BEGINNERS EDGE SPORTS TRAINING, LLC. (2)

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SECTION I PARTS ONE and TWO PART THREE 1, WE WILL ALSO PAY 2. How This Insurance Applies D. We Will Also Pay of Part One (WORKERS' Paragraph 4. of A. How This Insurance COMPENSATION INSURANCE); and Applies of Part 3 (Other States Insurance) is E. We Will Also Pay of Part Two replaced by the following: (EMPLOYERS' LIABILITY INSURANCE) is 4. If you have work on the effective date of this replaced by the following: policy in any state not listed in Item 3.A. of the We Will Also Pay Information Page, coverage will not be afforded We will also pay these costs, in addition to for that state unless we are notified within sixty other amounts payable under this insurance, days, as part of any claim, proceeding, or suit we defend: PART SIX 1. reasonable expenses incurred at our 3. Transfer Of Your Rights and Duties request, INCLUDING loss of earnings; C. Transfer Of Your Rights and Duties of Part 6 2. premiums for bonds to release (Conditions) is replaced by the following: attachments and for appeal bonds in Your rights or duties under this policy may not be bond amounts up to the limit of our transferred without our written consent. liability under this insurance; If you die and we receive notice within sixty 3. litigation costs taxed against you; days after your death, we will cover your legal 4. interest on a judgment as required by representative as insured. law until we offer the amount due under 4. Liberalization this law; and If we adopt a change in this form that would broaden 5. expenses we incur. the coverage of this form without extra charge, the broader coverage will apply to this policy. It will apply when the change becomes effective in your state. SECTION II VOLUNTARY COMPENSATION AND EMPLOYERS' to work in a state shown in Item 3.A. of the LIABILITY COVERAGE Information Page. 5. Voluntary Compensation Insurance 3. The bodily injury must occur in the United A. How This Insurance Applies States of America, its territories or This insurance applies to bodily injury by possessions, or Canada, and may occur elsewhere if the employee is a United States accident or bodily injury by disease. Bodily or Canadian citizen, or otherwise legal injury includes resulting death. resident, and legally employed, in the United 1. The bodily injury must be sustained by States or Canada and temporarily away from any officer or employee not subject to those places. the workers' compensation law of any 4. Bodily injury by accident must occur during state shown in Item 3.A. of the the policy period. Information Page. 2. The bodily injury must arise out of and in 5. Bodily injury by disease must be caused or the course of employment or incidental aggravated by the conditions of the officer's or employee's employment. Form WC 99 03 02 B Printed in U.S.A. (Ed. 8100) Page 2 of 4