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2.premiumsforbondstoreleaseattachmentsandYouwilldoeverythingnecessarytoprotectthose <br />forappealbondsinbondamountsuptotherights for us and to help us enforce them. <br />amount payable under this insurance; <br />H.Statutory Provisions <br />3.litigation costs taxed against you; <br />Thesestatementsapplywheretheyarerequiredby <br />4.interestonajudgmentasrequiredbylawuntilwelaw. <br />offer the amount due under this insurance; and <br />1.Asbetweenaninjuredworkerandus,wehave <br />5.expenses we incur.notice of the injury when you have notice. <br />E.Other Insurance2.Yourdefaultorthebankruptcyorinsolvencyof <br />youoryourestatewillnotrelieveusofourduties <br />Wewillnotpaymorethanourshareofbenefitsand <br />under this insurance after an injury occurs. <br />costscoveredbythisinsuranceandotherinsurance <br />orself-insurance.Subjecttoanylimitsofliabilitythat3.Wearedirectlyandprimarilyliabletoanyperson <br />mayapply,allshareswillbeequaluntilthelossisentitledtothebenefitspayablebythisinsurance. <br />paid.Ifanyinsuranceorself-insuranceisexhausted,Thosepersonsmayenforceourduties;somay <br />thesharesofallremaininginsurancewillbeequalanagencyauthorizedbylaw.Enforcementmay <br />until the loss is paid.be against you and us. <br />F.Payments You Must Make4.Jurisdictionoveryouisjurisdictionoverusfor <br />purposesoftheworkerscompensationlaw.We <br />Youareresponsibleforanypaymentsinexcessofthe <br />areboundbydecisionsagainstyouunderthat <br />benefitsregularlyprovidedbytheworkers <br />law,subjecttotheprovisionsofthispolicythat <br />compensation law including those required because: <br />are not in conflict with that law. <br />1.of your serious and willful misconduct; <br />5.Thisinsuranceconformstothepartsofthe <br />2.youknowinglyemployanemployeeinviolationof <br />workers compensation law that apply to: <br />law; <br />a.benefits payable by this insurance; <br />3.youfailtocomplywithahealthorsafetylawor <br />b.specialtaxes,paymentsintosecurityorother <br />regulation; or <br />specialfunds,andassessmentspayableby <br />4.youdischarge,coerceorotherwisediscriminate <br />us under that law. <br />againstanyemployeeinviolationoftheworkers <br />6.Termsofthisinsurancethatconflictwiththe <br />compensation law. <br />workerscompensationlawarechangedbythis <br />Ifwemakeanypaymentsinexcessofthebenefits <br />statement to conform to that law. <br />regularlyprovidedbytheworkerscompensationlaw <br />Nothingintheseparagraphsrelievesyouofyourduties <br />on your behalf, you will reimburse us promptly. <br />under this policy. <br />G.Recovery From Others <br />Wehaveyourrights,andtherightsofpersonsentitled <br />tothebenefitsofthisinsurance,torecoverour <br />payments from anyone liable for the injury. <br />PART TWO - EMPLOYERS LIABILITY INSURANCE <br />A.How This Insurance Applies2.Theemploymentmustbenecessaryorincidental <br />toyourworkinastateorterritorylistedinItem <br />Thisemployersliabilityinsuranceappliestobodily <br />3.A. of the Information Page. <br />injurybyaccidentorbodilyinjurybydisease.Bodily <br />injury includes resulting death.3.Bodilyinjurybyaccidentmustoccurduringthe <br />policy period. <br />1.Thebodilyinjurymustariseoutofandinthe <br />courseoftheinjuredemployee'semploymentby4.Bodilyinjurybydiseasemustbecausedor <br />you.aggravatedbytheconditionsofyour <br />employment. Theemployee's lastdayoflast <br />Form WC 00 00 00 CPrinted in U.S.A.Page2 of6 <br /> <br />