Laserfiche WebLink
n <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />EXTENDED OPTIONS <br />Policy Number: 72 WEC LIR3783 Endorsement Number: <br />Effective Date: 09/28/15 Effective hour is the same as stated on the information Page of the policy. <br />Named Insured and Address: WESTBOUND COMKUNICATIONS, INC. <br />625 THE CITY DR. SUITE 360 <br />ORANGE, CA 92868 <br />Section B of this endorsement expands coverage provided under WC 00 00 00 <br />Section i1 of this endorsement provides additional coverage usually orally provided by endorsement <br />Section lh of this endorsement is a Schedule of Covered States. <br />You may use the index to locate these coverage features quickly: <br />SUBJECT <br />INDEX <br />PAGE <br />SUBJECT <br />PAGE <br />2 <br />8 Part One Does Not App4y <br />3 <br />2 <br />C. Application of Coverage <br />3 <br />2 <br />D. AdMional Exclusions <br />3 <br />2 <br />E. West Virginia <br />3 <br />2 <br />EXTENDED OPTIONS <br />4 <br />2 <br />01 Employers' Liability Insurance <br />4 <br />2 <br />02 Unintentional Failure lo iDisclose <br />4 <br />2 <br />Hazards <br />2 <br />03 Waiver of Our Right to Recover from <br />4 <br />2 <br />Others <br />04 Foreign Voluntary Compensation <br />4 <br />2 <br />A. How This Reimbursement Applies <br />4 <br />2 <br />8 We VV01 Reirrburse <br />4 <br />3 <br />C Exclusions <br />4 <br />3 <br />D, Before We Pay <br />5 <br />3 <br />& Recovery From Others <br />3 <br />F Reimbursement For Actua! Loss <br />5 <br />3 <br />Sustained <br />3 <br />G Repatriation <br />5 <br />H Endemic Disease <br />5 <br />3 <br />05 Longshore and Harbor Workers' <br />5 <br />Compensatior, Act Coverage <br />3 <br />Endorsement <br />SECTION 111 <br />6 <br />01 Schedule of Covered States <br />6 <br />Form WC 99 03 03 B Printed in U,S A (Ed 8100) <br />Process Date: 08 , D 0 2000, The Hartford <br />7 <br />Page 1 of 6 <br />Policy Expiration Date: 09/28/16 <br />q, <br />