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STATE COMPENSATION INSURANCE FUND HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME MPLOYER'S LIABILITY INSURANCE REP AMENDED 266-87 000012 ENDORSEMENT AGREEMENT RENEWAL NK EFFECTIVE JULY 1, 1987 AT 12.01 A.M. PAGE61L6-F SOUTH SAN JOAQUIN IRRIGATION DIST I 011 E HWY 120 MANTECA, CALIFORNIA 95336 ANY CONTRADICTION BETWEEN THE POLICY -AND THIS ENDORSEMENT WILL ,B ROLLED •2'✓, TROLLED BY THIS ENDORS[MENt'. IT IS AGREED THAT THE INSURANCE AFFORDED BY PART TWO - EMPLOYER'S LIABILITY INSURANCE OF THIS POLICY IS SUBJECT TO THE FOLLOWING PROVISIONS. A. "HOW THIS INSURANCE APPLIES", IS AMENDED TO READ AS FOLLOWS, A. HOW THIS INSURANCE APPLIES THIS EMPLOYER'S LIABILITY INSURANCE APPLIES TO BODILY INJURY BY ACCIDENT OR BODILY INJURY BY DISEASE. BODILY INJURY MEANS A PHYSICAL OR MENTAL INJURY, INCLUDING RESULTING DEATH. BODILY INJURY DOES NOT INCLUDE EMOTIONAL DISTRESS, ANXIETY, DISCOMFORT,USED BY INCON- VENIENCE, DEPRESSION, CADISSATISFACTION OR SHOCK TO THE NERVOUS SYSTEM, UNLESS EITHER A MANIFEST PHYSICAL INJURY OR A DISEASE WITH A PHYSICAL RESULTING IN TREATMENT BY A LICENSED PHYSICIAN OR SURGEON. DYSFUNCTION OR CONDITION 1. THE BODILY INJURY MUST ARISE OUT OF AND IN THE COURSE OF THE INJURED EMPLOYEE'S EMPLOYMENT BY YOU. 2. THE EMPLOYMENT MUST BE NECESSARY OR INCIDENTAL TO YOUR WORK IN CALIFORNIA. 3. BODILY INJURY BY ACCIDENT MUST OCCUR DURING THE POLICY PERIOD. 4. BODILY INJURY BY DISEASE MUST BE CAUSED OR AGGRAVATED BY THE CONDITIONS PLOYMENT. THE EMPLOYEE'S LAST DAY OF LAST CONDITIONS CAUSING OR OF YOUR EM - EXPOSURE TO THE AGGRAVATING SUCH BODILY INJURY BY DISEASE MUST OCCUR DURING THE POLICY PERIOD. S. IF YOU ARE SUED, THE ORIGINAL SUIT AND ANY RELATED LEGAL ACTIONS FOR DAMAGES FOR BODILY INJURY BY ACCIDENT OR BY DISEASE MUST BE BROUGHT UNDER THE LAWS OF THE STATE OF CALIFORNIA. C. "EXCLUSIONS", IS AMENDED TO READ AS FOLLOWS, C EXCLUSIONS THIS INSURANCE DOES NOT COVER, 1 2 3 4 5 6 7 LIABILITY ASSUMED UNDER A CONTRACT, PUNITIVE OR EXEMPLARY DAMAGES WHERE INSURANCE FOR SUCH LIABILITY IS PROHIBITED BY LAW OR CONTRARY TO PUBLIC POLICY, BODILY INJURY TO AN EMPLOYEE WHILE EMPLOYED IN VIOLATION OF LAW WITH YOUR ACTUAL KNOWLEDGE OR THE ACTUAL KNOWLEDGE OF ANY OF YOUR EXECUTIVE OFFICERS, ANY OBLIGATION IMPOSED BY A WORKERS' COMPENSATION, OCCUPATIONAL DISEASE, UNEMPLOY- MENT COMPENSATION, OR DISABILITY BENEFITS LAW, OR ANY SIMILAR LAW, BODILY INJURY INTENTIONALLY CAUSED OR AGGRAVATED BY YOU, BODILY INJURY ARISING OUT OF TERMINATION OF EMPLOYMENT, OR BODILY INJURY ARISING OUT OF THE COERCION, DEMOTION, REASSIGNMENT, DISCIPLINE, DEFAMATION, HARASSMENT OR HUMILIATION OF, OR DISCRIMINATION AGAINST ANY EMPLOYEE. NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. COUNTERSIGNED ANDI SUED AT SAN FRANCISCO: AUTHORIZED REPRESENTAT SCIF FORM 10217 IREVJ-841 JUNE 29, 1987 PRESIDENT 2086