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2. premiums for bonds to release attachments and You will do everything necessary to protect those <br /> for appeal bonds in bond amounts up to the rights for us and to help us enforce them. <br /> amount payable under this insurance; H. Statutory Provisions <br /> 3. litigation costs taxed against you; These statements apply where they are required by <br /> 4. interest on a judgment as required by law until we law. <br /> offer the amount due under this insurance; and 1. As between an injured worker and us, we have <br /> 5. expenses we incur. notice of the injury when you have notice. <br /> E. Other Insurance 2. Your default or the bankruptcy or insolvency of <br /> We will not pay more than our share of benefits and you or your estate will not relieve us of our duties <br /> costs covered by this insurance and other insurance under this insurance after an injury occurs. <br /> or self-insurance. Subject to any limits of liability that 3. We are directly and primarily liable to any person <br /> may apply, all shares will be equal until the loss is entitled to the benefits payable by this insurance. <br /> paid. If any insurance or self-insurance is exhausted, Those persons may enforce our duties; so may <br /> the shares of all remaining insurance will be equal an agency authorized by law. Enforcement may <br /> until the loss is paid. be against you and us. <br /> F. Payments You Must Make 4. Jurisdiction over you is jurisdiction over us for <br /> You are responsible for any payments in excess of the purposes of the workers compensation law. We <br /> benefits regularly provided by the workers are bound by decisions against you under that <br /> compensation law including those required because: law, subject to the provisions of this policy that <br /> 1. of your serious and willful misconduct; are not in conflict with that law. <br /> 5. This insurance conforms to the parts of the <br /> 2. you knowingly employ an employee in violation of workers compensation law that apply to: <br /> aw; <br /> 3. you fail to comply with a health or safety law or <br /> a. benefits payable by this insurance; <br /> regulation; or b. special taxes, payments into security or other <br /> 4. you discharge, coerce or otherwise discriminate special funds, and assessments payable byus under that law, <br /> against any employee in violation of the workers <br /> compensation law. 6. Terms of this insurance that conflict with the <br /> If we make any payments in excess of the benefits workers compensation law are changed by thisstatement to conform to that law. <br /> regularly provided by the workers compensation law <br /> on your behalf, you will reimburse us promptly. Nothing in these paragraphs relieves you of your duties <br /> G. Recovery From Others under this policy. <br /> We have your rights, and the rights of persons entitled <br /> to the benefits of this insurance, to recover our <br /> payments from anyone liable for the injury. <br /> PART TWO - EMPLOYERS LIABILITY INSURANCE <br /> A. How This Insurance Applies 2. The employment must be necessary or incidental <br /> This employers liability insurance applies to bodily to your work in a state or territory listed in Item <br /> injury by accident or bodily injury by disease. Bodily 3.A. of the Information Page. <br /> injury includes resulting death. 3. Bodily injury by accident must occur during the <br /> 1. The bodily injury must arise out of and in the policy period. <br /> course of the injured employee's employment by 4. Bodily injury by disease must be caused or <br /> you. aggravated by the conditions of your <br /> employment. The employee's last day of last <br /> Form WC 00 00 00 C Printed in U.S.A. Page 2 of 6 <br />