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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 01 A <br />(Ed. 2-89) <br />ALTERNATE EMPLOYER ENDORSEMENT <br />This endorsement applies only with respect to bodily injury to your employees while in the course of special or <br />temporary employment by the alternate employer in the state named in Item 2 of the Schedule. Part One (Workers <br />Compensation Insurance) and Part Two (Employers Liability Insurance) will apply as though the alternate employer is <br />insured. If an entry is shown in Item 3 of the Schedule the insurance afforded by this endorsement applies only to work <br />you perform under the contract or at the project named in the Schedule. <br />Under Part One (Workers Compensation Insurance) we will reimburse the alternate employer for the benefits required <br />by the workers compensation law if we are not permitted to pay the benefits directly to the persons entitled to them. <br />The insurance afforded by this endorsement is not intended to satisfy the alternate employer's duty to secure its <br />obligations under the workers compensation law. We will not file evidence of this insurance on behalf of the alternate <br />employer with any government agency. <br />We will not ask any other insurer of the alternate employer to share with us a loss covered by this endorsement. <br />Premium will be charged for your employees while in the course of special or temporary employment by the alternate <br />employer. <br />The policy may be canceled according to its terms without sending notice to the alternate employer. <br />Part Four (Your Duties If Injury Occurs) applies to you and the alternate employer. The alternate employer will <br />recognize our right to defend under Parts One and Two and our right to inspect under Part Six. <br />Schedule <br />Alternate Employer <br />PLAINS MARKETING, L.P., PLAINS PIPELINE, L.P., PLAINS MIDSTREAM CANADA ULC, PLAINS LPG <br />SERVICES, L.P., PACIFIC PIPELINE SYSTEM LLC, ROCKY MOUNTAIN PIPELINE SYSTEM LLC, PLAINS <br />PRODUCTS TERMINALS LLC, PLAINS GAS SOLUTIONS, LLC, PLAINS PIPELINE — NORTH DAKOTA LLC, <br />PAA NATURAL GAS STORAGE LLC, BLUEWATER GAS STORAGE LLC, PINE PRAIRIE ENERGY CENTER <br />LLC, SG RESOURCES MISSISSIPPI LLC, PLAINS ALL AMERICAN PIPELINE, L.P., PAA GP LLC <br />Address <br />333 CLAY STREET, STE 1600, HOUSTON, TX 77002 <br />2. State of Special or Temporary Employment <br />CA <br />3. Contract or Project <br />MASTER SERVICE AGREEMENT C-0419 <br />WC 00 03 01 A <br />(Ed. 2-89) <br />© 1984, 1988 National Council on Compensation Insurance. <br />Risk Mougmeni Divisi in <br />REVIEWED & APPROVED BY. <br />A Acre tda <br />Risk Management Specialist <br />