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<br /> STATE EMPLOYER ' S LIABILITY INSU. _ACE
<br /> COMPRISISAT
<br /> N SUR A NIC a AMENDED 1188796-90
<br /> NEW
<br /> FUND
<br /> ENDORSEMENT AGREEMENT NE
<br /> HOME OFFICE
<br /> SAN FRANCISCO EFFECTIVE AUGUST 8, 1990 AT 12. 01 A.M.
<br /> PAGE 1L
<br /> ALL EFFECTIVE DATES ARE
<br /> AT 12:01 AM PACIFIC
<br /> STANDARD TIME OR THE j
<br /> TIME INDICATED IAT
<br /> PACIFIC STANDARDD
<br /> TIME
<br /> S B & S DRILLING
<br /> 3022 W. SANTA ANA
<br /> FRESNO, CALIFORNIA 93722
<br /> ANY CONTRADICTION BETWEEN THE POLICY AND THIS ENDORSEMENT WILL BE CONTROLLED BY THIS ENDORSEMENT,
<br /> IT IS AGREED THAT THE INSURANCE AFFORDED BY PART TWO - EMPLOYER'S LIABILITY INSURANCE OF THIS
<br /> POLICY IS SUBJECT TO THE FOLLOWING PROVISIONS,
<br /> A. "HOW THIS INSURANCE APPLIES", IS AMENDED TO READ AS FOLLOWS,
<br /> A. HOW THIS INSURANCE APPLIES
<br /> THIS EMPLOYER'S LIABILITY INSURANCE APPLICS TO BODILY INJURY BY ACCIDENT OR BODILY
<br /> INJURY BY DISEASE. BODILY INJURY MEANS A PHYSICAL OR MENTAL INJURY, INCLUDING RESULTING
<br /> DEATH. BODILY INJURY DOES NOT INCLUDE EMOTIONAL DISTRESS, ANXIETY, DISCOMFORT, INCON-
<br /> VENIENCE, DEPRESSION, DISSATISFACTION OR SHOCK TO THE NERVOUS SYSTEM, UNLESS CAUSED BY
<br /> EITHER A MANIFEST PHYSICAL INJURY OR A DISEASE WITH A PHYSICAL DYSFUNCTION OR CONDITION
<br /> RESULTING IN TREATMENT BY A LICENSED PHYSICIAN OR SURGEON.
<br /> 1• THE BODILY INJURY MUST ARISE OUT OF AND IN THE COURSE OF THE INJURED EMPLOYEE'S
<br /> EMPLOYMENT BY YOU,
<br /> 2. THE EMPLOYMENT MUST BE NECESSARY OR INCIDENTAL TO YOUR WORK IN CALIFORNIA.
<br /> 3. BODILY INJURY BY ACCIDENT MUST OCCUR DURING THE POLICY PERIOD.
<br /> 4. BODILY INJURY BY DISEASE MUST BE CAUSED OR AGGRAVATED BY THE CONDITIONS OF YOUR EM-
<br /> PLOYMENT, THE EMPLOYEE'S LAST DAY OF LAST EXPOSURE TO THE CONDITIONS CAUSING OR
<br /> AGGRAVATING SUCH BODILY INJURY BY DISEASE MUST OCCUR DURING THE POLICY PERIOD.
<br /> S. IF YOU ARE SUED, THE ORIGINAL SUIT AND ANY RELATED LEGAL ACTIONS FOR DAMAGES FOR
<br /> BODILY INJURY BY ACCIDENT OR BY DISEASE MUST BE BROUGHT UNDER THE LAWS OF THE STATE
<br /> OF CALIFORNIA.
<br /> C. "EXCLUSIONS", IS AMENDED TO READ AS FOLLOWS,
<br /> C. EXCLUSIONS
<br /> THIS INSURANCE DOES NOT COVER,
<br /> I. LIABILITY ASSUMED UNDER A CONTRACT,
<br /> 2. PUNITIVE OR EXEMPLARY DAMAGES WHERE INSURANCE FOR SUCH LIABILITY IS PROHIBITED BY
<br /> LAW OR CONTRARY TO PUBLIC POLICY,
<br /> 3: BODILY INJURY TO AN EMPLOYEE WHILE EMPLOYED IN VIOLATION OF LAW WITH YOUR ACTUAL
<br /> KNOWLEDGE OR THE ACTUAL KNOWLEDGE OF ANY OF YOUR EXECUTIVE OFFICERS,
<br /> 4. ANY OBLIGATION IMPOSED BY A WORKERS' COMPENSATION, OCCUPATIONAL DISEASE, UNEMPLOY-
<br /> MENT COMPENSATION, OR DISABILITY BENEFITS LAW, OR ANY SIMILAR LAW,
<br /> S. BODILY INJURY INTENTIONALLY CAUSED OR AGGRAVATED BY YOU,
<br /> 8. BODILY INJURY ARISING OUT OF TERMINATION OF EMPLOYMENT, OR
<br /> 7. BODILY INJURY ARISING OUT OF THE COERCION, DEMOTION, REASSIGNMENT, DISCIPLINE,
<br /> DEFAMATION, HARASSMENT OR HUMILIATION OF, OR DISCRIMINATION AGAINST ANY EMPLOYEE.
<br /> NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE
<br /> OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS
<br /> POLICY OTHER THAN AS STATED, NOTHING ELSEWHERE IN THIS POLICY SHALL BE
<br /> HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR
<br /> LIMITATIONS OF THIS ENDORSEMENT,
<br /> COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: AUGUST 14, 1990
<br /> RI2�RE ?RE
<br /> NTA IVE SIDENT 2088
<br /> SCIF FORM 10217 +RCv,'-FAt
<br /> OLD OP 217
<br />
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