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The officer's or employee's last day of last <br />exposure to the conditions causing or <br />aggravating such bodily injury by disease <br />must occur during the policy period. <br />B. We Will Pay <br />We will pay an amount equal to the benefits that <br />would be required of you as if you and your <br />employees were subject to the workers' <br />compensation law of any state shown in Item <br />3.A. of the Information Page. We will pay those <br />amounts to the persons who would be entitled to <br />them under the law. <br />C. Exclusion <br />This insurance does not cover: <br />1. any obligation imposed by workers' <br />compensation or occupational disease law <br />or any similar law. <br />2. bodily injury intentionally caused or <br />aggravated by you. <br />3. officers or employees who have elected not <br />to be subject to the state workers' <br />compensation law. <br />4. partners or sole proprietors not covered <br />under the Standard Sole Proprietors, <br />Partners, Officers and Others Coverage <br />Endorsement. <br />D. Before We Pay <br />Before we pay benefits to the persons entitled to <br />them, they must: <br />1. Release you and us, in writing, of all <br />responsibility for the injury or death. <br />2. Transfer to us their right to recover from <br />others who may be responsible for the injury <br />or death. <br />3. Cooperate with us and do everything <br />necessary to enable us to enforce the right <br />to recover from others. <br />If the persons entitled to the benefits of this <br />insurance fail to do those things, our duty to pay <br />ends at once. If they claim damages from you <br />or from us for the injury or death, our duty to pay <br />ends at once. <br />E. Recovery From Others <br />If we make a recovery from others, we will keep <br />an amount equal to our expenses of recovery <br />Form WC 99 03 80 Printed in U.S.A. <br />and the benefits we paid. We will pay the balance <br />to the persons entitled to it. If the persons entitled <br />to the benefits of this insurance make a recovery <br />from others, they must reimburse us for the <br />benefits we paid them. <br />F. Employers' Liability Insurance <br />Part Two (Employers' Liability Insurance) applies <br />to bodily injury covered by this endorsement as <br />though the State of Employment was shown in <br />Item 3.A. of the Information Page. <br />This provision 5. does not apply in New Jersey or <br />Wisconsin. <br />EMPLOYERS' LIABILITY STOP GAP COVERAGE <br />6. Employers' Liability Stop Gap Coverage <br />A. This coverage only applies in North Dakota, Ohio, <br />Washington and Wyoming. <br />B. Part One (Workers' Compensation Insurance) <br />does not apply to work in states shown in <br />Paragraph A above. <br />C. Part Two (Employers' Liability Insurance) applies <br />in the states, shown in Paragraph A., as though <br />they were shown in Item 3.A. of the Information <br />Page. <br />D. Part Two, Section C. Exclusions is changed by <br />adding these exclusions. <br />This insurance does not cover; <br />5. bodily injury intentionally caused or <br />aggravated by you or in Ohio bodily injury <br />resulting from an act which is determined by <br />an Ohio court of law to have been committed <br />by you with the belief that an injury is <br />substantially certain to occur. However, the <br />cost of defending such claims or suits in Ohio <br />is covered. <br />13. bodily injury sustained by any member of the <br />flying crew of any aircraft. <br />14. any claim for bodily injury with respect to <br />which you are deprived of any defense or <br />defenses or are otherwise subject to penalty <br />because of default in premium under the <br />provisions of the workers' compensation law <br />or laws of a state shown in Paragraph A. <br />ew cF RAMwagementDMsian <br />Jy/\'x REVIEWED & APPROVED BY: <br />V"° <br />--� Risk janagement Analyst <br />