Amendment of Irrevocable Standby Letter of Credit Letter of Credit Number Name of Bank Applicant (Employer's Name) Amendment Number Date Letter of Credit Issued Effective Date of Amendment Beneficiary: State of Washington, Department of Labor and Industries The irrevocable standby letter of credit (hereafter referred to as 'letter of credit') captioned above is hereby amended as noted below. All other terms and conditions remain unchanged. This amendment forms an integral part of the letter of credit and must be attached to it. The amount available under the captioned letter of credit is increased/decreased by $___________________, making the total now available to be $ ___________________________. The expiration date of this letter of credit is extended from ___________________ to ______________________. Other: ______________________________________________________________________________________ Issuing Bank Name Title Signature Date Confirming Bank Name Title Signature Date Accepted by State of Washington Department of Labor and Industries Date Program Manager for Self-Insurance F207-112-111 amendment of irrevocable standby letter of credit 12-06 American LegalNet, Inc. www.FormsWorkflow.com