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SECTION I <br />PARTS ONE and TWO <br />1. WE WILL ALSO PAY <br />D. We Will Also Pay of Part One 1WOR11ERS11 <br />COMPE❑SATIO❑ I❑S❑RA❑CEEnand <br />E. We Will Also Pay of Part Two <br />EMPLOYERS❑LIABILITY I❑S❑RA❑CE❑ is <br />replaced ❑y t❑e following❑ <br />We Will Also Pay <br />We will also pay tese costs, in addition to <br />ot_er amoLnts payade Ender t::js ins-rance, <br />as part of any claim, proceeding, or sit we <br />defend[] <br />1. reasona:]e e-penses inc-rred at oEir <br />re❑❑est, INCLUDING loss of earnings[] <br />2. premilins for ❑onds to release <br />attaclinents and for appeal ❑onds in <br />❑bnd amoEnts Ep to to limit of o-r <br />liaE lity -nder tEJs ins❑-ance❑ <br />3. litigation costs taed against yo❑❑ <br />4. interest on a ❑dgment as re❑EJred ❑y <br />law _ntil we offer tie amo-nt de ❑nder <br />tCns law -land <br />El eEpenses we inc-r. <br />VOLUNTARY COMPENSATION AND EMPLOYERS' <br />LIABILITY COVERAGE <br />5. Voluntary Compensation Insurance <br />A. How This Insurance Applies <br />T❑is ins-rance applies to ❑odily in—ry ❑y <br />accident or ❑odily in❑]y ❑y disease. Bodily <br />in—ry inclEdes resdting deat❑. <br />1. T❑e ❑tidily in❑ry mC:8t ❑e sC:8tained y <br />any officer or employee not s❑❑sect to <br />t❑e worers❑compensation law of any <br />state sEown in Item 3.A. of tie <br />Information Page. <br />2. T❑e ❑tidily in—ry m_st arise o t of and in <br />t❑e co --se of employment or incidental <br />PART THREE <br />2. How This Insurance Applies <br />Paragrap❑ 4. of A. How This Insurance <br />Applies of Part 3 �Dt❑er States Ins-rance❑ is <br />replaced ❑y t❑e following❑ <br />4. If yo❑ ee wor❑ on t❑e effecti a date of tEJs <br />policy in any state not listed in Item 3.A. of t❑e <br />Information Page, co erage will not e afforded <br />for t-at state _nless we are notified wit::jn sixty <br />days. <br />PART SIX <br />3. Transfer Of Your Rights and Duties <br />C. Transfer Of Your Rights and Duties of Part 6 <br />LConditions❑is replaced ❑y t❑e following❑ <br />Yoh rig is or dEties -nder tEJs policy may not ❑e <br />transferred witEoEt o_-written consent. <br />If yo❑ die and we recei e notice wit::jn sixty <br />days after yo'7r deatq we will co-er yo-r legal <br />representati e as insEred. <br />4. Liberalization <br />If we adopt a c❑ange in t::js form t❑at world Eiroaden <br />t❑e co❑erage of tEJs form wit❑oEt eEtra c❑arge, to <br />loader coerage will apply to tEJs policy. It will <br />apply wen to c❑ange ecomes effectie in yob <br />state. <br />to wor❑ in a state sewn in Item 3.A. of to <br />Information Page. <br />3. T❑e Cbdily in—ry met occ-r in to ❑nited <br />States of America, its territories or <br />possessions, or Canada, and may occ-r <br />elsewere if t!e employee is a ❑nited States <br />or Canadian citien, or oterwise legal <br />resident, and legally employed, in t❑e ❑nited <br />States or Canada and temporarily away from <br />t ose places. <br />4. Bodily in❑iy ❑y accident mE8t occEir ding <br />t❑e policy period. <br />El Bodily in❑]y ❑y disease met e caE8ed or <br />aggraeted ❑y to conditions of tie officer18 <br />or employeei8 employment. <br />Form WC 99 03 02 B Printed in O.S.A. EEd. 8/0011 Page 2 of 4 <br />