Each customized limiting and restricting form shall conform to the following specifications:
"CALIFORNIA CUSTOMIZED LIMITING AND RESTRICTING ENDORSEMENT AGREEMENT"
Endorsement Agreement Limiting and Restricting This Insurance
"The insurance under this policy is limited as follows: It is AGREED that, anything in this policy to the contrary notwithstanding, this policy (or "such insurance as is afforded by the policy by reason of the designation of California in Item 3 of the declarations") DOES NOT INSURE" (or "DOES NOT COVER" or "DOES NOT APPLY TO")."
Nothing contained in this endorsement agreement shall be held to vary, alter, waive or extend any of the terms, conditions, agreements, or limitations of this policy other than as above stated. Nothing elsewhere in this policy shall be held to vary, alter, waive or limit the terms, conditions, agreements or limitations of this endorsement agreement. It is further agreed that "remuneration" when used as a premium basis for such insurance as is afforded by this policy (or "by the policy by reason of the designation of California in Item 3 of the declarations") shall not include the remuneration of any person excluded from coverage in accordance with the foregoing.
FAILURE TO SECURE THE PAYMENT OF FULL COMPENSATION BENEFITS FOR ALL EMPLOYEES AS REQUIRED BY LABOR CODE SECTION 3700 IS A VIOLATION OF LAW AND MAY SUBJECT THE EMPLOYER TO THE IMPOSITION OF A WORK STOP ORDER, LARGE FINES AND OTHER SUBSTANTIAL PENALTIES (Labor Code Section 3710.1, et seq.).
Cal. Code Regs. Tit. 10, § 2267
2. Renumbering of Section 2266 filed 9-18-67; designated effective with respect to all policies and endorsements with an effective date falling on or after April 1, 1968 (Register 67, No. 38).
3. Amendment of section heading, repealer and new section and new NOTE filed 2-2-2016; operative 4-1-2016 (Register 2016, No. 6).
Note: Authority cited: Section 12921(a), Insurance Code. Reference: Sections 11650, 11651, 11652, 11653, 11654, 11655, 11656, 11656.7, 11656.8, 11656.9, 11657, 11658, 11659, 11660, 11661, 11661.5, 11661.6, 11662, 11663, 11664, 11734, 11736 and 11751.5, Insurance Code.
2. Renumbering of Section 2266 filed 9-18-67; designated effective with respect to all policies and endorsements with an effective date falling on or after April 1, 1968 (Register 67, No. 38).
3. Amendment of section heading, repealer and new section and new Note filed 2-2-2016; operative 4/1/2016 (Register 2016, No. 6).