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THOS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, <br />WiliN BROAD ENDORSEMENT <br />EXTENDED OPTIONS <br />POIiaYNUmber: 72 WEC LR3783 Endorsement Number: <br />Effaetive Date; 09/28/14 Effective hour Is the same as stated an the Information Page of the policy. <br />Named Insured and Address: WESTSOCJND CO I IMUNTCATIONS, INC. <br />625 THE CITY DRS SUITE 360 <br />ORANGE, CA 92868 <br />Section I of this endorsement expands coverage provided under WG 00 00 00, <br />Section II of this endorsement Provides additional coverage usually only provided by endorsement. <br />Section ill of this endorsement is a Schedule of Covered States. <br />You may use the Index to locate those coverage features qufcldy: <br />AM= <br />SECTION 1 <br />PARTS ONE and TWO <br />01 We WIII Also Pay <br />PART -THREE <br />02 How This Insurance Works <br />PART - SIX <br />03 Transfer of Your Rights and Duties <br />04 Liberalization <br />SECTION II <br />VOLUNTARY COMPENSATION INSURANCE <br />05 Voluntary Compensation Insurance <br />A. How This Insurance Applies <br />B We Will pay <br />C. Exclueorw <br />D. Before We Pay <br />E_ Recovery From Others <br />r. Employers' Liability Insurance <br />EMPLOYERS' LIABILITY STOP GAP <br />ENDORSEMENT <br />06 Employers' Liability Stop Gap <br />Coverage <br />A. SLOP GOP COM090 Limited to <br />Montana, North Dakota, Ohio, <br />Washinytcn, West Virginia and <br />Wyoming <br />Form WC 99 03 03 B Printed in U.S.A. (Ed. 8100) <br />Process Date: 08/09/19 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />3 <br />3 <br />3 <br />3 <br />9 <br />3 <br />SUBJE9T <br />B. Part One Does Not Apply <br />C. Application of Coverage <br />D. Additional Exclusions <br />E. West Virginia <br />EXTENDED OPTIONS <br />01 Employers' Liability Insurance <br />02 Unintentional Failure to Disclose <br />Hazards <br />03 Waiver of Our Right to Recover from <br />Others <br />04 Foreign Voluntary Compensation <br />A. Flow This Reirnqursement Applies <br />B. We Will Reimburse <br />C. Exclusions <br />D. Before We Pay <br />E. Recovery From Others <br />F. Reimbursement For Actual Loss <br />Sustained <br />G. Repatriation <br />H. Endemic Disease <br />05 Longshore and Harbor Workers' <br />Compensation Act Coverage <br />Endorsement <br />SECTION ill <br />01 Schedule of Covered States <br />X12000, The Hartford <br />No <br />Pagel of 6 <br />Policy Expiration Date; 09/28/7.6 <br />4 <br />4 <br />4 <br />4 <br />5 <br />5 <br />5 <br />