,100 6.03 1,333

CLOTHING MFG. 2501 21,500 4.60 989

LAUNDRY NOC & ROUTE SUPERVISORS, 2585 30,800 6.11 1,882
SALESMEN, DRIVERS

FURNITURE STOCK MFG. 2735 300 9.21 28

BOX, BOX SHOOK OR PALLET MFG 2759 2,100 11.31 238
WOODEN

CARPENTRY SHOP ONLY AND DRIVERS 2802 900 8.93 80

____TURE ASSEMBLING-WOOD-FROM 2881 150 5.56 8
MAUNFACTURED PARTS

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

IRON OR STEEL: MANUFACTURING 3018 4,500 7.68 346
ROLLING MILL NOC & DRIVERS

IRON WORKS - SHOP - ORNAMENTAL 3040 12,200 7.47 911

STOVE MFG 3169 22,700 9.06 2,057

ENAMEL OR AGATE WARE MFG. 3224 42,400 6.81 2,887

TACK MFG. 3270 36,000 3.45 1,242

WELDING OR CUTTING NOC & DRIVERS 3365 150 14.79 22

METAL STAMPING MFG 3400 9,000 7.51 676
APPLICABLE TO MASS PRIDUCTION
MANUFACTURING OF STAMPED METAL
ARTICLES INCLUDING, BUT NOT LIMITED
TO, LICENSE PLATES, TAGS, TOYS, PIE
PLATES, BUCKETS AND WASTE BASKETS.

AGRICULTURAL OR CONSTRUCTION MACHINERY 3507 69,400 5.62 3,900
MFG

ARMS MFG NOC 3548 3,000 3.12 94

MACHINE SHOP NOC 3632 22,100 5.99 1,324

CONCRETE PRODUCTS MFG & DRIVERS 4034 5,600 11.66 653

PLASTER BOARD OR PLASTER BLOCK MFG & 4036 103,000 4.53 4,666
DRIVERS

LOOSE-LEAF LEDGER OR NOTE BOOK MFG 4251 400 3.81 15

PAPER GOODS MFG NOC 4279 7,350 3.86 284

PRINTING 4299 112,000 3.03 3,394

RUBBER GOODS MFG NOC 4410 1,500 5.69 85

PLASTICS MFG: SHEETS RODS OR TUBES 4459 600 4.19 25

PLASTICS MFG: MOLDED PRODUCTS NOC 4484 53,800 6.16 3,314

- -----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

MASONRY NOC 5022 13,300 13.10 1,742

AWNING, TENT OR CANVAS GOODS ERECTION 5102 132,400 11.92 15,782
REMOVAL OR REPAIR & DRIVERS

FURNITURE OR FIXTURES INSTALLATION - 5146 106,400 8.30 8,831
PORTABLE - NOC

CONCRETE WORK-INCIDENTAL TO THE 5215 7,900 8.19 647
CONSTRUCTION OF PRIVATE RESIDENCE

STREET OR ROAD CONSTRUCTION OR 5506 1,000 12.54 125
RECONSTRUCTION & DRIVERS
FILLING OR GRADING TUNNELING BRIDGE OR
CULVERT BUILDING QUARRYING STONE
CR___ING TO BE SEPARATELY RATED
______NG OR GRADING TUNNELING BRIDGE OR
CULVERT BUILDING QUARRYING STONE
CRUSHING TO BE SEPARATELY RATED

METAL CEILING OR WALL COVERING 5538 300 12.58 38
INSTALLATION & SHOP, DRIVERS

CLEANER - DEBRIS REMOVAL 5610 1,120,000 7.45 83,440

TRUCKING: 7230 300 6.78 20
PARCEL OR PACKAGE DELIVERY - ALL EMPLOYEES
& DRIVERS

FREIGHT HANDLING NOC: STATE ACT ONLY 7360 32,000 11.02 3,526

DRIVERS, CHAUFFEURS AND THEIR HELPERS 7380 53,200 5.60 2,979
NOC-COMMERCIAL

ALE OR BEER DEALER - WHOLESALE - & 7390 1,600 5.35 86
DRIVERS

GARBAGE WORKS 7590 241,500 6.56 15,842

FLORIST-STORE-DRIVERS 8001 100 2.48 2

_____ CLOTHING, WEARING APPAREL OR DRY 8008 900 1.54 14
_____ RETAIL

- -----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

STORE: HARDWARE 8010 600 2.73 16

STORE: RETAIL NOC 8017 117,500 2.23 3,958

STORE: GROCERY WHOLESALE 8018 76,000 5.29 4,020

STORE: MEAT, FISH OR POULTRY DEALER - 8021 136,200 8.39 11,427
WHOLESALE

COLD STORAGE LOCKER - FROZEN FOODS 8031 17,200 6.84 1,176

STORE: SHOE WHOLESALE 8032 500 3.37 17

DEPARTMENT STORES--RETAIL 8039 160,100 1.84 2,946

FURNITURE STORES --WHOLESALE OR RETAIL - 8044 10,000 4.06 406
DRIVERS

AUTOMOBILE ACCESSORY STORES - RETAIL - 8046 6,200 2.79 173
NOC - & DRIVERS

BUILDING MATERIAL DEALER - NEW MATERIALS 8058 1,600 4.37 70
ONLY:
STORE EMPLOYEES

MACHINERY DEALER NOC - STORE OR YARD - 8107 1,000 4.91 49
& DRIVERS

PLUMBERS' SUPPLIES DEALER & DRIVERS NPD 8111 1,500 4.07 61

CONTRACTOR'S PERMANENT YARD 8227 912,000 4.86 44,323

PLUMBER YARD - NEW MATERIALS ONLY: 8232 69,400 7.89 5,476
ALL OTHER EMPLOYEES & YARD, WAREHOUSE,
DRIVERS

RUBBER STOCK DEALER - USED - AND 8264 7,400 9.07 671
DRIVERS NPD

STORAGE WAREHOUSE - COLD 8291 13,000 7.49 974

STORAGE WAREHOUSE NOC 8292 251,200 7.24 18,187

STORAGE WAREHOUSE - FURNITURE - & 8293 27,300 11.10 3,030

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

DRIVERS

AUTOMOBILE SERVICE OR REPAIR CENTER & 8380 91,400 4.49 4,104
DRIVERS

FIELD BONDED WAREHOUSING - ALL EMPLOYEES 8710 600 2.77 17
& CLERICAL

MARINE APPRAISER OR SURVEYOR 8720 900 2.11 19

ADDRESSING OR MAILING CO & CLERICAL 8800 10,100 3.19 322

AMUSEMENT PARK OR EXHIBITION 9016 4,500 4.21 189
OPERATION & DRIVERS

CLUB - COUNTRY, GOLF, FISHING OR YACHT - 9060 6,651 3.45 229
& CLERICAL

CLUB NOC & CLERICAL 9061 1,000 2.79 28

RESTAURANT: FAST FOODS 9083 339,345 3.75 12,725

RELIGIOUS ORGANIZATION: 9101 1,000 4.00 40
ALL OTHER EMPLOYEES

LAWN MAINTENANCE - COMMERCIAL OR 9102 500 5.97 30
DOMESTIC & DRIVERS
CODES 9102 AND 0042, LANDSCAPE GARDENING
AND DRIVERS MAY BE ASSIGNED TO THE SAME
RISK. THE PAYROLL OF AN INDIVIDUAL
EMPLOYEE MAY BE DIVIDED AND ALLOCATED BE-
TWEEN CODES 0042 AND 9102 PROVIDED THAT
THE ENTRIES ON THE ORIGINAL RECORDS OF
THE INSURED DISCLOSE AN ALLOCATION OF
EACH INDIVIDUAL'S PAYROLL. AN ESTIMATE
OR PERCENTAGE ALLOCATION OF PAYROLL IS
NOT PERMITTED.

THEATRE NOC: ALL OTHER EMPLOYEES 9154 23,600 3.09 729

CLUB - SHOOTING & DRIVERS 9180 150 6.27 9

______, GARBAGE OR REFUSE COLLECTION & 9403 10,100 8.90 899

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TENNESSEE
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYER ID

-------------------------------
INTRA/INDEPENDENT STATE RIKS ID

- ------------------------------------------------------------------------------------------------------------------------

PAINTING: SHOP ONLY & DRIVERS NPD 9501 200 5.15 10

CARPET INSTALLATION 9521 700 6.16 43

AUTOMOBILE, BUS, TRUCK, OR TRAILER 9522 5,200 4.27 222
BODY MFG: UPHOLDSTERING

UNMODIFIED PREMIUM 352,033
INCREASED LIMITS-EMPLOYER LIABILITY 3.3% 9812 11,617
TOTAL UNMODIFIED PREMIUM 363,650
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (76,367)
SCHEDULE MODIFICATION 25% 9887 (71,821)
MODIFIED STANDARD PREMIUM 215,462
LOSS REIMBURSEMENT $250,000 9862 (119,626)
UNDISCOUNTED PREMIUM 95,836
TOTAL ESTIMATED ANNUAL PREMIUM 95,836

TOTAL DUE 95,836

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

STANDARD WORKERS' COMPENSATION AND EMPLOYERS' LIABILITY EXTENSION FORM

RM WC 217-79-40 TEXAS
- ------------------- --------------- -------------------------------
POLICY PREFIX & NO. SCHEDULE STATE EMPLOYER/UNEMPLOYMENT ID

-------------------------------
INTRA/INDEPENDENT STATE RISK ID

- ------------------------------------------------------------------------------------------------------------------------

ITEM 4. CLASSIFICATION OF OPERATIONS PREMIUM BASIS RATES
- ------------------------------------------------------------------------------------------------------------------------
ENTRIES IN THIS ITEM, EXCEPT AS CODE ESTIMATED TOTAL PER $100 OF ESTIMATED
SPECIFICALLY PROVIDED ELSEWHERE IN NO. ANNUAL REMUMERATION REMUNERATION ANNUAL PREMIUM
THIS POLICY, DO NOT MODIFY ANY OF
THE OTHER PROVISIONS OF THIS POLICY.

OUTSOURCE INTERNATIONAL, INC.

NEED ADDRESS
ENTIRE STATE, TX 99999

COTTON CLASSING CLASSERS CLERKS & 8810 18,136,647 0.49 88,870
MICRONAIRE OPERATORS

COTTON CLASSING: 9015 530 7.00 37
SAMPLE HANDLERS, PORTERS & DRIVERS

UNMODIFIED PREMIUM 88,907
INCREASED LIMITS-EMPLOYER LIABILITY 2% 9812 1,778
T0TAL UNMODIFIED PREMIUM 90,685
EXPERIENCE MODIFICATION (TENTATIVE) .79 9898 (19,044)
MODIFIED STANDARD PREMIUM 71,641
LOSS REIMBURSEMENT $250,000 9962 (30,326)
UNDISCOUNTED PREMIUM 41,315

PREMIUM DISCOUNT - STOCK 0063 (8,431)
TOTAL ESTIMATED ANNUAL PREMIUM 32,884
ASSESSMENTS/TAXES .59% 0088 423

TOTAL DUE 33,307

- ----------------------------------------------------------------------------------------------------------------------

WC 7754 (Ed. 4-81)
INSURED'S COPY

LARGE RISK RATING PLAN ENDORSEMENT

Endorsement forms a part of, and is effective from the inception of, Policy
Number RMWC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

by: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

THE "FINAL PREMIUM" for the policies listed herein will be determined
according to this Rating Plan.

PLEASE READ IT CAREFULLY

PART I. GENERAL TERMS AND CONDITIONS

ARTICLE 1. PREMIUM CALCULATION

A. The "FINAL PREMIUM" for the policies described in Section I of the
"SCHEDULE" of this endorsement and other policies as may be added by
endorsement thereto (the "Policies") shall be the sum of the premiums as
determined below under Section B and Section C of this Article. The "FINAL
PREMIUM " may be limited by the operation of the provision below titled
"Maximum Insurance Cost", if shown in the "SCHEDULE" as applicable to this
Plan.

B. The portion of the "FINAL PREMIUM" for the kinds of insurance on risks in
the states described in Section 2. of the "SCHEDULE " of this endorsement
shall be calculated solely according to the terms of the policies
applicable thereto, without reference to this endorsement.

C. The portion of the "FINAL PREMIUM" for all other risks covered by the
policies to which this endorsement applies shall be the result of the
following calculation, applied separately for each kind of insurance in
each state:

THE SUM OF THE AMOUNTS CALCULATED UNDER ITEMS 1, 2, 3, AND 4 BELOW,
DIVIDED BY
ITEM 5 (THE RESULT LIMITED TO NOT GREATER THAN THE MAXIMUM INSURANCE COST, IF
APPLICABLE);
PLUS ITEM 6.

ITEM 1. The sum of all "INCURRED SUBJECT LOSSES". subject to the following:

1. REIMBURSABLE OR DEDUCTIBLE LOSSES EXCLUDED: This Item 1. will be
reduced by the amount that you must reimburse us for under any Loss
Reimbursement or Deductible terms that are a part of the policy or
an endorsement attached to the policy.

2. EXCESS OF AGGREGATE STOP AMOUNT EXCLUDED: If an Aggregate Stop
Amount is shown in the "SCHEDULE", we will not use more than such
Aggregate Stop Amount less items i) and ii) below, as the Incurred
Subject Losses in this Item 1 of this formula for all policies to
which this Large Risk Rating Plan applies, subject to the Aggregate
Stop Limit described in item 3 below.

i) all Incurred Subject Losses that you have reimbursed us for
under any Loss Reimbursement or Deductible terms that are a
part of the policy or an endorsement attached to the policy,
and

ii) if so stated in the "SCHEDULE", such amounts as are described
in the "SCHEDULE" that you have paid as self-insured losses,

INDEX: If an Index Rate and an Index "BASIS" are shown in the
"SCHEDULE", the Aggregate Stop Amount shown in the
"SCHEDULE" is only an estimate. The Aggregate Stop Amount will
be finally determined by multiplying the Index Rate by the final
Index "BASIS " as determined by our audit of your books and
records.

3. EXCESS OF AGGREGATE STOP LIMIT INCLUDED: If an Aggregate Stop Limit
is shown in the "SCHEDULE", that Limit is the most Incurred Subject
Losses that we will

i) not require you to reimburse us for as reimbursable or
deductible losses and

ii) exclude from this Item 1 of the premium calculation formula
for all policies to which this Large Risk Rating Plan applies
because of the application of item 2 above.

Neither the Aggregate Stop Amount nor the Aggregate Stop Limit will be
reduced on account of the cancellation of any policy to which this
Endorsement applies.

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 1 of 11

LARGE RISK RATING PLAN ENDORSEMENT

ITEM 2. PROVISIONS FOR SERVICE CHARGES AND EXPENSES. (except Taxes and
Assessments based on the "FINAL PREMIUM"), and identified in Part
II, Section 7., Part B. of this Endorsement.

The entire amount of each such provision for all policies described
in Section 1. of Part II. of this endorsement is shown as an amount
or as a product of other values in the "SCHEDULE". Each such
provision or the sum of any or all such provisions is subject to
any Minimum amount shown as applicable to it in the "SCHEDULE".

We will apportion the entire amount of each such provision to each
kind of insurance and state under all policies described in Section
1. of Part II. of this endorsement in proportion to the respective
"STANDARD PREMIUM" of each, except that:

1. Provision for claims services will be apportioned in proportion
to respective Incurred Subject Losses, and

2. Provision for taxes and assessments on Losses or on "STANDARD
PREMIUM" will be calculated individually for each type of
insurance and state under all policies described in Section 1.
of Part II. of this endorsement according to the factors and tax
or assessment "BASES" shown in Section 9 of Part 11 of this
endorsement.

ITEM 3. WORKERS' COMPENSATION EXCESS PREMIUMS (EXCLUDING PREMIUM FOR
INSURANCE IN EXCESS OF YOUR QUALIFIED SELF-INSURANCE): The amount
of the Workers' Compensation Excess Premium is shown as an amount
or as a product of other values in the "SCHEDULE". Such Premium is
subject to any Minimum amount shown as applicable to it in the
"SCHEDULE". The entire amount of the Workers' Compensation Excess
Premium shall be apportioned to each covered state under all
policies described in Section 1. of Part 11. of this endorsement in
proportion to the respective Workers' Compensation "STANDARD
PREMIUMS" of each.

ITEM 4. INSURANCE CHARGE AND CONTINGENCY PREMIUM: The amount of the
Insurance Charge and Contingency Premium for all the policies
described in Section 1. of Part II. of this endorsement is shown as
an amount or as a product of other values in the "SCHEDULE". The
total Insurance Charge and Contingency Premium in the premium is
subject to any Minimum amount shown in the "SCHEDULE".

The Insurance Charge and Contingency Premium in the premium for
the kinds of insurance in the states described in Section 2. of
Part II. of this endorsement will be the amount remaining in such
premium after deduction of the amounts of Items 1., 2., 3., 5., and
6. that we attribute thereto in accordance with this endorsement.
The balance of the total Insurance Charge and Contingency Premium
shall be apportioned to all other kinds of insurance and states in
proportion to the respective "STANDARD PREMIUMS" of each.

ITEM 5. TAX AND ASSESSMENTS DIVISOR: One (1.000) less the sum of the Tax
and Assessment Factors shown in Part II, Section 9 as applicable to
"FINAL PREMIUM" as the base of taxation or assessment.

ITEM 6. NON-SUBJECT PREMIUMS: Premiums identified in Part 11, Section 7,
Part C in the "SCHEDULE", after adjustment for increase or decrease
in the rating "BASES" thereof from such "BASES" estimated at the
inception of this policy.

D. If a MAXIMUM SUBJECT INSURANCE COST is shown in the "SCHEDULE", that
amount is the most you must pay us as the sum of all reimbursements of
Reimbursable or Deductible losses and all premiums, EXCEPT premiums
identified in Part II, Section 7, Part C in the "SCHEDULE", under the
policies. "Premiums" do not include amounts identified in policies,
endorsements or premium audit reports as "Taxes" or "Surcharges". If an
Index Rate and an Index "BASIS" for the Maximum Subject Insurance Cost is
shown in the "SCHEDULE", the Maximum Subject Insurance Cost shown in the
"SCHEDULE" is only an estimate. The Maximum Subject Insurance Cost will be
finally determined by multiplying the Index Rate by the final Index "BASIS"
as determined by our audit of your books and records.

ARTICLE 2. SCHEDULE OF ADJUSTMENTS

We have shown the estimated "FINAL PREMIUM" in Part II., Section 7. We will
recalculate the estimated "FINAL PREMIUM" as soon as practicable after the First
Valuation Date shown in the "SCHEDULE". We will thereafter recalculate the
estimated "FINAL PREMIUM" annually until you and we agree in writing that no
more recalculations will be done.

Additional premium due us, or return premium due you, resulting from the
calculation or recalculation of the estimated "FINAL PREMIUM" final "FINAL
PREMIUM", will be payable according to a written Payment Agreement between you
and us.

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 2 of 11

LARGE RISK RATING PLAN ENDORSEMENT

ARTICLE 3. DEFINITIONS

A. "STANDARD PREMIUM" means the premium as calculated according to the terms
of each applicable policy, without application of this Endorsement, subject
to the following:

1. FOR WORKERS' COMPENSATION AND EMPLOYERS LIABILITY INSURANCE,
"STANDARD PREMIUM" means the premium determined on the basis of our
rates as approved by regulatory authority, the remuneration of your
employees in the coverage period, your Experience Modifications and
Schedule Modifications, Loss Constant, and Minimum Premiums.
Determination of "STANDARD PREMIUM" will exclude:

a) any discount that recognizes any reduction in our expense ratio
based on premium size or other factors; or

b) any discount for a Loss Reimbursement or Deductible Plan.

c) Expense Constant.

2. FOR ALL OTHER INSURANCE, "STANDARD PREMIUM" is the premium as
calculated according to the terms of each applicable policy for
insurance within the "Subject Limits", without the application of this
Endorsement and without reduction for:

a) any discount that recognizes any reduction in our expense ratio
based on premium size or other factors; or

b) any discount for a Loss Reimbursement or Deductible Plan.

B. "INCURRED LOSS" means the total amount we have paid and have reserved for
payment under the terms of a policy described in Part II, Section I of the
"SCHEDULE" as damages, benefits or indemnity because of an occurrence,
accident, claim or suit, and all the "ALLOCATED LOSS ADJUSTMENT EXPENSES"
("ALAE") we incur in connection therewith, including

1. payments that you must reimburse us for under deductible or reimbursable
policy terms, and

2. payments that you are NOT obligated to reimburse us for under
deductible or reimbursable policy terms, and

3. reserves for the unpaid portion of such a loss, and

4. reserves for occurrences, accidents, claims or suits that have
happened but have not been not reported to us, and for statistically
expected loss development on claims that have been reported to us.

C. "RETAINED AMOUNT" MEANS:

1. the amount that is specified as your Self-Insured Retention or as the
Reimbursable or Deductible amount in the policy applicable to an
"INCURRED LOSS"; or

2. if the foregoing does not apply, your "RETAINED AMOUNT" is the largest
portion of the total damages, benefits or indemnity that we must pay
because of an occurrence, accident, claim or suit that we will include
in the computation of the "FINAL PREMIUM". Such amount is shown in
Section 5 of the "SCHEDULE" for each type of insurance afforded under
the Policies.

D. A "INCURRED SUBJECT LOSS" means the entire "INCURRED LOSS" up to the sum
of:

1. the damages, benefits or indemnity we must pay or have paid, up to the
"RETAINED AMOUNT" shown in Section 5 of the "SCHEDULE" for the kind of
insurance applicable to such damages, benefits or indemnity, and

2. "ALLOCATED LOSS ADJUSTMENT EXPENSES","ALAE") we incur in the amount
calculated according to the "ALAE" Option shown in the "SCHEDULE" and
described below.

"ALLOCATED LOSS ADJUSTMENT EXPENSES" OPTIONS

OPTION A: "Incurred Subject Loss" includes all or a part of all
"ALAE" such that the "INCURRED SUBJECT LOSS" will not
exceed the applicable "RETAINED AMOUNT".

OPTION B: "Incurred Subject Loss" includes 100% of all "ALAE"

OPTION C: "Incurred Subject Loss" includes all or a part of "ALAE"
calculated according to the following formula:

a) If we have NO obligation under the Policies to pay damages,
benefits or indemnity, all "ALAE" up to the applicable
"RETAINED AMOUNT" AND 50% of all ALAE in excess thereof; or

b) If our obligation to pay damages, benefits or indemnity
under the Policies exceeds zero ($0), all "ALAE" TIMES the
amount of our obligation to pay damages, benefits or
indemnity up to the applicable "RETAINED AMOUNT", DIVIDED
BY the total amount of our obligation to pay damages,
benefits or indemnity.

OPTION D: "Incurred Subject Loss" includes NONE of the "ALAE".

E. "ALLOCATED LOSS ADJUSTMENT EXPENSES" OR "ALAE" means all court costs and
court expenses; pre- and post-judgment interest; fee for service of
process; attorneys' fees; cost of undercover operative and detective
services, costs of employing experts; costs for legal transcripts; costs
for copies of any public records; costs of depositions and court-reported
or recorded statements; costs and expense of subrogation; and any similar
fee, cost or expense reasonably chargeable to the investigation,
negotiation, settlement or defense of loss or a claim or suit against you,
or to the protection and perfection of your or our subrogation rights.

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 3 of 11

LARGE RISK RATING PLAN ENDORSEMENT

"ALAE" shall not include loss adjustment expenses explicitly included in
Item 2 of the premium calculation formula or otherwise explicitly
included in the Rating Values shown in the "SCHEDULE"; nor the salary,
employee benefits, or overhead of any of our employees, nor the fees of any
attorney who is our employee or under our permanent retainer.

F. "SCHEDULE" means "Part II. Schedule of Policies and Rating Values" herein.

G. "BASIS" OR "BASES", (such as Payroll or Sales or Units or other variables)
when used as the "BASIS" for determining the "FINAL PREMIUM" or a part
thereof, shall have the meaning(s) defined in Section 10. of the "SCHEDULE"
of this endorsement.

H. "FINAL PREMIUM" means the premium for the insurance afforded under the
policies described in Section 1. of the "SCHEDULE" of this endorsement and
others as may be added by endorsement thereto, upon its final recalculation
according to the terms of the policies and this endorsement. Prior to such
final recalculation, the premium for such insurance is only the estimated
premium.

ARTICLE 4. EXCEPTIONS

All exceptions, if any, to the provisions of Part I., Article 1, Article 2, or
Article 3, or to Part II., are set forth in Section 11. of Part II. or in an
addendum hereto.

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 4 of 11

LARGE RISK RATING PLAN ENDORSEMENT

PART II. SCHEDULE OF POLICIES AND RATING VALUES

SECTION 1. THIS ENDORSEMENT APPLIES TO THE POLICIES DESCRIBED BELOW:

a. Workers' Compensation and Employer's Liability Insurance Policies:

RMWC 217-79-40 RMWC 217-79-45
RMWC 217-79-43 RMWC 217-79-46
RMWC 217-79-44 RMWC 217-49-48

b. Commercial General Liability Insurance Policies:

c. Automobile Liability Insurance Policies:

d. Other Insurance Policies (described):

SECTION 2. PREMIUMS FOR INSURANCE ON RISKS IN STATES DESCRIBED BELOW WILL NOT BE
ADJUSTED ACCORDING TO THIS ENDORSEMENT:

KINDS OF INSURANCE STATES

Workers Compensation Arizona, Massachusetts, Missouri, New Jersey,
New York, Wisconsin

SECTION 3. "ALLOCATED LOSS ADJUSTMENT EXPENSES" OPTIONS: (Refer to Article 3.,
"Definitions", Paragraph D.)

Option A applies to WORKER'S COMPENSATION

Option _ applies to _____________________

SECTION 4. FIRST VALUATION DATE: JULY, 1998

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 5 of 11

LARGE RISK RATING PLAN ENDORSEMENT

SECTION 5. "RETAINED AMOUNTS": (Refer to Definitions)

KIND OF INSURANCE "RETAINED AMOUNTS" BASIS OF RETENTION DESCRIPTION

Workers' Compensation & $250,000 each Accident or each States' Acts
Employer's Liability Person for Disease Coverages

Workers' Compensation & $500,000 each Accident or each Federal Acts
Employer's Liability Person for Disease Coverages

Commercial General $ each Occurence
Liability

Product or Completed $ each Occurence
Operations Liability

Workers' Compensation & $ each Occurence
Employer's Liability
and General/Products
Liability Combined

Automobile Liability $ each accident

Workers' Compensation, $ each Accident
Employer's Liability,
and Automobile Liability
Combined

All Kinds of Insurance $ each Occurence
Combined

SECTION 6. MAXIMUM SUBJECT INSURANCE COST OR AGGREGATE STOP AMOUNT AND LIMIT:

a. Maximum Subject Insurance Cost: /bullet/ Aggregate Cap Purchased 6/11/97,
adjustable according to item c.
below; OR
Aggregate Stop Amount: /bullet/ See Attached Quotation Sheet &
Invoice - Page 6A & 6B, subject
to item b. and adjustable
according to item c. below.

b. Aggregate Stop /bullet/ Financial Agreements are Being
Revised

c. Index Rate: ____________ per ___________ of _____________, the Index "BASIS".

The Estimated Index "BASIS" is NA.

Losses you incur to which no insurance under the policies listed in Section 1.
of this Part II. "SCHEDULE" applies shall NOT be whether or when the Maximum
Subject Insurance Cost or the Aggregate Stop Amount or the Aggregate Stop Limit
have been reached, except as described herein:

Exceptions: None

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 6 of 11

AMERICAN INTERNATIONAL GROUP

COMMERCIAL RISK DIVISION

MEMORANDUM

DIRECT DIAL: (770) 671-2251
FAX: (770) 399-4140

DATE: 6/11/97

TO: STEVE BECKER
SEDGWICK - FAX NO. 954-761-2608

FROM: CARLA HORNIBROOK
SENIOR UNDERWRITER

SUBJECT: AGGREGATE QUOTE - OUTSOURCE

Dear Steve:

As per the client's instructions we are binding the 1997 aggregate quote as
follows:

Policy Term/Line - Workers Compensation - 1/1/1997 to 1/l/98

Aggregate Value - $6,000,000

Aggregate Value Adjustment - The $6,000,000 figure is a minimum of $6,000,000 or
($6,000,000 plus $2,182 per $100 of (Total Audited WC Payroll less 302,500,000))
whichever is greater.

Aggregate Premium - $284,792 Minimum and Deposit. Full payment to be due upon
receipt of bill.

Premium Adjustment - The $284,792 premium figure is a minimum of $284,792 or
($284,792 plus $.104 per $100 of (Total Audited WC Payroll less 302,500,000))
whichever is greater.

Offering is subject to execution and return of signed legal documents. The
legals will be amended to include the aggregate. Upon presentation of revised
documents, the Insured is to complete and return within 10 working days.

Bound 6/11/97
Effective 1/1/97-98

Page 6A

INVOICE NO.
---------------------------------------
PAGE INVOICE DATE
---------------------------------------
1 OF 1 6/26/97 151108
Sedgwick of FL, Inc. ---------------------------------------
1555 Palm Bch Lakes Blvd #800 CUSTOMER NO. ACCOUNT EXECUTIVE
West Palm Beach, FL 33402 ---------------------------------------
OU021050 JJS SIMONE
----------------------------------------
PRODUCER
-------------------
JJS SIMIONE

REMIT TO:

OutSource International Sedgwick of FL, Inc.
1144 East Newport Center Drive *** West Palm Beach ***
Deerfield Beach,FL 33442 P.O. Box 92126
Chicago, IL 60675-2126
561-689-6190

[ILLEGIBLE INVOICE COPY BELOW]

Page 6B

LARGE RISK RATING PLAN ENDORSEMENT

SECTION 7. THE RATING VALUES AND AMOUNTS shown below apply as estimated
average or combined values or amounts TO all Policies described in
Section I of this Part 11 above. We will calculate the final values
by line and state according to this rating plan.

PART A. ESTIMATED TOTAL "FINAL PREMIUM":
- ----------------------------------------------------------------------------------------------

1. Estimated Other Premiums from Part C below $0
2. Estimated Remainder of "FINAL PREMIUM" $1,513,225

a. Estimated "RETAINED AMOUNTS" & "ALIE" IN "FINAL PREMIUM" $127,043
b. Est. Expense Provision & WC Excess Premium from Part B $1,386,182

3. ESTIMATED "FINAL PREMIUM" $1,513,225

- ----------------------------------------------------------------------------------------------

- ----------------------------------------------------------------------------------------------
PART B. EXPENSES PROVISION AND WORKERS' COMPENSATION EXCESS PREMIUM
- ----------------------------------------------------------------------------------------------

EXPENSE ITEMS RATES ADJUSTMENT MINIMUM ESTIMATED AMOUNT
"BASES"/PER Y/N

Administration Expense See Section 11 $ 100 Payroll Y-90% $465,142
Claims Administration Fee $571,040
$
$
$
$
$
$
$
$

Taxes & Assessments on "INCURRED Refer to Table of Taxes & Assessments $ Included
LOSSES" or "STANDARD PREMIUM"

Insurance Charge & Contingency $
Premium

- ---------------------------------------------------------------------------------------------
SUBTOTAL A
- ---------------------------------------------------------------------------------------------

Workers Compensation Excess See Section 11 $100 Payroll Y-100% $350,000
Premium

- ---------------------------------------------------------------------------------------------
SUBTOTAL B
- ---------------------------------------------------------------------------------------------

Taxes on "FINAL PREMIUM" Refer To Table Of Taxes & Assessments $
ESTIMATED EXPENSE PROVISION AND WORKERS' COMPENSATION EXCESS PREMIUM $ 1,386,182

- ---------------------------------------------------------------------------------------------

PART C. OTHER PREMIUMS
- -------------------------------------------------------------------------------------------------------

COVERAGE DESCRIPTION RATES PER "BASIS" TYPES ESTIMATED "BASIS" ESTIMATED PREMIUM
(e.g. Payroll, Sales) AMOUNTS

$
$
$
$
$
$
ESTIMATED TOTAL OTHER PREMIUMS $

- -------------------------------------------------------------------------------------------------------

- -------------------------------------------------------------------------------
PART D. SUMMARY OF EXPECTED FINAL COST
- -------------------------------------------------------------------------------

ESTIMATED "FINAL PREMIUM" $1,513,225
EXPECTED REIMBURSABLE OR DEDUCTIBLE LOSSES AND "ALAE" $3,672,957
SPECIAL TAXES AND SURCHARGES NOT INCLUDED ABOVE $ 26,281
$
$
EXPECTED TOTAL FINAL COST $5,212,463

- -------------------------------------------------------------------------------

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 7 of 11

LARGE RISK RATING PLAN ENDORSEMENT

SECTION 8. CLAIMS SERVICE CHARGES

(_____) If checked here, refer to separate Fee Schedules attached and made
a part of this Endorsement.

THE CLAIMS SERVICE PROVIDER IS GALLAGHER BASSETT SERVICES, INC.

CLAIMS SERVICES FEE SCHEDULE PART 1 - RATES PER CLAIMANT

TYPE OF CLAIM RATE PER CLAIMANT ESTIMATED NO. OF CLAIMANTS ESTIMATED FEE

WC Medical Only $90 2,456 $221,040
WC Other than Medical
Only $700 500 $350,000
General Liability,
Not Products
Products Liability
Incident Reports
Auto Liability
Private Passenger
Commercial Types
Auto Medical Payments
Auto Physical Damage
Occupational Disease

ESTIMATED TOTAL RATE-PER-CLAIMANT FEE $571,040

FEE SCHEDULE PART 2., TIME AND EXPENSES

TYPE OF CHARGE RATE PER ESTIMATED AMOUNT

Opening File Charge
Statistical File Charge
Investigating Service by
Employed Staff
Adjuster
General Adjuster
Executive General Adjuster
Heavy Equipment Appraiser
Auto Damage Appraiser
Property Damage Appraiser
Supervisor
Examiner
Account Manager

Subcontracted investigations
and appraisals:
Clerical & Statistical Processing:
Other Expenses, including
Telephone
Postage
Mileage, Tolls, Parking
Photocopy
Photography
Transportation
Overhead
All Services outside of the continental USA

ESTIMATED TOTAL TIME AND EXPENSE $
ESTIMATED TOTAL CLAIMS SERVICE EXPENSES $571,040

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 8 of 11

LARGE RISK RATING PLAN ENDORSEMENT

SECTION 9. Taxes & Assessments ("Taxes"): INCLUDED IN ADMINISTRATION EXPENSE

GENERAL AUTO
WORKERS COMPENSATION LIABILITY LIABILITY
- -----------------------------------------------------------------------------------------------------
BASE NOT REDUCED FOR DEDUCTIBLE BASE REDUCED FOR DEDUCTIBLE BASE BASE
DISCOUNTS OR LOSS REIMBURSEMENTS DISCOUNTS AND LOSS REIMBURSEMENTS REDUCED REDUCED

"BASES" TAX* ON TAX* ON RML* ON TAX* ON TAX* ON RML* ON TAX* ON TAX* ON
PREMIUM LOSSES PREMIUM PREMIUM LOSSES PREMIUM PREMIUM PREMIUM

ALL STATES
- ------------------------------------------------------------------------------------------------------
ALL STATES
EXCEPT
WHERE
SPECIFIC
RATES ARE
SHOWN
BELOW
- ------------------------------------------------------------------------------------------------------
RATES BY LINE AND STATE
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 9 of 11

LARGE RISK RATING PLAN ENDORSEMENT

SECTION 9. Taxes & Assessments ("Taxes")(Continued)

LINE OF GENERAL AUTO
INSURANCE WORKERS COMPENSATION LIABILITY LIABILITY
- -----------------------------------------------------------------------------------------------------
BASE NOT REDUCED FOR DEDUCTIBLE BASE REDUCED FOR DEDUCTIBLE BASE BASE
DISCOUNTS OR LOSS REIMBURSEMENTS DISCOUNTS AND LOSS REIMBURSEMENTS REDUCED REDUCED

"BASES" TAX* ON TAX* ON RML* ON TAX* ON TAX* ON RML* ON TAX* ON TAX* ON
PREMIUM LOSSES PREMIUM PREMIUM LOSSES PREMIUM PREMIUM PREMIUM

ALL STATES
- ------------------------------------------------------------------------------------------------------
RATES BY LINE AND STATE

OK
OR
PA
RI
SC
SD
TN
TX
USLH*
UT
VT
VA
WA
WV
WI
WY

NOTE: "Tax on Premium" includes Premium and Franchise Taxes and Assessments
(including states' Workers' Compensation Boards and Rating Bureaus) levied on
the "BASIS" of Premium as defined by them. However, special taxes and surcharges
shown as such in the Policies are NOT included therein and are payable in
addition to Premium Taxes and Assessments calculated according to this
Endorsement. For General and Auto Liability (but not for Worker's Compensation),
the Tax rates also include Residual Market Assessments, if any. "Tax on Losses"
includes principally "Second Injury Funds" assessments and certain other
assessments by a variety of states' funds.

"RML's" are Residual Market Assessments for Workers Compensation, payable in
addition to all other taxes and assessments, to fund deficits (if any) in the
operating results of states' assigned risk pools.

"USL's means "US Longshore and Harbor Workers' Compensation Act -- Special
Fund", a fund which pays for compensation is certain cases in which the employee
suffers a second injury.

SECTION 10. ADDITIONAL DEFINITIONS:

PAYROLL:

SALES:

UNITS:

OTHER:

Form No. 64478 (7/96) Copyright 1996 American International Group Inc.
Page 10 of 11

LARGE RISK RATING PLAN ENDORSEMENT
- --------------------------------------------------------------------------------

SECTION 11. EXCEPTIONS:

THE ADMINISTRATION EXPENSE WILL BE ADJUSTABLE @.16914 PER $100 OF TOTAL WORKER'S
COMPENSATION PAYROLL FOR THE FIRST $275,000,000 OF PAYROLL AND ADJUSTABLE
@.050742 FOR ANY PAYROLL WHICH EXCEEDS $275,000,000.

THE EXCESS WORKER'S COMPENSATION CHARGE WILL BE ADJUSTABLE @.1272727 PER $100 OF
TOTAL WORKER'S COMPENSATION PAYROLL FOR THE FIRST $275,000,000 OF PAYROLL AND
ADJUSTABLE @.0381818 FOR ANY PAYROLL WHICH EXCEEDS $275,000,000.

BY THE SIGNATURE OF YOUR AUTHORIZED REPRESENTATIVE BELOW, YOU SIGNIFY THAT THIS
RATING PLAN HAS BEEN EXPLAINED TO YOU AND YOU AGREE TO ITS TERMS. THIS
ENDORSEMENT IS INVALID UNLESS SIGNED BY OUR AUTHORIZED REPRESENTATIVE.

OUTSOURCE INTERNATIONAL, INC.

------------------------------ ------ ----------------------------- ------
Your Authorized Representative Date Our Authorized Representative Date

Type Names:
--------------------------- ------------------------------------

- --------------------------------------------------------------------------------
Form No. 64478(7/96) Copyright 1996 PAGE 11 of 11
American International Group, Inc.

DEFENSE BASE ACT COVERAGE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

BY THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the work described in the Schedule or described
on the Information Page as subject to the Defense Base Act. The policy applies
to that work as though the location included in the description of the work were
a state named in Item 3.A. of the Information Page.

General Section C. WORKERS' COMPENSATION LAW is replaced by the following:

C. WORKERS' COMPENSATION LAW

Workers' Compensation Law means the workers or workmen's compensation law and
occupational disease law of each state or territory named in Item 3.A. of the
Information Page and the Defense Base Act (42 USC Sections 1651-1654). It
includes any amendments to those laws that are in effect during the policy
period. It does not include any other federal workers or workmen's
compensation law, other federal occupational disease law or the provisions of
any law that provide nonoccupational disability benefits.

Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not
apply to work subject to the Defense Base t.

Schedule

DESCRIPTION OF WORK

NO WORK AT THIS TIME.
IT IS AGREED THAT IF ANY WORK IS SUBJECT TO THE DEFENSE BASE ACT, THE INSURER
WILL ENDORSE THE POLICY WITHIN SIXTY (60) DAYS OF NOTIFICATION.

WC 00 01 01 A COUNTERSIGNED BY ___________________________
(ED. 4-92) AUTHORIZED REPRESENTATIVE

LONGSHORE AND HARBOR WORKERS'COMPENSATION ACT COVERAGE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to work subject to the Longshore and Harbor
Workers' Compensation Act in a state shown in the Schedule. The policy applies
to that work as though that state were listed in Item 3.A. of the Information
Page.

General Section C. WORKERS' COMPENSATION LAW is replaced by the following:

C. WORKERS' COMPENSATION LAW

Workers' Compensation Law means the workers or workmen's compensation law and
occupational disease law of each state or territory named in Item 3.A. of the
Information Page and the Longshore and Harbor Workers' Compensation Act (33
USC Sections 901-950). It includes any amendments to those laws that are in
effect during the policy period. It does not include any other federal
workers or workmen's compensation law, other federal occupational disease law
or the provisions of any law that provide nonoccupational disability
benefits.

Part Two (Employers Liability Insurance), C. Exclusions., exclusion 8, does not
apply to work subject to the Longshore and Harbor Workers' Compensation Act.

This endorsement does not apply to work subject to the Defense Base Act, the
Outer Continental Shelf Lands Act, or the Nonappropriated Fund Instrumentalities
Act.

Schedule

STATE LONGSHORE AND HARBOR WORKERS'
- ----- COMPENSATION ACT COVERAGE PERCENTAGE
------------------------------------

ALASKA 25.00
ALABAMA 122.00
ARKANSAS 110.00
CONNECTICUT 2.00
DISTRICT OF COLUMBIA 28.00
FLORIDA 223.00
GEORGIA 113.00
IOWA 39.00
ILLINOIS 28.00
INDIANA 90.00
KENTUCKY 89.00
LOUISIANA 126.00
MASSACHUSETTS 38.40
MICHIGAN 62.00
MINNESOTA 58.00
MISSOURI 29.00
MISSISSIPPI 157.00
NORTH CAROLINA 68.00
NEBRASKA 76.00

The rates for classifications with code numbers not followed by the letter "F"
are rates for work not ordinarily subject to the Longshore and Harbor Workers'
Compensation Act. If this policy covers work under such classifications, and if
the work is subject to the Longshore and Harbor Workers' Compensation Act, those
non-F classification rates will be increased by the Longshore and Harbor
Workers' Compensation Act Coverage Percentage shown in the Schedule.

WC 00 01 01 A COUNTERSIGNED BY ___________________________
(ED. 4-92) AUTHORIZED REPRESENTATIVE

ENDORSEMENT

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Schedule - (continued)

Longshoremen's and Harbor Workers'
State Compensation Act Coverage Percentage

NEW HAMPSHIRE 99.00
NEW JERSEY 50.00
NEW MEXICO 97.00
NEW YORK 83.60
PENNSYLVANIA 83.60
SOUTH CAROLINA 111.00
SOUTH DAKOTA 54.00
TENNESSEE 90.00
TEXAS 61.00

___________________________
AUTHORIZED REPRESENTATIVE
Issue Date: 04/10/97

lwOl74

ALTERNATE EMPLOYER ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only with respect to bodily injury to your employees
while in the course of special or temporary employment by the alternate employer
in the state named in Item 2 of the Schedule. Part One (Workers Compensation
Insurance) and Part Two (Employers Liability Insurance) will apply as though the
alternate employer is insured. If an entry is shown in Item 3 of the Schedule
the insurance afforded by this endorsement applies only to work you perform
under the contract or at the project named in the Schedule.

Under Part One (Workers Compensation Insurance) we will reimburse the alternate
employer for the benefits required by the workers compensation law if we are not
permitted to pay the benefits directly to the persons entitled to them.

The insurance afforded by this endorsement is not intended to satisfy the
alternate employer's duty to secure its obligations under the workers
compensation law. We will not file evidence of this insurance on behalf of the
alternate employer with any government agency.

We will not ask any other insurer of the alternate employer to share with us a
loss covered by this endorsement.

Premium will be charged for your employees while in the course of special or
temporary employment by the alternate employer.

The policy may be cancelled according to its terms without sending notice to the
alternate employer.

Part Four (Your Duties If Injury Occurs) applies to you and the alternate
employer. The alternate employer will recognize our right to defend under Parts
One and Two and our right to inspect under Part Six.

SCHEDULE

1. ALTERNATE EMPLOYER ADDRESS

2. STATE OF SPECIAL OR TEMPORARY EMPLOYMENT
3. CONTRACT OR PROJECT

"ANY CLIENT IS INCLUDED AS AN ALTERNATE EMPLOYER AS RESPECTS THE USE OF
TEMPORARY OR LEASED EMPLOYEES OF OUTSOURCE INTERNATIONAL AND AFFILIATED
RELATED COMPANIES PER WRITTEN AGREEMENT BETWEEN THE PARTIES PRIOR TO LOSS"

WC 00 03 01 A COUNTERSIGNED BY ___________________________
(ED. 02-89) AUTHORIZED REPRESENTATIVE

VOLUNTARY COMPENSATION AND EMPLOYERS LIABILITY COVERAGE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement adds Voluntary Compensation Insurance to the policy.

A. HOW THIS INSURANCE APPLIES
This insurance applies to bodily injury by accident or bodily injury by
disease. Bodily injury includes resulting death.

1. The bodily injury must be sustained by an employee included in the group
of employees described in the Schedule.

2. The bodily injury must arise out of and in the course of employment
necessary or incidental to work in a state listed in the Schedule.

3. The bodily injury must occur in the United States of America, its
territories or possessions, or Canada, and may occur elsewhere if the
employee is a United States or Canadian citizen temporarily away from
those places.

4. Bodily injury by accident must occur during the policy period.

5. Bodily injury by disease must be caused or aggravated by the conditions
of your employment. The employee's last day of last exposure to the
conditions causing or aggravating such bodily injury by disease must
occur during the policy period.

B. WE WILL PAY
We will pay an amount equal to the benefits that would be required of you if
you and your employees described in the Schedule were subject to the workers
compensation law shown in the Schedule. We will pay those amounts to the
persons who would be entitled to them under the law.

C. EXCLUSIONS
This insurance does not cover:

1. any obligation imposed by a workers compensation or occupational disease
law, or any similar law.

2. bodily injury intentionally caused or aggravated by you.

D. BEFORE WE PAY
Before we pay benefits to the persons entitled to them, they must:

1. Release you and us, in writing, of all responsibility for the injury or
death.

2. Transfer to us their right to recover from others who may be responsible
for the injury or death.

3. Cooperate with us and do everything necessary to enable us to enforce
the right to recover from others.

If the persons entitled to the benefits of this insurance fail to do
those things, our duty to pay ends at once. If they claim damages from
you or from us for the injury or death, our duty to pay ends at once.

WC 00 03 101 A COUNTERSIGNED BY ___________________________
(ED. 8-91) AUTHORIZED REPRESENTATIVE

Page 1 of 2

E. RECOVERY FROM OTHERS
If we make a recovery from others, we will keep an amount equal to our
expenses of recovery and the benefits we paid. We will pay the balance to the
persons entitled to it. If the persons entitled to the benefits of this
insurance make a recovery from others, they must reimburse us for the
benefits we paid them.

F. EMPLOYERS LIABILITY INSURANCE
Part Two (Employers Liability Insurance) applies to bodily injury covered by
this endorsement as though the State of employment shown in the Schedule were
shown in Item 3.A of the Information Page.

Schedule

DESIGNATED WORKERS
EMPLOYEES STATE OF EMPLOYMENT COMPENSATION LAW
- --------- ------------------- ----------------

All officers and ALL STATES EXCEPT State of Hire
employees not subject UT,WI,AZ,MD,VA,CA
to the Workers Compensation ID,OR
Law except Masters
or Members of the crew
of any vessel.

This endorsement does not apply in New Jersey, Nevada, North Dakota, Ohio,
Washington, Wisconsin, West Virginia, Wyoming, and Maine.

WC 00 03 11 A COUNTERSIGNED BY ___________________________
(ED. 8-91) AUTHORIZED REPRESENTATIVE

Page 2 of 2

EXPERIENCE RATING MODIFICATION FACTOR ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No. RM
WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

The premium for the policy will be adjusted by an experience rating modification
factor. The factor was not available when the policy was issued. The factor, if
any, shown on the Information Page is an estimate. We will issue an endorsement
to show the proper factor, if different from the factor shown, when it is
calculated.

WC 00 04 03 COUNTERSIGNED BY ___________________________
(ED. 4-84) AUTHORIZED REPRESENTATIVE

NOTIFICATION OF CHANGE IN OWNERSHIP ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Experience rating is mandatory for all eligible insureds. The experience rating
modification factor, if any, applicable to this policy, may change if there is a
change in your ownership or in that of one or more of the entities eligible to
be combined with you for experience rating purposes. Change in ownership
includes sales, purchases, other transfers, mergers, consolidations,
dissolutions, formations of a new entity and other changes provided for in the
applicable experience rating plan manual.

You must report any change in ownership to us in writing within 90 days of such
change. Failure to report such changes within this period may result in revision
of the experience rating modification factor used to determine your premium.

THIS ENDORSEMENT IS NOT APPLICABLE IN NEW JERSEY, PENNSYLVANIA, MICHIGAN,
ALASKA, CALIFORNIA, DELAWARE, MAINE OR TEXAS.

WC 00 04 14 COUNTERSIGNED BY ___________________________
(ED. 7-90) AUTHORIZED REPRESENTATIVE

LOSS REIMBURSEMENT ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No. RM
WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

PLEASE READ IT CAREFULLY.

This Endorsement applies solely between you and us. It does not affect the
rights of others under this policy.

I. Payment and Reimbursement Conditions

a. We will pay the sum of:

1. all benefits payable under PART ONE - WORKERS COMPENSATION INSURANCE;
and

2. up to our limit of liability, all sums you legally must pay as damages
to which PART TWO - EMPLOYERS LIABILITY applies; and

3. all benefits payable under PART THREE - OTHER STATES INSURANCE; and

4. all benefits or damages payable under any endorsements attached to the
policy.

b. You will reimburse us promptly up to the reimbursement limit(s) shown in
the Schedule for any amounts we have so paid.

You agree further to reimburse us for any "allocated loss adjusting
expense" we pay according to the election indicated by an "X" below. If we
make no payment, you must reimburse us for all "allocated loss adjusting
expense".

If no election is indicated, election C applies.

Your obligation to reimburse us for "allocated loss adjusting expense"
applies separately to "each accident" or, for bodily injury by disease, to
"each claim".

[X] A. All allocated loss adjusting expenses up to the amount by
which the applicable "Each Accident" or "Each Claim"
reimbursement limit exceeds the amount you must reimburse us for
payments we make under Section I.A. above.

B. All allocated loss adjusting expenses.

C. A part of all allocated loss adjusting expenses in the
proportion that the sum you must reimburse us for payments we
make under I.A. above bears to all sums payable by us
thereunder.

c. If a Limit is shown in the Schedule as "Aggregate", that Limit is the most
you must reimburse us for all benefits and all damages (but not "allocated
loss adjustment expense") that we pay under this policy. The "aggregate"
will not be reduced if this policy is issued for a term of less than one
year, or if the policy or this endorsement is canceled before the end of
the policy period. If no "Aggregate" Limit is shown in the Schedule, no
aggregate limit applies to your reimbursement obligation.

No limit on the Company's liability under the policy or any endorsement is
increased or reinstated by this endorsement or by any reimbursement to us
under the terms of this endorsement.

WC53138
(ED. 2-92)
1 of 3

II. General Conditions

A. Duties

a. The first Named Insured shown in the Information Page agrees and is
authorized to reimburse us for any reimbursable amounts we pay on
behalf of any Insureds.

b. each Named Insured is jointly and severally liable for all
reimbursable amounts under this policy.

c. All other terms of the policy, including those which apply to

(1) our right and duty to defend any claim, proceeding or suit
against you, and

(2) your duties if injury or disease occurs, apply without change on
account of this endorsement.

B. Cancellation of This Endorsement

You must reimburse us for any amounts that we pay within the
Reimbursement Limits, and for your share of the "Allocated Loss
Adjustment Expense", within 15 days of your receipt of an invoice from
us.

You must deliver to us such instruments of financial security, or
amendments thereto, as we may require, within 15 days of our demand
therefor.

If you fail to do either, we may cancel this endorsement by mailing or
delivering written notice to you not less than 10 days prior to the
effective date of such cancellation stating the day and hour the
cancellation is to take effect. Proof of the mailing of such notice to
you at your mailing address shown in Item 1 of the Information Page will
be sufficient to prove notice. If we cancel this endorsement, you must
pay us within 15 days of our invoice an additional premium that we will
specify, calculated according to our rates and rules as filed and
approved by regulatory agencies having jurisdiction.

C. Recovery From Others

We have your rights and the rights of persons entitled to the benefits of
this insurance to recover all payments, including those within your
reimbursement limit, from anyone liable for the injury. You will do
everything necessary to protect those rights for us and to help us
enforce them.

If we recover any payment we made under this policy from anyone liable
for the injury, the amount we recover will first be applied to any
payments we made in excess of the reimbursement limit or in excess of the
"aggregate", and to our expenses in obtaining the recovery. The remainder
of the recovery, if any, will be applied to reduce the amount that is
reimbursable by you.

D. Premium

A discount in the premium for this policy is shown in the Schedule(s),
calculated in accordance with our rating plan as filed and approved by
regulatory agencies having jurisdiction. In the event that after the
effective date of this policy additional or increased taxes or
assessments are imposed upon us, not included in the calculation of the
estimated annual premium hereof, we will recalculate the premium to
include such additional costs and will reduce the discount accordingly.
You will pay us any additional premium thus calculated promptly upon
notice.

III. Definitions

1. "Allocated loss adjustment expense" means claim adjustment expense
allocated by us directly to particular claims. Such expenses shall
include, but not be limited to, attorneys' fees for claims in suit,
court costs, and other specific items of expense such as fees for
medical examinations, expert testimony, laboratory, x-ray and autopsy
services, stenographic services, witnesses and summonses, and copies
of documents.

WC53138
(ED. 2-92)
2 of 3

2. "Claim" means each demand you receive for:

a. benefits required of you by the Workers' Compensation law,
including a filing by your employee or by others legally entitled
to do so on his or her behalf for such benefits with an agency
authorized by law, and suit or other proceedings brought by your
employee for such benefits or damages; or

b. damages covered by this policy.

SCHEDULE

COVERAGE REIMBURSEMENT LIMITS

Bodily Injury by Accident $250,000 Each Accident

Bodily Injury by Disease $250,000 Each Claim

All Covered Bodily Injury NOT APPLICABLE Aggregate

STATES

ALABAMA TEXAS
ALASKA
ARKANSAS
CONNECTICUT
DISTRICT OF COLUMBIA
FLORIDA
GEORGIA
ILLINOIS
INDIANA
IOWA
KENTUCKY
LOUISIANA
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
NEBRASKA
NEW HAMPSHIRE
NEW MEXICO
NEW YORK
NORTH CAROLINA
PENNSYLVANIA
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE

C53138 COUNTERSIGNED BY ___________________________
(ED. 2-92) AUTHORIZED REPRESENTATIVE

3 of 3

ALASKA SURCHARGE

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Companies writing property and casualty insurance business in Alaska are
required to participate in the Alaska Insurance Guarantee Association. If a
company becomes insolvent the Alaska Insurance Guarantee Association settles
unpaid claims and assesses each insurance company for its fair share.

Alaska law requires all companies to surcharge policies to recover these
assessments. Your policy has been surcharged to the amount stated below.

SURCHARGE AMOUNT: $0

SURCHARGE PERCENT: .0000

WC 54 00 02 COUNTERSIGNED BY ___________________________
(ED. 1-90) AUTHORIZED REPRESENTATIVE

ALASKA LIMIT OF LIABILITY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40
Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part Two (Employers
Liability Insurance) because Alaska is shown in Item 3.A. of the Information
Page.

THIS POLICY LIMITS COVERAGE FOR ATTORNEY FEES
UNDER RULE 82 OF THE ALASKA RULES OF CIVIL PROCEDURE

In any suit in Alaska in which we have a right or duty to defend an insured in
addition to the limits of liability, our obligation under the applicable
coverage to pay attorney fees taxable as costs against the Insured is limited as
follows:

Rule 82 of the Alaska Rules of Civil Procedure provides that if you are held
liable, some or all of the attorney fees of the person making a claim against
you must be paid by you. The amount that must be paid by you is determined by
Rule 82. We provide coverage for attorney fees for which you are liable under
Rule 82 subject to the following limitation:

WE WILL NOT PAY THAT PORTION OF ANY ATTORNEY FEES THAT ARE IN EXCESS OF FEES
CALCULATED BY APPLYING THE SCHEDULE IN RULE 82(b)(1) FOR CONTESTED CASES TO
THE LIMIT OF LIABILITY OF THE APPLICABLE COVERAGE.

This limitation means the potential costs that may be awarded against you as
attorney fees may not be covered in full. You will have to pay any attorney fees
not covered directly.

For example, the attorney fees provided by the schedule in Civil Rule 82(b)(1)
for contested cases are:

20% of the first $25,000 of a judgment or claim settlement.
10% of the amounts over $25,000 of a judgment or claim settlement.

If a court awards a judgment against you in the amount of $125,000, in addition
to the amount you would be liable under Rule 82(b)(1) for attorney fees of
$15,000 calculated as follows:

20% of $ 25,000 $ 5,000
10% of $100,000 $10,000

Total Award $125,000 Total Attorney Fees $125,000

If the limit of liability of the applicable coverage is $100,000, we would
pay $100,000 of the $125,000 award, and $12,500 Rule 82(b)(1) Attorney Fees,
calculated as follows:
20% of $ 25,000 $ 5,000
10% of $ 75,000 $ 7,500

Total Limit of Liability $100,000 Total Attorney Fees Covered $12,500

You would be liable to pay, directly and without assistance, the remaining
$25,000 in liability, plus the remaining $2,500 in attorney fees not covered by
this policy.

WC 54 03 01 COUNTERSIGNED BY ___________________________
(ED. 04-95) AUTHORIZED REPRESENTATIVE

ALASKA NOTICE OF INSTALLMENT OPTION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective 12:01 AM 01/01/97 forms a part of Policy No.
RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Alaska is shown in Item 3.A. of the Information Page.

If your annual estimated premium exceeds $2,000, you may elect to pay your
premium on an installment basis of not fewer than two payments. Premiums paid by
installment must be structured to reflect seasonal peaks in the basis of the
premium.

If you elect to pay your premium on an installment basis, we will issue an
endorsement to show the installment schedule.

WC 54 06 01 COUNTERSIGNED BY ___________________________
(ED. 8-91) AUTHORIZED REPRESENTATIVE

IMPORTANT NOTICE TO EMPLOYERS

DO YOU NEED USL&HW COVERAGE?
DO YOU NEED OTHER FEDERAL COVERAGES?

REVISED WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY

All employers should carefully review their workers compensation coverage needs
with their insurance professionals - your agent, broker, or insurer. The Workers
Compensation and Employers Liability Policy does not provide federal coverages
(such as United States Longshore and Harbor Workers' Compensation Act, Defense
Base Act, Nonappropriated Fund Instrumentalities Act, Outer Continental Shelf
Lands Act, or Black Lung Act) unless federal coverages are added by endorsement.
Your old policy would normally exclude such federal coverages by means of
standard amendatory endorsements unless you had requested the coverage when
applying for or renewing your policy. Now the exclusions are part of your
standard policy. Please note: You may also have had separate Workers
Compensation and Employers Liability Policies - one that covered your Alaska
Workers Compensation Act exposures and one that covered your federal act
exposures.

To secure a federal coverage under the Workers Compensation and Employers
Liability Policy, you must specifically request the necessary federal coverages
and then carefully review your policy when you receive it to make certain that
an amendatory endorsement adds the federal coverage that you requested.

WHAT IF AN EMPLOYER IS UNCERTAIN IF IT WILL NEED A FEDERAL ACT
COVERAGE DURING THE POLICY TERM?

Many employers such as construction contractors or oil services contractors will
not know what contracts they will get during the policy term at the time a
policy is purchased. Such an employer may not know if a job will involve
exposure to federal acts such as USL&HW and/or Alaska Workers Compensation Act
exposures. Other employers may have employees whose work falls in gray areas
where the employer cannot predict which jurisdiction will apply should the
employee be injured on the job.

To avoid potential coverage gaps, these employers should have their policy
endorsed to provide the needed federal act coverages on an "if any" basis. The
employer would have to maintain payroll and job records as required by their
insurer to document whether the employee's payroll should be classified Alaska
Workers Compensation Act or a federal act such as USL&HW so that premium may be
properly calculated; the rates are generally different. If federal exposures
develop during the policy term, the employer's premium will be adjusted to
reflect the additional exposure.

However, an employer whose employees' work takes them in and out of federal and
state act jurisdictions must have coverage for both exposures on an ongoing
basis, not an "if any" basis.

LWNAKNOTE
(ED. 4-92)

YOU
AND YOUR
WORKERS COMP
POLICY

LWNALASKA
(ED. 4-92)

The National Council on Compensation Insurance has filed revisions to the
Workers Compensation and Employers Liability Insurance Policy (WCELIP) to become
effective April 1, 1992, subject to state approval. Since the policy was last
revised in 1984, numerous endorsements have been approved to clarity the WCELIP
and to provide notice to the insured about the coverage provided by the policy.
The current revisions incorporate the language of many standard endorsements
directly into the policy, thus reducing paperwork and providing a more easily
understood policy.

Many standard endorsements pertain to the exclusion of coverage under federal
laws. The WCELIP was designed to provide coverage under state workers
compensation laws, and premium is determined on this basis. Coverage under
federal workers compensation laws or specific federal acts was not contemplated.

CHANGES TO POLICY

In order to clarify the coverage grant of the WCELIP, General Section C has been
amended to specify that federal coverage is not provided. The general definition
of workers compensation now clearly excludes coverage under any federal workers
or workmen's compensation law and any federal occupational disease law.
Specifically excluded is coverage under the Longshore, Defense Base,
Nonappropriated Fund Instrumentalities, Outer Continental Shelf Lands, Black
Lung, and any other federal compensation statutory obligations. The standard
endorsements used to exclude this coverge will be withdrawn with the approval of
the revised policy. These changes to the policy will result in a simpler, more
easily understood policy without change to the coverage provided.

SPECIFIC REVISIONS

The exclusion endorsements are incorporated into Part Two C of the WCELIP. Part
Two C.7. has been amended to include the language of the standard Employers
Liability Endorsement - WC 00 03 16. The purpose of this endorsement was to
clarify that the acts listed within the endorsement fall outside common law
negligence, the principal risk to be covered by employers liability insurance.
Approval of the revised policy provides permission to withdraw Employers
Liability Endorsement - WC 00 03 16.

Part Two I. has been amended to include a provision that the insurer is not
relieved of an obligation to pay because of the bankruptcy or insolvency of the
insured. This provision ensures that an injured worker will receive payment
under the Employers Liability section of the policy even if the employer is
bankrupt or insolvent.

Part Three A.2. has been amended to read, "If you begin work in any one of
those states AFTER THE EFFECTIVE DATE OF THIS POLICY and are not insured or are
not self-insured for such work, ALL PROVISIONS of the policy will apply as
though that state were listed in Item 3.A. of the Information Page." The
additions to this section were made to clarify that all notification and other
provisions of the policy apply to Other States insurance. The insured should
give notice of beginning work in a 3.C. state.

Part Three A.4. has been added to the policy. This addition reads: IF YOU
HAVE WORK ON THE EFFECTIVE DATE OF THIS POLICY In ANY STATE NOT LISTED IN ITEM
3.A. OF THE INFORMATION PAGE, COVERAGE WILL NOT BE AFFORDED FOR THAT STATE
UNLESS WE ARE NOTIFIED WITHIN 30 DAYS.

This addition is meant to strengthen the notification requirement so the
insurer can accurately determine the extent of coverage. The insured will
benefit because of more accurate reporting of Other States coverage. The
inclusion of a 30-day time period was added at the request of agents and brokers
who expressed concern that the insured might not be in a position to provide
notice prior to beginning work.

AMENDATORY ENDORSEMENT

In order to provide for the interim period in which the policy revisions will be
approved in some jurisdictions and not in others, an Amendatory Endorsement - WC
00 03 18 will be used. This endorsement modifies the old policy to include all
the revisions. By utilizing a schedule to indicate the states in which the
Amendatory Endorsement is effective, it is possible to issue only one policy
even if the insured has operations in states with differing approval statuses.

The clear, concise and condensed revisions to the Workers Compensation and
Employers Liability Insurance Policy - WC 00 00 00 A have been filed nationwide
with a proposed effective date of April 1, 1992. These revisions are expected to
benefit insured and insurer alike.

LWNALASKA
(ED. 4-92)

TABLE OF ENDORSEMENT CHANGES

MODIFIED WITHDRAWN

Defense Base Act Coverage Federal Employers' Liability
Endorsement - WC 00 01 01 A Act Exclusion Endorsement - WC 00 01 05

Longshore and Harbor Workers' Compensation Act Longshore and Harbor Workers' Compensation Act
Coverage Endorsement - WC 00 01 06 A Exclusion Endorsement - WC 00 01 07 A

Nonappropriated Funds Instrumentalities Act Migrant and Seasonal Agricultural Worker Protection
Coverage Endorsement - WC 00 01 08 A Act Exclusion Endorsement - WC 00 01 10

Outer Continental Shelf Lands Act Coverage Maritime Exclusion
Endorsement - WC 00 01 09 A Endorsement - WC 00 02 02

Maritime Coverage Employers Liability Insurance
Endorsement - WC 00 02 01 A Endorsement - WC 00 03 16

Employers Liability Coverage
Endorsement - WC 00 03 03 B (Advisory)

Ohio Employers Liability Coverage
Endorsement - WC 34 03 01 B (Advisory) (Ohio only)

LWNALASKA
(ED. 4-92)
INSURED'S COPY

The questions most frequently asked by insureds are answered below:

Q. How will I be able to obtain coverage under the Longshore and Harbor
Workers' Compensation Act and other federal acts?

A. The WCELIP was designed to provide coverage under state workers compensation
laws, and premium is determined on this basis. Coverage under federal workers
compensation laws on specific federal acts was not contemplated. Previously,
exclusion endorsements were attached to policies to clarify the lack of
coverage.

Employers who wish to purchase coverage under a federal act may continue to
do so by means of a coverage endorsement. This coverage is still available to
you on the same basis as if was prior to policy revision.

Q. How does Part Three work?

A. Part Three provides that if there are other states shown in Item 3.C. of the
Information Page and you begin work in those states, the policy applies as
though that state were listed in Item 3.A. Only if you begin work in a 3.C.
state will premium develop. NOTIFY YOUR AGENT OR INSURER IMMEDIATELY IF YOU
BEGIN WORK IN A STATE LISTED IN ITEM 3.C.

Q. How has Part Three coverage changed and what are my obligations, if any?

A. Part Three (Other States Coverage) has been changed to require notice to the
insurer of work you have on the effective date of the policy. You have thirty
days to provide this notice. If you begin work after the effective date of
this policy and are not insured or self-insured for such work, all provisions
of the policy will apply as though the state was listed in Item 3.A. of the
Information Page.

Q. What if I have work in states that have approved the revisions and in states
that have not approved? Will I need two policies?

A. One policy will be issued, if you currently have one policy. The unrevised
policy will be issued with an endorsement (Amendatory Endorsement - WC 00 03
18). This endorsement will convert the policy to the revised version in those
states that are listed in the schedule.

If you have additional questions, please contact your agent or your insurance
company.

LWNALASKA
(ED. 4-92)

INSURED'S COPY

ARKANSAS NOTICE TO POLICYHOLDERS

THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA ____________ is required by
law to provide its policyholders with certain accident prevention services as
required by Arkansas Code Ann. Section 1l-9-409(4)(c) at no additional cost. If
you would like more information call AIG Consultants at the location below. If
you have any questions about this requirement, call the Health and Safety
Division, Arkansas Workers' Compensation Commission at 1-800-622-4472.

For your consideration, we have the services of AIG Consultants, Inc., a
professional engineering company with established experience and expertise. AIG
Consultants, Inc. can address a significant range of commercial problems and
advise and asist you in recognizing and solving existing potential problems for
accidents and occupational health hazards.

AIG Consultants, Inc. has been operating for more than 15 years and when
utilized has responded to individual client's problems to provide efficient
consultative services by qualified safety consultants. These safety and health
consultative services consist of, but are not limited to, the following:

1) A survey of the safety performance of the risk and its activities.

2) An appraisal of the mechanical hazards, materials handling, unsafe work
methods and hazardous processes.

3) Advice and assistance in the detection of occupational health training
programs.

4) Assistance to the risk with employee safety and health training programs.

5) Recommendations for appropriate corrective action as result of any survey.

6) Assistance in the development of a safety and health program.

You can contact AIG consultants, Inc. at 1-800-221-0651.

59471 WC COUNTERSIGNED BY ___________________________
(ED. 01-94) AUTHORIZED REPRESENTATIVE

INSURED'S COPY

ARKANSAS AMENDATORY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

lssued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Arkansas is shown in Item 3.A. of the Information Page.

PART TWO-EMPLOYERS LIABILLTY INSURANCE

C. EXCLUSIONS

2. is replaced by:

punitive or exemplary damages because of bodily injury to an employee
employed in violation of law; punitive or exemplary damages are defined
by Arkansas Bulletin No. 4-82 as those damages which are imposed to
punish a wrongdoer and to deter others from similar conduct;

PART SIX-CONDITIONS

D. CANCELATION is replaced by:

1. You may cancel this policy. You must mail or deliver advance written
notice to us stating when the cancelation is to take effect.

2. We may cancel this policy. If we cancel because you fail to pay all
premium when due, we will mail or deliver to you and to the Arkansas
Workers Compensation Commission not less than 10 days advance written
notice stating when the cancelation is to take effect. If we cancel for
any other reason, we will mail or deliver to you and to the Arkansas
Workers Compensation Commission not less than 30 days advance written
notice stating when the cancelation is to take effect. Mailing notice
to you at your mailing address shown in Item 1 of the Information Page
will be sufficient notice.

3. The policy period will end on the day and hour stated in the
cancelation notice.

WC 03 06 01 A COUNTERSIGNED BY_______________________________
(ED. 04-92)

AUTHORIZED REPRESENTATIVE

INSURED'S COPY

ENDORSEMENT

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

IMPORTANT NOTICE TO POLICYHOLDERS

In the event you need to contact someone about this policy for any reason please
contact your agent. If you have additional questions you may contact the
insurance company issuing this policy at the following address and telephone
number:

INS CO OF THE STATE OF PENN
70 Pine Street, New York City, N.Y. 10270
Telephone 1-212-770-7000

CENTURY FINANCIAL SERVICES
185 N W SPANISH RIVER BLVD 170
POB 811088

If we at INS CO OF THE STATE OF PENN fail to provide you with reasonable and
adequate service, you should feel
free to contact:

Arkansas Insurance Department
Consumer Services Division
400 University Tower Building 5TH FLOOR
Little Rock, Arkansas 72204
(501) 686-2945
(800) 852-5494

_______________________________________
Authorized Representative

Issue Date: 04/10/97

LWNINPHA

INSURED'S COPY

CONNECTICUT APPLICATION OF WORKERS COMPENSATION INSURANCE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following 'attaching clause' need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part One (Workers
Compensation Insurance) because Connecticut is shown in Item 3.A. of the
Information Page.

Section A, "How This Insurance Applies, of Part One, "Workers Compensation
Insurance," is amended to read as follows:

This workers compensation insurance applies to injury by accident or injury by
disease. Injury includes resulting death.

1) Injury by accident must occur during the policy period.

2) Injury by disease must be caused or aggravated by exposure during the policy
period to conditions of your employment.

______________________________________________
WC 06 03 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

CONNECTICUT WORKERS COMPENSATION FUNDS COVERAGE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part One (Workers
Compensation Insurance) because Connecticut is shown in Item 3.A. of the
Information Page.

The amount shown on the Information Page for the Connecticut workers
compensation fund assessments is required of you under Sections 31-283b
(Employers' contribution to fund), 31-283h (Division of worker education),
31-345 (Certificate of solvency; assessments; overpayments) and 31-354
(Assessments and contributions) of the Connecticut General Statutes. As provided
in Section 31-284(c) (Employer rights and liabilities), we will pay these
assessments to the Connecticut State Treasurer.

The purpose of the assessment is to finance the Rehabilitation Division, the
Division of Worker Education, the expenses of administering the law and the
Second Injury and Compensation Assurance Fund.

_____________________________________________
C 06 03 03A COUNTERSIGNED BY
(ED. 01-91)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

CONNECTICUT WORKERS COMPENSATION FUNDS ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part One (Workers
Compensation Insurance) because Connecticut is shown in Item 3.A. of the
Information Page.

The amount shown on the Information Page for the Connecticut workers
compensation fund assessment is required of you under Section 31-345
(Certificate of solvency; assessments; overpayments) of the Connecticut General
Statutes. As provided in Section 31-284(c) (Employer rights and liabilities), we
will pay these assessments to the Connecticut State Treasurer. The purpose of
the assessment is to finance the expenses of administering the law.

THE AMOUNT SHOWN ON THE INFORMATION PAGE FOR THE CONNECTICUT SECOND INJURY FUND
SURCHARGE IS REQUIRED OF YOU UNDER CONNECTICUT REGULATIONS TO FINANCE THE
CONNECTICUT SECOND INJURY FUND. WE WILL PAY THIS SURCHARGE TO THE CONNECTICUT
STATE TREASURER.

______________________________________________
WC 06 03 03 B COUNTERSIGNED BY
(ED. 04-96)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

CONNECTICUT RETROSPECTIVE PREMIUM SUPPLEMENTAL ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement changes the Retrospective Premium Endorsement identified in the
Schedule. The change applies only to the premium charged because Connecticut is
shown in Item 3.A. of the Information Page.

1. Connecticut standard premium does not include the non-ratable portion of
the premium for classifications shown in our manuals as having a specific
disease element. The non-ratable portion is a percentage of the premium
otherwise determined for the classification. The classifications with a
specific disease element and the corresponding non-ratable retrospective
percentage are shown in the Schedule.

2. Incurred losses do not include workers compensation pneumoconiosis disease
losses to employees assigned to a classification that includes a specific
disease element.

Schedule

Retrospective Premium Endorsement:

2. CLASSIFICATION NON-RATABLE PERCENTAGE

WC 06 05 01
(ED. 04-84) ___________________________________________
COUNTERSIGNED BY

AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NOTICE TO POLICYHOLDERS

Our medical services provider, Physicians Health Services, Inc.- (PHS) is
currently in the process of obtaining the necessary authorization to act as a
Managed Care Organization under the Connecticut Workers Compensation Law. Once
PHS obtains authorization, the Connecticut Workers' Compensation Commission must
approve PHS' managed care plan as it applies to your employees.

In the meantime, your employees retain all of their current rights under the
Connecticut Workers Compensation laws until authorization is obtained for PHS to
act as a Managed Care Organization for your employees. This includes the right
to choose a physician or other medical provider not affiliated with PHS for all
injuries that occur before PHS obtains authorization. Please make certain that
your Employees are made aware of this. Once authorization is obtained,
employees must select a physician or medical services provider affiliated with
PHS for treatment of injuries occurring after the authorization date, in order
to collect workers' compensation benefits.

We will notify you as soon as PHS authorization as a Managed Care Organization
is obtained. Please continue to use PHS as previously instructed.

_____________________________________________
LWNNPAH COUNTERSIGNED BY
(ED. 05-95)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

DISTRICT OF COLUMBIA CANCELLATION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching claus" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy
because District of Columbia is shown in Item 3.A. of the Information
Page.

The Cancellation Condition of the policy is replaced by this Condition:

D. CANCELLATION

1. You may cancel this policy. You must mail or deliver advance
notice to us stating when the cancellation is to take effect.

2. We may cancel this policy. We will mail or deliver to you and the
Mayor not less than 30 days advance written notice stating when
the cancellation is to take effect. Mailing this notice to you at
your mailing address last known to us will be sufficient to prove
notice.

3. The policy period will end on the day and hour stated in the
cancellation notice.

___________________________________________
WC 08 06 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

FLORIDA EXPERIENCE RATING MODIFICATION FACTOR ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this endorsement
is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Florida is shown in Item 3.A. of the Information Page.

A. The premium for the policy will be adjusted by an experience rating
modification factor. The factor was not available when the policy was
issued. The factor, if any, shown on the Information Page is an estimate.
We will issue an endorsement to show the proper factor, if different from
the factor shown, when it is calculated.

B. If the factor is an increase over that shown on the Information Page, it
will apply as of the policy effective date; or if the anniversary rating
date is different from the policy effective date it will apply as of the
anniversary rating date. Your premium will be calculated:

1. Retroactively to the effective date of the policy or to the
anniversary rating date if the adjustment is within the first 90 days
of the policy period or the anniversary rating date;

2. On a pro rata basis from the date we endorsed the policy if the
adjustment is more than 90 days after the effective date of the policy
or the anniversary rating date.

The adjustment will be retroactive to the effective date of the policy
period or to the anniversary rating date when:

a. The change is experience modification is the result of a revision
in your classifications;

b. The delay in the calculation of the experience modification is due
to your failure to make available all your records for examination
and audit as provided in Part Five-G (Audit) of the policy.

C. If the factor is a decrease from that shown on the Information Page, it
will apply retroactively to the policy effective date or the anniversary
rating date if different from the policy effective date.

__________________________________________
WC 09 04 02 COUNTERSIGNED BY
(ED. 10-88)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

GEORGIA CANCELATION, NONRENEWAL AND CHANGE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the Policy because
Georgia is shown in Item 3.A. of the Information Page.

The CANCELATION Condition of the policy is replaced by this Condition:

D. CANCELATION, NONRENEWAL AND CHANGE

1. You may cancel this policy. You must mail or deliver advance notice to
us stating when the cancelation is to take effect, subject to the
following:

a. If only your interest is affected, the effective date of
cancelation will be the later of the date we receive notice from
you or the date specified in the notice.

b. If by statute, regulation or contract this policy may not be
canceled unless notice is given to a governmental agency or other
third party, we will mail or deliver at least 10 days notice to
you and the third party as soon as practicable after receiving
your request for cancelation.

Our notice will state the effective date of cancelation, which
will be the later of the following:

1) 10 days from the date of mailing or delivering our notice, or

2) The effective date of cancelation stated in your notice to us.

2. We may cancel or nonrenew this policy. We must mail or deliver notice
at least 10 days before the effective date of cancelation if this
policy has been in effect less than 60 days or if we cancel for
nonpayment of premium. If this policy has been in effect 60 or more
days and we cancel for a reason other than nonpayment of premium, or if
we nonrenew this policy, we must send to you a notice of cancelation or
nonrenewal by certified mail, return receipt requested, to your last
address of record at least 75 days prior to the effective date of
cancelation or nonrenewal.

3. If we increase current policy premium by more than 15% (other than any
increase due to change in risk, exposure or experience modification or
resulting from an audit of auditable coverages), limit or restrict
coverage, we must mail by first class mail or deliver a notice of our
action (including dollar amount of any increase in renewal premium more
than 15%) to you at the last mailing address of record at least 45 days
before the expiration date of this policy.

4. The policy period will end on the day and hour stated in the
cancelation notice except as provided for above.

WC 10 06 01 A ______________________________________________
(ED. 04-93) COUNTERSIGNED BY
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

ILLINOIS AMENDATORY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No. RM
12:01 AM 01/01/97 WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Illinois is shown in Item 3.A. of the Information Page.

Part Six (Conditions), Condition A. Inspection, Condition D. Cancellation and
Condition E. Sole Representative of the policy are replaced by these four
Conditions.

INSPECTION

We have the right, but are not obliged, to inspect your workplaces at any
time. Our inspections are not safety inspections. They relate only to the
insurability of the workplaces and the premiums to be charged. We may give
you reports on the conditions we find. We may also recommend changes. While
they may help reduce losses, we do not undertake to perform the duty of any
person to provide for the health or safety of your employees or the public.
We do not warrant that your workplaces are safe or healthful or that they
comply with laws, regulations, codes or standards. The National Council on
Compensation Insurance has the same rights we have under this provision.

CANCELATION

You may cancel this policy. You will mail or deliver advance written notice
to us, stating when the cancelation is to take effect.

2. We may cancel this policy. We will mail to each named insured and to the
broker or the agent of record advance written notice stating when the
cancelation is to take effect.

3. If we cancel because you do not pay all premium when due, we will mail the
notice of cancelation at least ten days before the cancelation is to take
effect. If we cancel for any other reason, we will mail the notice:

a. at least 30 days before the cancelation is to take effect if the policy
has been in force for 60 days or less;

b. at least 60 days before the cancelation is to take effect if the policy
has been in force for more than 60 days.

4. If this policy has been in effect for 60 days or more, we may cancel only
for one of the following reasons:

a. Nonpayment of premium.

b. The policy was issued because of a material misrepresentation.

c. You violated any of the material terms and conditions of the policy.

d. There are unfavorable underwriting factors, specific to you, that were
not present when the policy took effect.

e. The Director has determined that we no longer have adequate reinsurance
to meet our needs.

f. The Director has determined that continuation of coverage could place
us in violation of the laws of Illinois.

5. Our notice of cancelation will state our reasons for cancelling.

Page 1 of 2

WC 12 06 01 B
(ED. 6-89)

INSURED'S COPY

6. The policy period will end on the day and hour stated in the cancelation
notice.

NONRENEWAL

We may elect not to renew the policy. We will mail to each named insured
and to the broker or the agent of record not less than 60 days notice
stating when the nonrenewal will take effect. If we do not give 60 days but
instead give between 31 and 60 days, the policy will automatically be
extended for 60 days. If we fail to give 31 days notice, the policy will
automatically be extended for one year. Mailing that notice to you at your
last known mailing address will be sufficient to prove notice.

2. Our notice of nonrenewal will state our reasons for not renewing.

3. If we fail to provide the notice of nonrenewal as required, the policy will
still terminate on its expiration date if:

a. We show you a willingness to renew the policy, or;

b. You notify us or the agent or broker who procured this policy that you
do not want the policy renewed, or;

c. You fail to pay all premiums when due; or

d. You obtain other insurance as a replacement of the policy.

SOLE REPRESENTATIVE

The insured first named in Item 1 of the Information Page will act on
behalf of all insureds to change this policy, receive return premium or to
give us notice of cancelation.

Part Five (Premium), Section G. Audit is replaced by this Section.

AUDIT

You will let us examine and audit all your records that relate to this
policy. These records include ledgers, journals, registers, vouchers,
contracts, tax reports, payroll and disbursement records, and programs for
storing and retrieving data. We may conduct the audits during regular
business hours during the policy period and within three years after the
policy ends. Information developed by audit will be used to determine final
premium. The National Council on Compensation Insurance has the same rights
we have under this provision.

____________________________________________
WC 12 06 01 B COUNTERSIGNED BY
(ED. 6-89)
AUTHORIZED REPRESENTATIVE

Page 2 of 2

INSURED'S COPY

NOTICE TO POLICYHOLDERS

We are here to serve you...

As our policyholder, your satisfaction is very important to us. If you have a
question about your policy, if you need assistance with a problem, or if you
have a claim, you should first contact your insurance agent or us at (212)
770-7195 by calling collect between the hours of 8:30 a.m. - 5:00 p.m. Eastern
Time. Should you have a valid claim, we fully expect to provide a fair
settlement in a timely fashion.

Should you feel you are not being treated fairly with respect to a claim, you
may contact the Indiana Department of Insurance with your complaint.

To contact the Department, write or call:

Consumer Services Division
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, IN 46204-2787
317-232-2395 or 1-800-622-4461

6295SWC
(Ed. 06-95) INSURED'S COPY

NOTICE TO POLICYHOLDERS

We are here to serve you...

As our policyholder, your satisfaction is very important to us. Should you have
a valid claim, we fully expect to provide a fair settlement in a timely
fashion..

If you are not satisfied...

Should you feel you are not being treated fairly, we want you to know you may
contact the Indiana Department of Insurance with your complaint and seek
assistance from the governmental agency that regulates insurance.

To contact the Department, write or call:

Public Information/Market Conduct
Indiana Department of Insurance
311 West Washington Street, Suite 300
Indianapolis, IN 46204-2787

Consumer Hotline: 1-800-622-4461
In the Indianapolis Area: 1-317-232-2395

LWNINPOL
INSURED'S COPY

KENTUCKY
ADDENDUM TO APPLICATION

POLICYHOLDER'S NOTICE

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

WARNING: Any person who knowingly and with intent to defraud any insurance
company or other person files an application for insurance containing any
materially false information or conceals for the purpose of misleading,
information concerning any fact material thereto commits a fraudulent insurance
act, which is a crime.

______________________________________________
60713WC COUNTERSIGNED BY
(ED. 07-94)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NOTICE TO INSUREDS
TAX AND ASSESSMENT-KENTUCKY

his endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

The Kentucky Insurance Department does not consider taxes and assessments a part
of Workers' Compensation Insurance Rates. Therefore, the monies charged the
insured for taxes and assessments under the Kentucky Workers' Compensation Law,
pursuant to KRS 342.122 and 342.445 as now or hereafter amended, are not
included as premium under the policy.

As a result, the company acts as a tax collector with respect to taxes and
assessments and is required under the Workers' Compensation Law to collect and
remit the taxes and assessments to the Kentucky Commissioner of Revenue.

Effective 01/01/96, a tax and assessment rate of 9.00 % is applicable to
new and renewal policies.

The tax and assessment due is $ SEE KENTUCKY SCHEDULE OF OPERATIONS.

_______________________________________________
WC 00 02 92 COUNTERSIGNED BY
(ED. 10-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

LOUISIANA PUNITIVE DAMAGES ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different late is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Louisiana is shown in Item 3.A. of the Information Page.

Part Two--Employers Liability Insurance of the policy is changed by removing the
following:

C. EXCLUSIONS

2. punitive or exemplary damages because of bodily injury to an employee
employed in violation of law.

______________________________________________
WC 17 03 02 COUNTERSIGNED BY
(ED. 9-90)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

LOUISIANA AMENDATORY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy UNLESS a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the Policy because
Louisiana is shown in Item 3.A. of the Information Page

The CANCELATION Condition of the policy is replaced by this Condition:

D. CANCELATION

1. Written notice of such cancelation must be actually delivered or mailed
to the insured or to his representative in charge of the subject of the
insurance not less than twenty days prior to the effective date of the
cancelation except where termination of coverage is for nonpayment of
premium.

2. Upon the written request of the named insured, the insurer shall
provide to the insured in writing the reasons for cancelation of the
policy. There shall be no liability on the part of and no cause of
action of any nature shall arise against any insurer or its agents,
employees, or representatives for any action taken by them to provide
the reasons for cancelation as required by the Subparagraph.

3. Where written notice of cancelation or nonrenewal is required and the
insurer elects to mail the notice, the running of the time period
between the date of mailing and the effective date of termination of
coverage shall commence upon the date of mailing.

4. Any policy may be canceled by the company at any time during the policy
for failure to pay any premium when due whether such premium is payable
directly to the company or its agent or indirectly under a premium
finance plan or extension of credit, by mailing or delivering to the
insured written notice stating when, not less than ten days thereafter,
such cancelation shall be effective.

5. The mailing of any such notice shall be effected by depositing it in a
sealed envelope, directed to the addressee at his last address as known
to the insurer or as shown by the insurer's records, with proper
prepaid postage affixed, in a letter depository of the United States
Post Office. The insurer shall retain in its records any such item so
mailed, together with its envelope, which was returned by the Post
Office upon failure to find or deliver the mailing to the addressee.

6. The affidavit of the individual making or supervising such a mailing
shall constitute prima facie evidence of such facts of the mailing as
are therein affirmed.

7. The portion of any premium paid to the insurer on account of the
policy, including unearned commission, unearned because of the
cancelation and in amount as computed on the pro rata basis, must be
actually paid to the insured or other person entitled thereto as shown
by the policy or by any endorsement thereon, or be mailed to the
insured or such person as soon as practicable following such
cancelation. Any such payment may be made by cash, or by check, bank
draft, or money order.

______________________________________________
WC 17 06 01 COUNTERSIGNED BY
(ED. I 1 -92)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

LOUISIANA COST CONTAINMENT ACT ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a Different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Louisiana is shown in Item 3.A. of the Information Page.

You may be eligible for a two (2) percent reduction in your premium if you
attend a cost containment meeting conducted by the Occupational, Safety and
Health Administration (OSHA) Section of the Office of Workers Compensation
Administration. In order for you to receive the reduction, you must submit to us
a certificate of attendance from the OSHA Section. The reduction will APPLY for
a period of one year and will be applied to the policy becoming effective after
the date you attended the cost containment meeting.

You may also be eligible for an additional five (5) percent reduction in your
premium if you have attended a cost containment meeting and have subsequently
satisfactorily implemented an occupational safety and health program prescribed
by the OSHA Section. In order for you to receive the reduction, you must submit
to us a Certificate of Satisfactory Implementation of Occupational, Safety and
Health Ptogram from the OSHA Section. The reduction will apply for a period of
one year and will be applied to the policy becoming effective after the date of
your certification.

WC 17 06 02 A _______________________________________________
(ED. 02-96) COUNTERSIGNED BY

AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MASSACHUSETTS LIMITS OF LIABILITY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part Two (Employers
Liability Insurance) because Massachusetts is listed in Item 3.A. of the
Information page.

Our liability to you under Section 25 of Chapter 152 of the General Laws of
Massachusetts is not subject to the limit of liability that applies to Part Two
(Employers Liability Insurance).

_______________________________________________
WC 20 03 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MASSACHUSETTS-ASSESSMENT CHARGE

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Massachusetts General Laws, Chapter 152, Section 65, as amended by Chapter 572
of the Acts of 1985, establishes a workers compensation special fund and a
workers compensation trust fund.

On behalf of the Department of Industrial Accidents (DIA), the insurance company
providing workers compensation coverage is required to bill and collect an
assessment charge covering the special and trust funds from insured employers
and remit the amounts collected to the State Treasury.

The assessment charge which is determined by applying a rate (subject to annual
change) to the standard premium developed under your policy, is shown as a
separate item on the Information page of the policy. The rate may be different
for private employers and for the Commonwealth and its political subdivisions.

The income derived from the assessment charge will be used to fund the operating
expenses of the DIA and to fund certain employee benefits as described in
Chapter 152.

______________________________________________
WC 20 03 02 COUNTERSIGNED BY
(ED. 5-86)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MASSACHUSETTS NOTICE TO POLICYHOLDER ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Massachusetts is shown in Item 3.A. of the Information Page.

1. Rates and Premium

The policy contains rates and classifications that apply to your type of
business. If you have any questions regarding the rates or classifications,
please contact your agent or us.

You may obtain pertinent rating information by submitting a written request
to us at our address shown on this endorsement. We may require you to pay a
reasonable charge for furnishing the information.

You may also submit request for a review of the method by which your
classification, rates or premiums were determined. If you are not satisfied
with the results of the review, you may appeal to the Commissioner of
Insurance at the address shown in this endorsement.

2. Reserves or Settlements

You may request a loss run which contains reserve and settlement
information for claims that relate to the premium for this policy. Such a
request must be in writing and should be sent to our address shown on this
endorsement. We will provide you with information within thirty (30) days
of receipt of your request, and at reasonable intervals thereafter.

If you have any questions or believe that we set unreasonable reserves or
made unreasonable settlements that affected your premiums or losses, you
may make a written request through your agent or directly to us for a
meeting with our company representative. If you are not satisfied with the
results of the meeting, you may make a written appeal to the Insurance
Commissioner at the address shown on the endorsement.

Addresses

Commissioner of Insurance Company Address
Division of Insurance
Department of Banking and Insurance
470 Atlantic Avenue
Boston, MA 02210-2223

____________________________________________
WC 20 03 03 A COUNTERSIGNED BY
(ED. 8-95)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MASSACHUSETTS CANCELATION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Massachusetts is shown in Item 3.A. of the Information Page.

The CANCELATION Condition of the policy is replaced by the following:

CANCELATION

1. You may cancel this policy by mailing or delivering to us advance written
notice requesting cancelation. Such cancelation shall not be effective
until ten days after written notice is given by us to The Workers'
Compensation Rating and Inspection Bureau of Massachusetts (Bureau), or
until notice has been received by the Bureau that you have secured
insurance from another insurance company, whichever occurs first.

2. We may cancel this policy only if based on one or more of the following
reasons: (I) nonpayment of premium; (II) fraud or material
misrepresentation affecting your policy; or (III) a substantial increase in
the hazard insured against. Such cancelation shall not be effective until
ten days after written notice is given by us to you and The Workers'
Compensation Rating and Inspection Bureau of Massachusetts (Bureau), or
until notice has been received by the Bureau that you have secured
insurance from another insurance company, whichever occurs first.

3. Any of these provisions that conflict with the law that controls the
cancelation of this insurance policy is changed by this statement to comply
with the law.

_____________________________________________
WC 20 06 01 COUNTERSIGNED BY
(ED. 6-92) AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MICHIGAN NOTICE TO POLICYHOLDER ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Michigan is shown in Item 3.A. of the Information Page.

1. RATES AND PREMIUM

The policy contains rates and classifications that apply to your type of
business. If you have any questions regarding the rates or classifications,
please contact us or your agent.

You may also submit a written request for a review of the method by which
your rates and premiums were determined. If you are not satisfied with the
results of the review, you may appeal to the Commissioner of Insurance at
the address shown in this endorsement.

2. PAYROLL AUDITS

You may request a payroll audit once each calendar year. Your request must
be in writing sent to our address shown in this endorsement. You must state
that you believe your payroll expenditures have changed by 20% or more, and
you must state the reasons for that belief. We will complete the audit
within 120 days of receipt of your request if you provide us with all
information we need to perform the audit.

3. RESERVES OR REDEMPTION

You may request reserve and redemption information that relates to the
premium for this policy. Your request must be in writing sent to our
address shown in this endorsement. We will provide you with that
information within thirty (30) days of receipt of your request.

If you believe that the policy premiums are excessive because we set
unreasonable reserves or because of the unreasonable redemption of a claim,
you may request a meeting with our management representative. Your request
must be in writing sent to our address shown in this endorsement. If you
are not satisfied with the results of the meeting, you may appeal to the
Insurance Commissioner at the address shown in this endorsement.

Addresses

Commissioner of Insurance Company Address
Michigan Insurance Bureau
Department of Licensing
& Regulation
P.O. Box 30220
Lansing, MI 48909

_____________________________________________
WC 21 03 03 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MICHIGAN LAW ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Michigan is shown in Item 3.A. of the Information Page.

Michigan law requires that we attach this paragraph to your policy in the
language specified by the statute. To help you understand the paragraph, the
following defenitions are added:

1. We are "the insurer issuing this policy".

2. You are "the insured employer".

3. "Michigan workmen's compensation act" means the Workers' Disability
Compensation Act of 1969.

4. "Workmen's compensation" means workers' compensation.

5. "The bureau of workmen's compensation" means the Bureau of Workers'
Disability Compensation.

Notwithstanding any language elsewhere contained in this contract or policy of
insurance, the accident fund or the insurer issuing this policy hereby con-
tracts and agrees with the insured employer:

COMPENSATION:

(a) That it will pay to the persons that may become entitled thereto all
workmen's compensation for which the insured employer may become liable
under the provisions of the Michigan workmen's compensation act for all
compensable injuries or compensable occupational diseases happening to
his employees during the life of this contract or policy;

MEDICAL SERVICES:

(b) That it will furnish or cause to be furnished to all employees of the
employer all reasonable medical, surgical, and hospital services and
medicines when they are needed which the employer may be obligated to
furnish or cause to be furnished to his employees under the provisions of
the Michigan workmen's compensation act and that it will pay to the
persons entitled thereto for all such services and medicines when they
are needed for all compensable injuries or compensable occupational
disease happening to his employees during the life of this contract or
policy;

REHABILITATION SERVICES:

(c) That it will furnish or cause to be furnished such rehabilitation
services for which the insured employer may become liable to furnish or
cause to be furnished under the provisions of the Michigan workmen's
compensation act for all compensable injuries or compensable occupational
disease happening to his employees during the life of this contract or
policy;

WC21 06 01
(Ed. 4-84) Page 1 of 2

INSURED'S COPY

FUNERAL EXPENSES:

(d) That it will pay or cause to be paid the reasonable expense of the last
sickness and burial of all employees whose death are caused by
compensable injuries or compensable occupational diseases happening
during the life of this contract or policy and arising out of and in the
course of their employment with the employer, which the employer may be
obligated to pay under the provisions of the Michigan workmen's
compensation act;

SCOPE OF CONTRACT:

(e) That this insurance contract or policy shall for all purposes be held and
deemed to cover all the businesses the said employer is engaged in at the
time of the issuance of this contract or policy and all other businesses,
if any, the employer may engage in during the life thereof, and all
employees the employer may employ in any if his businesses during the
period covered by this policy;

OBLIGATIONS ASSUMED:

(f) That this hereby assumes all obligations imposed upon the employer by his
acceptance of the Michigan workmen's compensation act, as far as the
payment of ompensation, death benefits, medical, surgical, hospital care
or medicine and rehabilitation services is concerned;

TERMINATION NOTICE:

(g) That it will file with the bureau of workmen's compensation at Lansing,
Michigan, at least 20 days before taking effect of any termination or
cancellation of this contract or policy, a notice giving the date at
which it is proposed to terminate or cancel this contract or policy; and
that any termination of this policy shall not be effective as far as the
employees of the insured employer are concerned until 20 days after
notice of porposed termination or cancellation is received by the bureau
of workmen's compensation;

CONFLICTING PROVISIONS:

(h) That all the provisions of this contract, if any which are not in harmony
with this paragraph are to be construed as modified hereby and all
conditions and limitations in the policy, if any, conflicting herewith
are hereby made null and void.

_________________________________________
WC 21 06 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

Page 2 of 2

INSURED'S COPY

MINNESOTA CANCELATION AND NONRENEWAL ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided because Minnesota is
shown in Item 3.A. of the Information Page.

CANCELATION OF A NEW POLICY
If this policy is a new policy and has been in effect for fewer than 90 days, we
may cancel for any reason by giving you notice at least 30 days before the
effective date of cancelation.

CANCELATION OF OTHER POLICIES
If this policy has been in effect for 90 days or more, or if it is a renewal of
a policy we issued, we may cancel FOR ONE OR MORE of the following reasons:

1. Nonpayment of premium;

2. Misrepresentation or fraud made by you or with your knowledge in obtaining
the policy or in pursuing a claim under the policy;

3. An act or omission by you that substantially increases or changes the risk
insured;

Refusal by you to eliminate known conditions that increase the potential
for loss after notification by us that the condition must be removed;

5. Substantial change in the risk assumed, except to the extent that we
should reasonably have foreseen the change or contemplated the risk in
writing this policy;

6. Loss of reinsurance by us which provided coverage to us for a
significant amount of the underlying risk insured. Any notice of
cancelation pursuant to this item shall advise you that you have 10 days
from the date of receipt of the notice to appeal the cancelation to the
commissioner of commerce and that the commissioner will render a decision
as to whether the cancelation is justified because of the loss of
reinsurance within 5 business days after receipt of the appeal;

7. A determination by the commissioner that the continuation of the policy
could place us in violation of the Minnesota insurance laws; or

8. Nonpayment of dues to an association or organization, other than an
insurance association or organization, where payment of dues is a
prerequisite to your obtaining or continuing this policy. This item shall
not apply to persons who are retired at 62 years of age or older or who are
disabled according to Social Security standards.

If we cancel your policy for any of the reasons listed in (1) through (8), we
will give notice at least:

1. 30 days before the effective date of cancelation, if we cancel for
nonpayment of premium; or

2. 60 days before the effective date, if we cancel for a reason described in
(2) through (8) above.

WC 22 06 01 A
(ED. 10-92)
1 OF 2

INSURED'S COPY

NOTICE OF CANCELATION
Any notice of cancelation under this endorsement shall be in writing and shall
be sent by first class mail or delivered to you and any agent, to the last
mailing addresses known to us. A cancelation notice for nonpayment of premium
shall state the amount of premium due and the due date, and shall state the
effect of nonpayment by the due date. Cancelation shall not be effective if
payment of the amount due is made prior to the effective date of cancelation in
the notice. A cancelation notice for some other reason shall state the specific
reason for cancelation and shall state the effective date of cancelation. The
policy will end on that date.

REFUNDS DUE YOU
If this policy is canceled, we will send you any premium refund due. If we
cancel, the refund will be pro rata. If you cancel, the refund may be less than
pro rata. The cancelation will be effective even if we have not made or offered
a refund.

NONRENEWAL OF YOUR POLICY
Any notice of nonrenewal shall be in writing and shall be sent by first class
mail, or delivered to you and any agent, to the last mailing addresses known to
us, at least 60 days before the expiration date.

We need not mail or deliver this nonrenewal notice if you have:

1. Insured elsewhere;

2. Accepted replacement coverage; or

3. Requested or agreed not to renew this policy.

________________________________________________
WC 22 06 01 A COUNTERSIGNED BY
(ED. 10-92)
AUTHORIZED REPRESENTATIVE

2 of 2

INSURED'S COPY

NOTICE CONCERNING POLICYHOLDER RIGHTS IN AN
INSOLVENCY UNDER THE MINNESOTA INSURANCE
GUARANTY ASSOCIATION LAW

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

If the Insurer who issued your property and casualty or liability insurance
policy (includes homeowners and automobile insurance) becomes impaired or
insolvent you are entitled to compensation for your policy from the assets of
the insurer. The amount you recover will depend on the financial condition of
the insurer.

In addition, residents of Minnesota who purchase property and casualty or
liability insurance from insurance companies authorized to do business in
Minnesota are protected, SUBJECT TO LIMITS AND EXCLUSIONS, in the event the
insurer becomes financially impaired or insolvent. This protection is provided
by the Minnesota Insurance Guaranty Association.

Minnesota Insurance Guaranty Association
4640 West 77th Street, Suite 342
Edina, Minnesota 55435
(612) 831-1908

The MAXIMUM AMOUNT the guaranty association will pay in regard to a claim under
all policies issued by the same insurer IS LIMITED TO $300,000. This limit does
not apply to worker's compensation insurance. Coverage by the guaranty
association is subject to other substantial limitations and exclusions and
requires continued residency in Minnesota. If your claim exceeds the Guaranty
Associations' limits you may still recover a part or all of that amount from the
proceeds from the liquidation of the insolvent insurer, if any exist. Funds to
pay claims may not be immediately available. The Guaranty Association assesses
insurers licensed to sell property and casualty insurance in Minnesota after the
insolvency occurs. Claims are paid from the assessment.

THE COVERAGE PROVIDED BY THE GUARANTY ASSOCIATION IS NOT A SUBSTITUTE FOR USING
CARE IN SELECTING INSURANCE COMPANIES THAT ARE WELL MANAGED AND FINANCIALLY
STABLE. IN SELECTING AN INSURANCE COMPANY OR POLICY, YOU SHOULD NOT RELY ON
COVERAGE BY THE GUARANTY ASSOCIATION.

THIS NOTICE IS REQUIRED BY MINNESOTA STATE LAW TO ADVISE POLICYHOLDERS OF
PROPERTY AND CASUALTY INSURANCE POLICIES OF THEIR RIGHTS IN THE EVENT THEIR
INSURANCE CARRIER BECOMES FINANCIALLY INSOLVENT. THIS NOTICE IN NO WAY IMPLIES
THAT THE COMPANY CURRENTLY HAS ANY TYPE OF FINANCIAL PROBLEMS. ALL PROPERTY AND
CASUALTY INSURANCE POLICIES ARE REQUIRED TO PROVIDE THIS NOTICE.

I have read the foregoing notice and received a copy for my records this
_________________ day of __________________________ '19___

_____________________________________________
POLICY HOLDER

LWNMNIGA
(ED. 11-91)

INSURED'S COPY

MISSOURI LIMIT OF LIABILITY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part Two (Employers
Liability Insurance) because Missouri is shown in Item 3.A. of the Information
Page.

We may not limit our liability to pay damages because of bodily injury by
accident to your employees if the bodily injury arises out of and in the course
of employment subject to, and is compensable under, the workers compensation law
of Missouri, and the damages are claimed directly against you by the injured
employee or, in the event of the death of the employee, by the persons entitled
to sue therefor.

_______________________________________________
WC 24 03 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MISSOURI SAFETY CERTIFICATION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Missouri is shown in Item 3.A. of the Information Page.

You may be eligible for a Missouri Safety Certification Premium Credit. You are
eligible for this credit one time only. To be eligible you must provide us with
verification of the safety certification and required number of reductions in
injuries and illnesses and lost workdays.

You may qualify for:

1. A five percent (5%) credit if in the first year the safety program has been
in place you have reduced the number of injuries and illnesses and lost
workdays, as calculated according to the Federal OSHA formula for incident
rate, by at least fifty percent (50%).

2. A ten percent (10%) credit if in the first year the safety program has been
in place you have experience no injuries and illnesses and lost workdays
according to the Federal OSHA formula for incident rate.

We will attach the Missouri Safety Certification Premium Adjustment Endorsement
to the policy that is eligible for the premium credit. The Missouri Safety
Certification Premium Adjustment Endorsement will indicate the amount of the
credit for which you have provided verification as outlined above.

______________________________________________
WC 24 04 03 COUNTERSIGNED BY
(ED. 06-93)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MISSOURI RETROSPECTIVE PREMIUM SUPPLEMENTAL ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement changes the Retrospective Premium Endorsement attached to the
policy. The change applies only to the premium charged because Missouri is shown
in Item 3.A. of the Information Page.

1. If the retrospective premium is determined by Rating Option I, II, III, or
IV, incurred losses do not include interest on judgments or employers
liability loss adjustment expenses.

2. If the retrospective premium is determined by Rating Option V, incurred
losses do not include interest on judgments.

______________________________________________
WC 24 05 01 COUNTERSIGNED BY
(ED. 04-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MISSOURI CANCELATION AND NONRENEWAL ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Missouri is shown in Item 3.A. of the Information Page.

The Cancelation Condition of the policy is replaced by these two Conditions:

CANCELATION

1. You may cancel this policy. You will mail or deliver advance written notice
to us, stating when the cancelation is to take effect.

2. We may cancel this policy. We will mail or deliver to you, by certified
mail, not less than 30 days advance written notice stating when the
cancelation is to take effect. Mailing this notice to you at your mailing
address shown in Item 1 of the Information Page will be sufficient to prove
notice.

3. The policy period will end on the day and hour stated in the cancelation
notice.

NONRENEWAL

1. We may elect not to renew the policy. We will mail to you not less than 30
days advance written notice stating when the nonrenewal will take effect.
Mailing that notice to you at your mailing address shown in Item 1 of the
Information Page will be sufficient to prove notice.

2. If we fail to provide the notice of nonrenewal as required, the policy
will still terminate on its expiration date if:

a. we show you our willingness to renew the policy but you notify us or
the agent or broker who procured this policy that you do not want the
policy renewed; or

b. you fail to pay all premiums when due; or

c. you obtain other insurance as a replacement of the policy.

_____________________________________________
WC 24 06 01 A COUNTERSIGNED BY
(ED. 4-91)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

MISSOURI PROPERTY AND CASUALTY GUARANTY ASSOCIATION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Missouri is shown in Item 3.A. of the Information Page.

Missouri Property and Casualty Insurance Guaranty Association Coverage Limits:

1. Subject to the provisions of the Missouri Property and Casualty Insurance
Guaranty Association Act (Act), if we are a member of the Missouri Property
and Casualty Insurance Guaranty Association (Association), the Association
will pay claims covered under the Act if we become insolvent.

2. The Act contains various exclusions, conditions and limitations that govern
a claimant's eligibility to collect payment from the Association and affect
the amount of any payment. The following limitations apply subject to all
other provisions of the Act:

a. Claims covered by the Association do not include a claim by or against
an insured of an insolvent insurer if the insured has a net worth of
more than $25 million on the date the insurer becomes insolvent.

If the insured prepares an annual report to shareholders, or an annual
report to management reflecting net worth, then such report for the
fiscal year immediately preceding the date of insolvency of the insurer
will be used to determine net worth.

b. The Association will pay the full amount of any covered claim arising
out of a workers compensation policy, but payments made by the
Association for covered claims will include only that amount of each
claim which is:

(1) In excess of $100; and
(2) Less than $300,000.

However, the association will not:

(1) Pay an amount in excess of the applicable limit of insurance of the
policy from which a claim arises; or
(2) Return to an insured any unearned premium in excess of $10,000.

These limitations have no effect on the coverage we will provide under
this policy.

______________________________________________
WC 24 06 02 A COUNTERSIGNED BY
(ED. 04-96)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NOTICE TO THE POLICYHOLDER

This notice is to inform you of the loss control programs available to you for
servicing your Missouri locations.

We have Field Safety Representatives with the experience and expertise to
provide Comprehensive Safety Engineering and Management Services.

Our services may include loss prevention surveys, risk exposure analysis, staff
training, counseling, accident and loss analysis, worker health and safety
evaluations, risk improvement recommendations, educational material and
literature related to your specific profession or industry.

If you have any questions or wish to discuss further the Loss Control Services
available, contact:

AIG Consultants, Inc.
500 W. Madison St., 9th Floor
Chicago, IL 60661
Regional Manager - 1(312)930-6978

or call the Parsippany Loss Control Unit of AIG Consultants at 1(800)972-4420, 9
AM to 5 PM Eastern Standard Time.

WC63612
(ED. 10-95)

INSURED'S COPY

NORTH CAROLINA AMENDED COVERAGE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
North Carolina is shown in Item 3.A. of the Information Page.

The CANCELATION Condition of the policy is replaced by this Condition:

D. CANCELATION

1. You may cancel this policy.

If you cancel this policy, you must mail or deliver not less than 10 days
advance written notice to us stating when the cancelation is to take
effect.

2. We may cancel this policy.

a) If we cancel this policy for nonpayment of premium, we must mail or
deliver not less than 10 days advance written notice to you stating
when the cancelation is to take effect.

b) If we cancel this policy for any reason other than nonpayment of
premium, we must mail by registered or certified mail not less than 30
days advance written notice to you stating when the cancelation is to
take effect.

c) Mailing required notice of cancelation to you at your mailing address
shown in Item 1 of the Information Page will be sufficient to prove
notice.

3. The policy period will end on the day and hour stated in the cancelation
notice.

_____________________________________________
WC 32 03 01 A COUNTERSIGNED BY
(ED. 10-93)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NEBRASKA CANCELATION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

1. You may cancel this policy within the policy period by giving notice in
writing to the Nebraska Workers' Compensation Court and to us, fixing the
date on which the cancelation is to be effective.

2. The notice, from you, is to be served personally or sent by certified mail.

3. The cancelation shall not be effective until 10 days after the mailing of
the notice.

4. We may cancel this policy within the policy period by giving notice in
writing to you and to the Nebraska Workers' Compensation Court, fixing the
date on which the cancelation is to be effective.

5. The notice, from us, is to be served personally or sent by certified mail.

6. The cancelation shall not be effective until 10 days after the mailing of
the notice unless you have secured insurance with another insurer. In this
event the cancelation will be effective as of the effective date of the
other insurance.

7. We are required by Nebraska Law to give notice of your intent to cancel a
policy to the Nebraska Workers' Compensation Court.

______________________________________________
WC 26 06 01 A COUNTERSIGNED BY
(ED. 7-92)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NEW HAMPSHIRE SOLE REPRESENTATIVE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
New Hampshire is shown in Item 3.A. of the Information Page.

Condition E, "Sole Representative", of the policy is replaced by the following:

"The insured first named in Item 1 of the Information Page will act on behalf of
all insureds to change this policy, receive return premium or to give us notice
of cancellation. If we cancel this policy, we will give each named insured
notice of cancellation".

______________________________________________
WC 28 06 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NEW HAMPSHIRE AMENDATORY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the New Hampshire coverage provided by the
policy as New Hampshire is shown in Item 3.A. of the Information Page.

For New Hampshire coverage, the cancelation condition of the policy is amended
and replaced by:

1. You may cancel this policy. You must mail or deliver advance written notice
to us.

2. We may cancel this policy. We will file a written termination notice with
the commissioner of the Department of Labor and will send a copy to you.

3. In case of non payment of premium, the cancelation will take effect 30 days
after the termination notice is filed.

4. In case of cancelation for reasons other than non payment of premium,
cancelation will take effect 45 days after the notice of termination is
filed.

5. If you have obtained coverage from another insurance carrier or have
qualified as a self-insurer, cancelation is effective on the date you
obtained the coverage or qualified as a self-insurer.

______________________________________________
WC 28 06 04 COUNTERSIGNED BY
(ED.4-92)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NEW JERSEY PART TWO LIMIT OF LIABILITY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part Two (Employers
Liability Insurance) because New Jersey is shown in Item 3.A. of the Information
Page.

We may not limit our liability to pay damages for which we become legally liable
to pay because of bodily injury to your employees if the bodily injury arises
out of and in the course of employment that is subject to, and is compensable
under, the workers compensation law of New Jersey.

______________________________________________
WC 29 03 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

ENDORSEMENT

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

BY: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

NEW JERSEY SECOND INJURY FUND

The New Jersey Workers Compensation Law established the Second Injury Fund to
provide benefits to workers who become permanently and totally disabled as a
result of work-related injury or occupational disease when the worker had been
previously partially disabled. The Law also requires that the Fund provide
annual adjustments to certain persons permanently and totally disabled and to
certain dependents of deceased workers.

Through 1988, the Second Injury Fund was financed by an annual assessment upon
insurance carriers. Such assessment was included in your standard premium via
the manual premium rate(s) shown in your policy Information Page.

Effective January 1, 1989 an amendment to the Law requires that the present
financing be replaced by a direct surcharge shown as a separate "Second Injury
Fund Surcharge" line on the policy Information Page. It will no longer be
included in the manual premium rate. This new system will discourage other
states from imposing retaliatory taxes on New Jersey based insurance companies
and ultimately aid cost containment efforts.

Issue Date: 04/10/97

______________________________________________
LWNNJSIF COUNTERSIGNED BY

AUTHORIZED REPRESENTATIVE

INSURED'S COPY

ENDORSEMENT

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

BY: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

The New Jersey Workers Compensation Law requires every employer to provide
workers compensation coverage through purchase of a workers compensation and
employers liability insurance policy. Failure to provide such coverage results
in a fine and/or criminal action by the Department of Labor as well as continued
liability for benefit payments to an injured worker.

The Uninsured Employers Fund was established by Law to provide benefits to an
injured worker when the employer has failed to comply with the insurance
provision of the Law and is unable to provide the required benefits. Through
1988, total financing of the Fund was derived from fines imposed upon uninsured
employers.

Effective January 1, 1989 an amendment to the Law, requires that the present
financing be supplemented by a direct surcharge shown as a separate "Uninsured
employers Fund Surcharge" line on your policy Information Page. This method will
assure the delivery of benefits to injured workers and the surcharge will cease
whenever the year end balance of the Fund exceeds $500,000.

_______________________________________________
AUTHORIZED REPRESENTATIVE

Issue Date: 04/10/97

INSURED'S COPY

NEW MEXICO SAFETY DEVICE EXCLUSION ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Section 52-1-10 of the New Mexico workers compensation law may make you liable
for the payment of additional benefits in the case of bodily injury to employees
resulting from your failure to supply safety devices. The policy does not cover
these additional benefits.

______________________________________________
WC 30 03 02 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NEW MEXICO CANCELATION AND NONRENEWAL ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies to the insurance provided by the policy because New
Mexico is shown in Item 3.A. of the Information Page.

The Cancelation Condition of this policy is replaced by the following:

CANCELATION

You may cancel this policy by returning it to us or by giving us a written
notice and stating at what future time coverage is to cease.

We may cancel this policy, or one or more of its parts, by giving you a written
notice. If the premium has not been paid when due, we may cancel at any time by
giving the required notice at least 10 days before the cancelation is effective.

If the policy has been in effect less than 60 days and is not a renewal policy,
we may cancel by giving the required notice at least 10 days before the
cancelation is effective.

If the policy has been in effect for 60 days or more or is a renewal, we may
cancel only for one or more of the following reasons:

a. The policy was obtained through material misrepresentation, fradulent
statements, omissions or concealment of fact material to the acceptance of
the risk or to the hazard assumed by us;

b. Willful and negligent acts or omissions by the insured have substantially
increased the hazards insured against;

c. You presented a claim based on fraud or material misrepresentation; or

d. There has been a substantial change in the risk assumed by us since the
policy was issued.

We will give the required Notice of Cancelation stating the reason(s) for
cancelation at least 30 days before the cancelation is effective. The notice
will state the time that the cancelation is to take effect. The notice will be
sent to your mailing address last known to us.

Your return premium, if any, will be calculated as follows:

a. If we cancel, we will return all unearned premiums.

b. If you cancel, the refund will be calculated according to our rules.

Your return premium will be refunded to you with the cancelation notice or
within a reasonable time. Payment or tender of the unearned premium is not a
condition of cancelation.

NONRENEWAL

If we decide not to renew this policy, we must give you written notice of our
intention not less than 30 days prior to the expiration of the policy.

This nonrenewal section does not apply to any policy of insurance issued to an
insured who has its principal place of business outside this state.

_____________________________________________
WC 30 06 01 COUNTERSIGNED BY
(ED. 1-90)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NEW YORK LIMIT OF LIABILITY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part Two (Employers
Liability Insurance) because New York is shown in item 3.A. of the Information
Page.

We may not limit our liability to pay damages for which we become legally liable
to PAY because of bodily injury to your employees if the bodily injury arises
out of and in the course of employment that is subject to and is compensable
under the Workers Compensation Law of New York.

_____________________________________________
WC 31 03 08 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

NOTICE TO POLICYHOLDERS
NEW YORK
CHANGES TO ASSESSMENTS

Legislation enacted in December 1993 and applicable to policies effective April
1st, 1994 specifically prohibited assessments based on losses. The New York
Compensation Rating Board was instructed to prepare a single "New York State
Assessment" to be charged based on your standard workers compensation premium,
which is your premium after application of experience modification. For your
information, the components of this assessment are described below. These
assessment percentages are effective on new and renewal policies effective
October 1, 1994 and later.

WORKERS COMPENSATION BOARD (WCB) ASSESSMENT
The WCB is the administrator of the workers compensation law in New York. Its
administrative law judges hear cases and establish benefit eligibility and
awards.
The assessment for this service is 2.56%

REOPENED CASE FUND
The Reopened Case Fund pays for benefits determined by the Workers Compensation
Board after a lapse of seven years from the date of injury, or in those cases
where an earlier determination is set aside.
The assessment for this service is 4.76%

SPECIAL DISABILITY FUND
The Special Disability Fund provides for the reimbursement of the insurance
company for compensation and medical benefits paid as the result of a subsequent
(second) injury.
The assessment for this service is 6.06%

INTERDEPARTMENTAL EXPENSES
This assessment pays for the programs administered by the New York Department of
Health, Occupational Health Clinics Network, and the New York Department of
Labor, both the Occupational Safety and Training Fund and the Enforcement of
Occupational Safety and Health Regulation. The assessment for these services is
0.54%

SPECIAL FUNDS CONSERVATION COMMITTEE
This assessment pays the expenses of the state attorney responsible for handling
second injury and reopened case matters.
The assessment for this service is 0.18%

The total assessment effective October 1, 1995 is 14.1%.

WC62942
(ED.10-95)

INSURED'S COPY

PENNSYLVANIA NOTICE TO POLICYHOLDERS

Pennsylvania law requires that we provide our policyholders with certain
accident prevention services.

For your consideration, we have the services of AIG Consultants, Inc., a
professional engineering company with established experience and expertise. AIG
Consultants, Inc. can address a significant range of commercial problems and
advise and assist you in recognizing and solving existing and potential problems
for accidents and occupational health hazards.

AIG Consultants, Inc. has been operating for more than 15 years and when
utilized has responded to individual client's problem to provide efficient
consultative services by qualified safety consultants. These safety and health
consultative services consist of, but are not limited to, the following:

1. A survey of the safety performance of the risk and its activates.

2. An appraisal of the mechanical hazards, materials handling, unsafe work
methods and hazardous process.

3. Advice and assistance in the detection of occupational health hazards and
exposures.

4. Assistance to the risk with employee safety and health training programs.

5. Recommendations for appropriate corrective action as result of any survey.

6. Assistance in the development of a safety and health program.

Address all inquires to the following:

AIG Consultants, Inc.
2005 Market Street, Suite 2900
Philadelphia, PA 19103
Telephone:(215) 981-7351

______________________________________________
59472 WC COUNTERSIGNED BY
(ED. 01-94)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

SPECIAL PENNSYLVANIA ENDORSEMENT-INSPECTION OF MANUALS

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

The manuals of rules, rating plans, and classifications are approved pursuant to
the provisions of Section 654 of the Insurance Company Law of May 17, 1921, P.L.
682, as amended, and are on file with the Insurance Commissioner of the
Commonwealth of Pennsylvania.

______________________________________________
WC 37 06 01 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

PENNSYLVANIA NOTICE

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

An Insurance Company, its agents, employees, or service contractors acting on
its behalf, may provide services to reduce the likelihood of injury, death or
loss. These services may include any of the following or related services
incident to the application for, issuance, renewal or continuation of, a policy
of insurance:

1. surveys;

2. consultation or advice; or

3. inspections.

The "Insurance Consultation Services Exemption Act" of Pennsylvania provides
that the Insurance Company, its agents, employees or service contractors acting
on its behalf, is not liable for damages from injury, death or loss occurring as
a result of any act or omission by any person in the furnishing of or the
failure to furnish these services.

The Act does not apply:

1. if the injury, death or loss occurred during the actual performance of the
services and was caused by the negligence of the Insurance Company, its
agents, employees or service contractors;

2. to consultation services required to be performed under a written service
contract not related to a policy of insurance; or;

3. if any acts or omissions of the Insurance Company, its agents, employees or
service contractors are judicially determined to constitute a crime, actual
malice, or gross negligence.

______________________________________________
WC 37 06 02 COUNTERSIGNED BY
ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

PENNSYLVANIA ACT 86-1986 ENDORSEMENT

NONRENEWAL,NOTICE OF INCREASE OF PREMIUM, and RETURN OF UNEARNED PREMIUM

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Pennsylvania is shown in Item 3.A. of the Information Page.

The policy conditions are amended by adding the following regarding nonrenewal,
notice of increase in premium, and return of unearned premium.

NONRENEWAL

1. We may elect not to renew the policy. We will mail each named insured, by
first class mail, not less than 60 days advance notice stating when the
nonrenewal will take effect. Mailing that notice to you at your mailing
address last known to us will be sufficient to prove notice.

2. Our notice of nonrenewal will state our specific reasons for not renewing.

3. If we have indicated our willingness to renew, we will not send you a
notice of nonrenewal. However, the policy will still terminate on its
expiration date if:

a. you notify us or the agent or broker who procured this policy that you
do not want the policy renewed; or

b. you fail to pay all premiums when due; or

c. you obtain other insurance as a replacement of the policy.

NOTICE OF INCREASE IN PREMIUM

1. We will provide you with not less than 60 days of intent to increase the
premium on the renewal of this policy, if it is our intent to offer such
renewal.

2. We will provide you with not less than 30 days notice of an estimate of the
renewal premium, if it is our intent to offer such renewal.

3. The above notification requirements will be satisfied if we have issued a
renewal policy before the time periods indicated in Items 1. and 2. above.

4. If a policy has been written or is to be written on a retrospective rating
plan basis, the notice of increase in premium provisions of this
endorsement do not apply.

WC 37 06 03
(ED. 12-87)

1 OF 2

INSURED'S COPY

RETURN OF UNEARNED PREMIUM

1. If this policy is canceled and there is unearned premium due you:

a. If the company cancels, the unearned premium will be returned to you
within 10 business days after the effective date of cancelation.

b. If you cancel, the unearned premium will be returned within 30 days
after the effective date of cancelation.

2. Because this policy was written on the basis of an estimated premium and is
subject to a premium audit, the unearned premium specified in la. and lb.
above, if any, shall be returned on an estimated basis. Upon our completion
of computation of the exact premium, an additional return premium or charge
will be made to you within 15 days of the final computation.

3. These return or unearned premium provisions shall not apply if this policy
is written on a retrospective rating plan basis.

_______________________________________________
WC 37 06 03 COUNTERSIGNED BY
(ED. 12-87)
AUTHORIZED REPRESENTATIVE

2 OF 2

INSURED'S COPY

SOUTH DAKOTA DIRECT ACTION STATUTE ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by Part Two (Employers
Liability Insurance) because South Dakota is shown in item 3.A of the
Information Page.

1. Your injured employee, or the persons entitled to sue you for damages in
the event of the death of the employee, may add us as a defendant in a suit
against you to recover damages because of bodily injury or death to your
employee.

2. We are directly liable to pay to your injured employee, or to the persons
entitled to sue you for damages in the event of the death of your employee,
the damages for which you are liable.

This endorsement is subject to all provisions of Part Two (Employers Liability
Insurance) that do not conflict with the direct action statute (Section
58.20.12) of the South Dakota workers compensation law.

_____________________________________________
WC 40 06 01 COUNTERSIGNED BY
(ED.4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

SOUTH DAKOTA NOTICE TO THE INSURED

DEAR WORKER'S COMPENSATION POLICYHOLDER:

Pursuant to SENATE BILL 310, the State of South Dakota requires that we inform
you of our available South Dakota safety review services for Workers
Compensation.

For your consideration, we have the services of AIG Consultants, Inc., a
professional engineering company with established experience and expertise. AIG
Consultants, Inc. can address a significant range of commercial problems and
advise and assist you in recognizing and solving existing and potential problems
for accidents and occupational health hazards.

AIG Consultants, Inc. has been operating for more than 15 years and when
utilized, has responded to individual client's problems to provide efficient
consultative services by qualified safety consultants. These safety and health
consultative services consist of, but are not limited to, the following:

1) A survey of the safety performance of the risk and its activities.

2) An appraisal of the mechanical hazards, materials handling, unsafe work
methods, and hazardous processes.

3) Advice and assistance in the direction of occupational health hazards and
exposures.

4) Assistance to the risk with employee safety and health training programs.

5) Recommendations for appropriate corrective action as a result of any
survey.

6) Assistance in the development of a safety and health program.

If your Workers Compensation premium is $5,000 or greater, you are required to
have a safety review at least once every three (3) years. If as a result of a
safety review, written recommendations identify a safety deficiency must be
corrected, and it has not been corrected at the time of a subsequent review, you
will be subject to an appropriate increase in premium.

If you would like more information on our safety review services, contact our
office at:

AIG Consultants Inc.
500 West Madison, 9th Fl.
Chicago, IL 60661-2511
Phone: (312) 930-5528
Fax: (312) 930-5607

WC 58978
(ED. 10-93)

INSURED'S COPY

TEXAS AMENDATORY ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This endorsement applies only to the insurance provided by the policy because
Texas is shown in item 3.A of the Information Page.

GENERAL SECTION

B. WHO IS INSURED is amended to read:

You are insured if you are an employer named in item 1 of the Information
Page. If that employer is a partnership or joint venture, and if you are
one of its partners or members, you are insured, but only in your capacity
as an employer of the partnership's or joint venture's employees.

D. STATE is amended to read:

State means any state or territory of the United States of America, and the
District of Columbia.

PART ONE - WORKERS COMPENSATION INSURANCE

E. OTHER INSURANCE is amended by adding this sentence:

This section only applies if you have other insurance or are self-insured
for the same loss.

F. PAYMENTS YOU MUST MAKE

This section is amended by deleting the words "workers compensation" from
number 4.

H. STATUTORY PROVISIONS

This section is amended by deleting the words "after an injury occurs" from
number 2.

PART TWO - EMPLOYERS LIABILITY INSURANCE

C. EXCLUSIONS

Section 2 and 3 are amended to add:

This exclusion does not apply unless the violation of law caused or
contributed to the bodily injury.

Section 6 is amended to read:

6. bodily injury occurring outside the United States of America, its
territories or possessions, and Canada. This exclusion does not apply
to bodily injury to a citizen or resident of the United States of
America, Mexico or Canada who is temporarily outside these countries.

D. WE WILL DEFEND

This section is amended by deleting the last sentence.

PART FOUR - YOUR DUTIES IF INJURY OCCURS

Number 6 of this part is amended to read:

6. Texas law allows you to make weekly payments to an injured employee in
certain instances. Unless authorized by law, do not voluntarily make
payments, assume obligations or incur expenses, except at your own
cost.

WC 42 03 01D
(ED. 1-96)

Page 1 of 3

INSURED'S COPY

PART FIVE - PREMIUM

A. OUR MANUALS is amended by adding the sentence:

In this part, "our manuals" means manuals approved or prescribed by the State
Board of Insurance.

C. REMUNERATION

Number 2 is amended to read:

2. All other persons engaged in work that would make us liable under Part
One (Workers Compensation Insurance) of this policy. This paragraph 2
will not apply if you give us proof that the employers of these persons
lawfully secured workers compensation insurance.

PART SIX - CONDITIONS

A. INSPECTION is amended by adding this sentence:

Your failure to comply with the safety recommendations made as a result of
an inspection may cause the policy to be canceled by us.

C. TRANSFER OF YOUR RIGHTS AND DUTIES is amended to read:

Your rights and duties under this policy may not be transferred without our
written consent. If you die, coverage will be provided for your surviving
spouse or your legal representative. This applies only with respect to
their acting in the capacity as an employer and only for the workplaces
listed in items 1 and 4 on the Information Page.

D. CANCELATION is amended to read:

1. You may cancel this policy. You must mail or deliver advance notice to
us stating when the cancelation is to take effect.

2. We may cancel this policy. We may also decline to renew it. We must
give you written notice of cancelation or nonrenewal. That notice will
be sent certified mail or delivered to you in person. A copy of the
written notice will be sent to the Texas Workers Compensation
Commission.

3. Notice of cancelation or nonrenewal must be sent to you not later than
the 30th day before the date on which the cancelation or nonrenewal
becomes effective, except that we may send the notice not later than
the 10th day before the date on which the cancelation or nonrenewal
becomes effective if we cancel or do not renew because of:

a. Fraud in obtaining coverage;

b. Failure to pay a premium when payment was due;

c. An increase in the hazard that results from an action or omission
and that would produce an increase in the rate, including an
increase because of failure to comply with reasonable
recommendations for loss control or to comply within a reasonable
period with recommendations designed to reduce a hazard that is
under your control;

d. A determination by Commissioner of Insurance that the continuation
of the policy would place us in violation of the law, or would be
hazardous to the interests of subscribers, creditors, or the
general public.

4. If another insurance company notifies the Texas Workers Compensation
Commission that it is insuring you as an employer, such notice shall be
a cancelation of this policy effective when the other policy starts.

PART SEVEN - OUR DUTY TO YOU FOR CLAIM NOTIFICATION

A. CLAIMS NOTIFICATION

We are required to notify you of any claim that is filed against your
policy. Thereafter we shall notify you of any proposal to settle a claim
or, on receipt of a written request from you, of any administrative or
judicial proceeding relating to the resolution of a claim, including a
benefit review conference conducted by the Texas Workers' Compensation
Commission. You may, in writing, elect to waive this notification
requirement.

WC 42 03 OID
(ED. 1-96)
Page 2 of 3

INSURED'S CODY

We shall, on written request from you, provide you with a list of claims charged
against your policy, payments made and reserves established on each claim, and a
statement explaining the effect of claims on your premium rates. We must furnish
the requested information to you no later than the 30th day after the date we
receive your request. The information is considered to be provided on the date
the information is received by the United States Postal Service or is personally
delivered.

COMPLAINT NOTICE: SHOULD ANY DISPUTE ARISE ABOUT YOUR PREMIUM OR ABOUT A CLAIM
THAT YOU HAVE FILED, CONTACT THE AGENT OR WRITE TO THE COMPANY THAT ISSUED THE
POLICY. IF THE PROBLEM IS NOT RESOLVED, YOU MAY ALSO WRITE THE STATE BOARD OF
INSURANCE, P.O. BOX 149091, AUSTIN, TEXAS 78714-9091, FAX# (512)475-1771. THIS
NOTICE OF COMPLAINT PROCEDURE IS FOR INFORMATION ONLY AND DOES NOT BECOME A PART
OR CONDITION OF THIS POLICY.

________________________________________________
WC 42 03 OID COUNTERSIGNED BY
(ED 1-96)
AUTHORIZED REPRESENTATIVE

Page 3 of 3

INSURED'S COPY

TEXAS MAINTENANCE TAX SURCHARGE RECOUPMENT ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

A. This endorsement is added pursuant to the Insurance Code, Article 5.76-5,
Section 10(d) and hereby amends the policy to impose an additional charge
to the standard policy premium after premium discount in the amount
sufficient to allow the insurance company to recoup the maintenance tax
surcharges as provided for by 28 TAC (section) 1.411.

B. Maintenance tax surcharges are imposed against each insurance company
writing workers' compensation insurance to pay debt service for $300
million in bonds issued on behalf of the Texas Workers' Compensation
Insurance Fund by the Texas Public Finance Authority.

C. The insurance company, at its option, has elected to pass this surcharge
amount on to the policyholder.

This endorsement changes the policy to which it is attached and is effective on
the policy effective date unless otherwise stated.

Schedule

Percentage of Premium for Recoupment .5900 %.

______________________________________________
WC 42 03 06 COUNTERSIGNED BY
(ED. 7-92)
AUTHORIZED REPRESENTATIVE
INSURED'S COPY

TEXAS EXPERIENCE RATING MODIFICATION FACTOR ENDORSEMENT

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 0 1 /01/97 RM WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC.

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

The premium for the policy will be adjusted by an experience rating modification
factor, if any, which was not available when the policy was issued. We will
issue an endorsement to show the proper factor when it is calculated.

______________________________________________
WC 42 04 03 COUNTERSIGNED BY
(ED. 4-84)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

DEDUCTIBLE NOTICE OF ELECTION TO ACCEPT
TEXAS WORKERS' COMPENSATION BENEFITS

This endorsement changes the policy to which it is attached effective on the
inception date of the policy unless a different date is indicated below.

(The following "attaching clause" need be completed only when this
endorsement is issued subsequent to preparation of the policy).

This endorsement, effective forms a part of Policy No.
12:01 AM 01/01/97 WC 217-79-40

Issued to OUTSOURCE INTERNATIONAL, INC

By THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Texas law permits an employer to obtain Workers' Compensation insurance with a
deductible. The deductible applies to benefits payable under Texas Workers'
Compensation Law. The insurance applies only to benefits in excess of the
deductible amount. The deductible applies separately to each accident or disease
regardless of the number of people who sustain injury by such accident or
disease or as an annual aggregate or as a combination of both. The deductible
plans have been explained to me. Premium reductions are determined based on the
deductible selected and the hazard group. The hazard group is determined by the
classification that produces the largest amount of estimated Texas standard
premium.

You are not required to choose a deductible. If you do choose one, your
insurance company will pay the deductible amount for you, but you must reimburse
the insurance company within 30 days after they send you notice that payment is
due. If you fail to reimburse the insurance company, they may cancel the policy,
upon ten days written notice, and any resulting premium may be applied to the
deductible amount owed.

If a deductible amount is desired, please indicate below.

[ ] Yes, I want a deductible of: (select only one)

1. $ per accident

2. $ annual aggregate

3. $ /$ per accident/annual aggregate

applied to benefits payable under the Texas Workers' Compensation Law. I
understand that the company will pay the deductible amount and seek
reimbursement

------------------------------
(monthly, quarterly or other)

[ ] No, I do not want a deductible applied to benefits payable under the Texas
Workers' Compensation Law.

[ ] Yes, I do want a deductible policy, but I'm unable to obtain for the
following reason:

- ------------------------------------- -----------------------------
Employer Name (Print or type) Date

- ------------------------------------- -----------------------------
Signature & Title Policy Number

_______________________________________________
LWNTXDED COUNTERSIGNED BY
(ED. 1-92)
AUTHORIZED REPRESENTATIVE

INSURED'S COPY

PAGE 001

ENDORSEMENT # 00001

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

NAMED INSUREDS FEIN
-------------- ----

00001 OUTSOURCE INTERNATIONAL, INC. 592754571

00002 SYNADYNE I 650021598
(DBA) PAYROLL PARNERS

00003 LABOR WORLD OF AMERICA, INC. 592754571
(DBA) SYNADYNE III

00004 OUTSOURCE FRANCHISING, INC. 592754571

00005 SYNADYNE II 650021598
(DBA) PAYROLL PARTNERS

00006 SYNADYNE IV 650021598

00007 SYNADYNE V 650021598

00008 CAPITAL STAFFING FUND, INC. 592754571

00009 SMSB ASSOCIATES, INC. 592754571

----------------------------------
Authorized Representative
Issue Date: 04/10/97

lw0003

INSURED'S COPY

PAGE 001
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00001 8000 NORTH FEDERAL HIGHWAY
BOCA RATON FL 33487

00002 101 AIRPORT ROAD
HARTFORD CT 06114

00003 4601 NORTHWEST 17TH WAY
FT. LAUDERDALE FL 33309

00004 6935 GRAND AVENUE
HAMMOND IN 46323

00005 301 NORTH ALMONESSON RD.
DEPTFORD NJ 08096

00006 10500 ROOSEVELT BLVD.
PHILADELPHIA PA 19116

00007 449 S. ADDISON RD.
ADDISON IL 60101

00008 3313 ROSCHESTER RD.
ROYAL OAK MI 48073

00009 720 EAST JOHNSON HWY.
NORRISTOWN PA 19401

00010 JOBSITE ONLY
ANCHORAGE AK 99501

------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 002
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00011 JOBSITE ONLY
BIRMINGHAM AL 35201

00012 100 CORPORATE N., STE 300
BANNOCK BURN IL 60015

00013 JOBSITE ONLY
FREEMONT IN 46737

00014 JOBSITE ONLY
FORT KNOX KY 40121

00015 2050 #100 CANAL ST
NEW ORLEANS LA 70112

00016 JOBSITE ONLY
DETROIT MI 48073

00017 JOBSITE ONLY
PRINCETON MN 55371

00018 6310 1-55 NORTH, STE 400
JACKSON MS 39211

00019 8801 J.M. KEYNES DR., STE 300
CHARLOTTE NC 28213

00020 JOBSITE ONLY
ABUELO NM 87732

-----------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 003
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00021 JOBSITE ONLY
PHILADELPHIA PA 19148

00022 JOBSITE ONLY
ABBEVILLE SC 29620

00023 151 LAFAYETTE STREET
NASHVILLE TN 37210

00024 13357 SOUTH OLDE WESTERN AVE.
BLUE ISLAND IL 60406

00025 3348 N. PULASKI
CHICAGO IL 60641

00026 1547 NORTHWESTERN AVE.
CHICAGO IL 60622

00027 3452 SOUTH WESTERN AVE.
CHICAGO IL 60608

00028 6606 BARRINGTON RD.
HANOVER PARK IL 60103

00029 1772 WEST ALGONQUIN RD.
MT. PROSPECT IL 60056

00030 810 LAKE STREET
MUNDELEIN IL 60060

-----------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 004
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00031 6248 S. ARCHER
SUMMIT IL 60501

00032 728 BELVIDERE RD.
WAUKEGAN IL 60085

00033 44 E. NORTH AVE.
NORTHLAKE IL 60164

00034 27 SNYDER AVENUE
PHILADELPHIA PA 19148

00035 JOBSITE ONLY
WASHINGTON DC 20315

00036 JOBSITE ONLY
PITTSBURGH PA 15201

00037 JOBSITE ONLY
CHICAGO IL 60606

00038 JOBSITE ONLY
NEW ORLEANS LA 70101

00039 JOBSITE ONLY
MINNEAPOLIS MN 55401

00040 JOBSITE ONLY
KNOXVILLE TN 37901

-------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 005
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00041 JOBSITE ONLY
NASHVILLE TN 37201

00042 3100 DUNDEE ROAD, STE 301
NORTHBROOK IL 60062

00043 916 FRANSWORTH
AURORA IL 60505

00044 101 AIRPORT ROAD
HARTFORD CT 06114

00045 JOBSITE ONLY
WASHINGTON DC 20315

00046 6301 N.W. 5TH WAY
FT. LAUDERDALE FL 33309

00047 950 GLADES ROAD, STE 3
BOCA RATON FL 33431

00048 42 N.W. 27TH AVE., STE 400
MIAMI FL 33125

00049 1451 N.W. 62ND ST., STE 212
FT. LAUDERDALE FL 33309

00050 400 N.W. 2ND AVENUE
BOCA RATON FL 33432

-------------------------------------
Authorized Representative

Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 006
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00051 1701 A COSTA DEL SOL
BOCA RATON FL 33432

00052 615 N.E. 3RD AVE.
FT. LAUDERDALE FL 33304

00053 6405 N. FEDERAL HWY, STE 200
FT. LAUDERDALE FL 33308

00054 3696 N. FEDERAL HWY, STE 101
FT. LAUDERDALE FL 33308

00055 700 E. OAKLAND PARK BLVD.
FT. LAUDERDALE FL 33334

00056 7967 N.W. 21ST STREET
MIAMI FL 33122

00057 902 CLINT MOORE RD., STE 132
BOCA RATON FL 33487

00058 3020 NW 33RD AVENUE
FT. LAUDERDALE FL 33311

00059 1261 NW 116TH AVENUE
PLANTATION FL 33323

00060 6605 NW 74TH AVENUE
MIAMI FL 33166

------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 007
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00061 490l NW 17TH WAY, STE 402
FT. LAUDERDALE FL 33309

00062 5411 WEST TYSON AVE
TAMPA FL 33611

00063 300 FIRST AVE. SOUTH
ST. PETERSBURG FL 33701

00064 2328 1OTH AVE. NORTH, STE 2-C
LAKE WORTH FL 33461

00065 160l N. PALM AVENUE
PEMBROKE PINES FL 33026

00066 111 2ND AVENUE NE
ST. PETERSBURG FL 33701

00067 4037 66TH STREET NORTH
ST. PETERSBURG FL 33709

00068 3696 NORTH FEDERAL HWY
FT. LAUDERDALE FL 33308

00069 819 NE 26TH STREET
FT. LAUDERDALE FL 33305

00070 1052 NW 3RD STREET
HALLANDALE FL 33009

------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 008
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00071 2635 N. STATE ROAD 7
FT. LAUDERDALE FL 33313

00072 5411 N. TYSON AVENUE
TAMPA FL 33611

00073 6301 NW 5TH WAY, STE 4100
FT. LAUDERDALE FL 33309

00074 2232 CENTRAL AVENUE
ST. PETERSBURG FL 33712

00075 4037 66TH STREET N
ST. PETERSBURG FL 33709

00076 6935 GRAND AVENUE
HAMMOND IN 46323

00077 JOBSITE ONLY
NEW ORLEANS LA 70101

00078 301 NORTH ALMONESSON RD.
DEPTFORD NJ 08096

00079 6049 A NEW PEACHTREE RD.
DORAVILLE GA 30345

00080 7000 CENTRAL PKWY, STE 700
ATLANTA GA 30328

------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 009
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00081 1030 WINDY HILL ROAD, S.E.
SMYRNA GA 30080

00082 3460 MAIN ST.
HARTFORD CT 06120

00083 BOX E, LAKE ST.
MINNEAPOLIS MN 55407

00084 113 1/2 MAIN ST.
CRYSTAL LAKE IL 60014

00085 308 DUNDEE AVE
ELGIN IL 60120

00086 318 REPUBLIC AVE
JOLIET IL 60435

00087 1110 GALLATION RD.
NASHVILLE TN 37206

00088 425 15TH AVE.
ROCKFORD IL 61104

00089 NEED ADDRESS
ENTIRE STATE AR 99999

00090 NEED ADDRESS
ENTIRE STATE IA 99999

------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

PAGE 010
ENDORSEMENT # 00002

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

ADDITIONAL LOCATIONS
--------------------

00091 NEED ADDRESS
ENTIRE STATE MA 99999

00092 NEED ADDRESS
ENTIRE STATE MO 99999

00093 NEED ADDRESS
ENTIRE STATE NE 99999

00094 NEED ADDRESS
ENTIRE STATE NH 99999

00095 NEED ADDRESS
ENTIRE STATE NY 99999

00096 NEED ADDRESS
ENTIRE STATE SD 99999

00097 NEED ADDRESS
ENTIRE STATE TX 99999

------------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO004

INSURED'S COPY

ENDORSEMENT # 00004

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

STATE NAMED INSURED STATE/UNEMPLOYMENT ID
- ----- ------------- ---------------------

MN OUTSOURCE INTERNATIONAL, INC. 1249457
MN SYNADYNE I 1249457
MN LABOR WORLD OF AMERICA, INC. 1249457

-------------------------------------
Authorized Representative
ISSUE DATE: 04/10/97

lwO007

INSURED'S COPY

ENDORSEMENT # 00003

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

BY: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

NOTICE OF CANCELLATION

PART SIX, PARAGRAPH D.2. OF THE WORKERS' COMPENSATION AND EMPLOYERS LIABILITY
INSURANCE POLICY IS REPLACED BY THE FOLLOWING:

WE MAY CANCEL THIS POLICY. WE MUST MAIL OR DELIVER TO YOU NOT LESS THAN NINETY
(90) DAYS ADVANCE WRITTEN NOTICE, TEN (10) DAYS FOR NONPAYMENT OF PREMIUM
STATING WHEN THE CANCELLATION IS TO TAKE EFFECT. MAILING THAT NOTICE TO YOU AT
YOUR MAILING ADDRESS SHOWN IN ITEM 1 OF THE INFORMATION PAGE WILL BE SUFFICIENT
TO PROVE NOTICE.

----------------------------------
Authorized Representative
Issue Date: 04/10/97

lwO014

INSURED'S COPY

ENDORSEMENT

This endorsement, effective 12:01 AM 01/01/97

Forms a part of policy no.: RM WC 217-79-40

Issued to: OUTSOURCE INTERNATIONAL, INC.

By: THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

THIS POLICY PROVIDES NO COVERAGE IN THE STATE OF MAINE.

-----------------------------------
Authorized Representative

Issue Date: 04/10/97

wc880001

INSURED'S COPY

SOLICITATION OF COMMENTS FROM POLICYHOLDER

THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

In addition to the notice requirement attached to this Workers' Compensation
policy, we wish to inform you of our loss control programs available in the
State of Texas.

We have Field Safety Representatives with the experience and expertise to
provide accident loss prevention services, at no additional charge, reasonably
commensurate with the hazard, loss experience, size and nature of your business
operation.

Our services may include surveys, recommendations, training programs,
consultations, analysis of accident causes, industrial hygiene and industrial
health services related to your specific profession or industry.

In the event you decide not to utilize our loss control services and opt to use
your own safety department or hire an outside contractor, the service must be
provided by qualified loss prevention representatives who are recognized by the
State of Texas.

If you elect not to utilize our loss control services you are required by Texas
statute to provide us with the following information (on your company letterhead
stationary, signed by an officer of your firm):

/bullet/ Acknowledgment of our offer of loss control services and your
written rejection.

/bullet/ Your reasons for selection of an alternative.

/bullet/ Your alternative loss control program, which must be reasonably
commensurate with the risk.

/bullet/ Verification of the qualification of those who will be performing
your loss control services.

/bullet/ Acknowledgment that quarterly summaries of activities outlined in
your loss control program will be submitted to us for review.

If you have any questions or wish to discuss this matter, contact our Texas Loss
Control Service Coordinating Unit, AIG Consultants, Inc. at 1-800-221-0651.

53365WC
(ED. 9-95)

INSURED'S COPY

THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
70 PINE STREET
NEW YORK, NEW YORK 10270

TEXAS NOTICE

IMPORTANT NOTICE AVISO IMPORTANTE

To obtain information or make a complaint: Para obtener informacion o para someter una queja:

You may call the company's toll-free telephone Usted puede liamar al numero de telefono gratis de
number for information or to make a complaint at: la compania para informacion o para someter una
queja ai:
1-800-553-6938 1-800-553-6938

You may contact the Texas Department of Insurance Puede comunicarse con el Departamento de Seguros
to obtain information on companies, coverages, de Texas para obtener informacion acerca de
rights or complaints at: companias, coberturas, derechos o quejas al:

1-800-252-3439 1-800-252-3439

You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros de Texas
P.O. Box 149104 P.O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
Fax# (512) 475-1771 Fax# (512) 475-1771

PREMIUM OR CLAIM DISPUTES: Should you have a DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Si tiene una
dispute concerning your premium or about a claim disputa concerniente a su prima o a un reclamo,
you should contact the agent first. If the dispute debe comunicarse con el agente primero. Si no se
is not resolved, you may contact the Texas Department resuelve la disputa, puede entonces comunicarse
of Insurance. con el departamento (TDI).

ATTACH THIS NOTICE TO YOUR POLICY: This notice is UNA ESTE AVISO A SU POLIZA: Este aviso es solo para
for information only and does not become a part or proposito de informacion y no se convierte en
condition of the attached document. parte o condicion del documento adjunto.

5369OWC
(ED. 5-92)

INSURED'S COPY

NOTIFICATION TO POLICYHOLDERS
OF ACCIDENT PREVENTION SERVICES

THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA ____________ is required by
law to provide its policyholders with certain accident prevention services as
required by the Texas Labor Code, Section 411.066, at no additional cost. If you
would like more information call our Texas Loss Control Service Coordinating
Unit, AIG Consultants, Inc. at 1-800-221-0651. If you have any questions about
this requirement, call the Division of Workers' Health and Safety, Texas
Workers' Compensation Commission at 1-800-452-9595.

WC 7738
(ED. 9-95)

NOTIFICATION TO POLICYHOLDERS
OF ACCIDENT PREVENTION SERVICES

WC 7738
(ED. 9-95)

INSURED'S COPY

ISSUED BY THE STOCK INSURANCE COMPANY
HEREIN CALLED THE COMPANY AGENT NUMBER POLICY NUMBER

NATIONAL UNION FIRE INSURANCE
COMPANY OF PITTSBURGH, PA 13072 49565 RM WC 217-79-43

INCORPORATED UNDER THE LAWS OF PENNSYLVANIA
ITEM 1. NAMED INSURED: MAILING ADDRESS IDENTIFICATION NO.

OUTSOURCE INTERNATIONAL, INC. [LOGO] Member Companies of
8000 NORTH FEDERAL HIGHWAY American International Group

ITEM 3 A. WORKERS COMPENSATION INSURANCE: PART ONE OF THE POLICY APPLIES TO
WORKERS COMPENSATION LAW OF THE STATES LISTED HERE:
UT WI
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B. EMPLOYERS LIABILITY INSURANCE: PART TWO OF THE POLICY APPLIES TO THE
WORK IN EACH STATE LISTED IN ITEM 3.A.
THE LIMITS OF OUR LIABILITY UNDER PART TWO ARE:

BODILY INJURY BY ACCIDENT $1,000,000 EACH ACCIDENT

BODILY INJURY BY DISEASE $1,000,000 POLICY LIMIT

BODILY INJURY BY DISEASE $1,000,000 EACH EMPLOYEE
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C. OTHER STATES INSURANCE: PART THREE OF THE POLICY APPLIES TO THE
STATES, IF ANY, LISTED HERE:
NONE
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ITEM 4 THE PREMIUM FOR THIS POLICY WILL BE DETERMINED BY OUR MANUALS OF RULES,
CLASSIFICATIONS, RATES AND RATING PLANS.
ALL INFORMATION REQUIRED BELOW IS SUBJECT TO VERIFICATION AND CHANGE
BY AUDIT.
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ESTIMATED TOTAL RATE PER ESTIMATED
CLASSIFICATIONS CODE NUMBER REMUNERATION $100 OF RE- PREMIUM
[X]ANNUAL [ ]3 YEAR NUMERATION [X]ANNUAL [ ]3 YEAR
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SEE ATTACHED SCHEDULES

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EXPENSE CONSTANT (EXCEPT WHERE APPLICABLE BY STATE) $160 WI
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MINIMUM PREMIUM $850 WI TOTAL ESTIMATED PREMIUM $207,159
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Indicated below, interim adjustments of premium shall be made:
[ ]Semi-Annually [ ]Quarterly [ ]Monthly DEPOSIT PREMIUM 207,159
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ENDORSEMENTS (FORM NUMBER)

SEE ATTACHED SCHEDULE

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04/01/97 ATLANTA 07
- -------------------------------------------------
ISSUE DATE PRINT DATE: 04/02/97 ISSUING OFFICE

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39967 AUTHORIZED REPRESENTATIVE WC 00 00 01

INSURED'S COPY

FORMS SCHEDULE

Policy Number: RM WC 217-79-43 Effective Date: 01/01/97

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WC000000A TERMS & CONDITIONS
53820 LARGE RISK RATING PLAN ENDT
WC000106A USL&H WC ACT COVERAGE END.
WC000301A ALTERNATE EMPLOYER ENDORSEMENT
WC000311A VOL COMP & EL COVERAGE ENDT
WC000402 ANNIVERSARY RATING DATE
WC000403 EXPERIENCE RATING MOD FACTOR
WC000414 NOTIFICATION OF CHG OWNERSHIP
WC430301 STATUTORY EMPLOYEE EXCLUSION
WC58977 UTAH FRAUD NOTICE
60549WC WI NOTICE TO POLICYHOLDER.
WC480601B WISCONSIN LAW ENDORSEMENT
WC880001 ST OF ME EXCL