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SECTION III <br /> 1. SCHEDULE OF COVERED STATES B. If a state, shown in Item 3.A. of the Information <br /> A. This endorsement only applies in the states Page, approves this endorsement after the <br /> listed in this Schedule of Covered States. effective date of this policy, this endorsement will <br /> apply to this policy. The coverage will apply in <br /> the new state on the effective date of the state <br /> approval <br /> C. Schedule of Covered States: <br /> CA <br /> Countersigned by <br /> Authorized Representative <br /> i <br /> Form WC 99 03 03 B Printed in U.S.A. (Ed. 8/00) Page 6 of 6 <br />