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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />TEXAS AMENDATORY ENDORSEMENT <br />Policy Number: ❑6 WEG B❑3❑P❑ Endorsement Number: <br />Effective Date: 11/04/2❑ Effecti❑e olir is t❑e same as stated on tie Information Page of tie policy. <br />Named Insured and Address: Beginners Edge Sports Training <br />432 E TIERRA B❑E❑A L❑ <br />SCOTTSDALE All 8E260 <br />T❑is endorsement applies only to to ins❑rance proEJded ❑y t❑e policy eca❑se Tees is sown in Item 3.A. of to <br />Information Page. <br />GENERAL SECTION <br />B. Who Is Insured is amended to read❑ <br />Yo❑ are insilred if yo❑ are an employer named in Item 1 of to Information Page. If tot employer is a partners::ip or <br />flint entlire, and if yoi❑are one of its partners or mem❑ers, yo❑are insEired, ❑Et only in yo-r capacity as an employer <br />of tie partners❑ipis or Joint entEireiss employees. <br />D. State is amended to read[] <br />State means any state or territory of to ❑nited States of America, and t e District of ColErnEJa. <br />PART ONE - WORKERS COMPENSATION INSURANCE <br />E. Other Insurance is amended Ey adding tLis sentence❑ <br />T❑is Section only applies if yo❑ ❑ae ot❑er ins-rance or are self -ins -red for tie same loss. <br />F. Payments You Must Make <br />T❑is Section is amended ❑y deleting t❑e words "worers compensation" from nLIn❑er 4. <br />❑. Statutory Provisions <br />T❑is Section is amended ❑y deleting t❑e words "after an in—ry occ-s" from nErner 2. <br />PART TWO - EMPLOYERS LIABILITY INSURANCE <br />C. Exclusions <br />Sections 2 and 3 are amended to add[] <br />T::js eclC:8ion does not apply Enless t❑e dolation of law ca-sed or contri❑ ted to to odily in—ry. <br />Section 6 is amended to read ❑ <br />6. odily inky occ-rring o tside to ❑nited States of America, its territories or possessions, and Canada. T❑is <br />e cicion does not apply to odily inmy to a citien or resident of to ❑nited States of America, Medco or <br />Canada wo is temporarily o tside t❑ese cootries. <br />D. We Will Defend <br />T❑is Section is amended ❑y deleting tie last sentence. <br />PART FOUR - YOUR DUTIES IF INJURY OCCURS <br />❑-ner 6 of t::js part is amended to read❑ <br />6. Tees law allows yo❑to mae weedy payments to an in —red employee in certain instances. ❑nless aEtoried <br />❑y law, do not olEntarily mae payments, ass -me o:ligations or inch eEpenses, ecept at yob own cost. <br />Form WC 42 03 01 L Printed in O.S.A. Page 1 of 3 <br />Process Date: 11 /04/2 ❑ Policy Expiration Date: 11 /04/26 <br />