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WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY <br />QUICK REFERENCE <br />BeginningBeginning <br />on Pageon Page <br />INFORMATION PAGEPART TWO - Continued <br />1G.Limits of Liability..............................................4 <br />General Section..............................................................1H.Recovery From Others.....................................4 <br />A.The Policy...............................................................1I.Actions Against Us...........................................4 <br />B.Who Is Insured.......................................................1 <br />C.Workers Compensation Law..................................1PART THREE - OTHER STATES INSURANCE4 <br />D.State.......................................................................1A.How This Insurance Applies.............................4 <br />E.Locations................................................................1B.Notice...............................................................5 <br />PARTONE- WORKERSCOMPENSATIONINSURANCE...1PART FOUR - YOUR DUTIES IF INJURY OCCURS.....5 <br />A.How This Insurance Applies...................................1 <br />B.We Will Pay............................................................1PART FIVE - PREMIUM...............................................5 <br />C.We Will Defend.......................................................1A.Our Manuals.....................................................5 <br />D.We Will Also Pay....................................................1B.Classifications..................................................5 <br />E.Other Insurance......................................................2C.Remuneration...................................................5 <br />F.Payments You Must Make......................................2D.Premium Payments..........................................5 <br />G.Recovery From Others...........................................2E.Final Premium..................................................5 <br />H.Statutory Provisions................................................2F.Records............................................................6 <br />G.Audit.................................................................6 <br />PART TWO - EMPLOYERS LIABILITY INSURANCE......2 <br />A.How This Insurance Applies...................................2PART SIX - CONDITIONS.......................................6 <br />B.We will Pay.............................................................3A.Inspection.........................................................6 <br />C.Exclusions..............................................................3B.Long Term Policy.............................................6 <br />D.We Will Defend.......................................................3C.Transfer of Your Rights and Duties..................6 <br />E.We Will Also Pay....................................................4D.Cancellation.....................................................6 <br />F.Other Insurance......................................................4E.Sole Representative.........................................6 <br />IMPORTANT:ThisQuickReferenceisnotpartoftheWorkersCompensationandEmployersLiabilityPolicyanddoes <br />notprovidecoverage.RefertotheWorkersCompensationandEmployersLiabilityPolicyitselffor <br />actual contractual provisions. <br />PLEASE READ THE WORKERS COMPENSATION AND EMPLOYERS LIABILITY POLICY CAREFULLY. <br />Form WC 66 01 56 BPrinted in U.S.A. <br />Process Date:08/17/24Policy Expiration Date:09/26/25 <br /> <br />