SASSOON, MAUREEN, DR., MS, MPH - Laserfiche WebLink

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Westchester A Chubb Company ADDITIONAL INSURED ENDORSEMENT — PRODUCTS -COMPLETED OPERATIONS HAZARD Named hu tred Endorsement Number Dr. Maureen Sassoon Policy Symbol Policy Number Policy Period Effective Date of Pndotsemenl ECP G24270427 009 07/01/2020 to 07/01/2021 07/01/2020 Issued oy(Name of hu mane Company) Westchester Surplus Lines Insurance Company Iruertthe policy number. The remainder of the information is to be completed only when this andomniont is Issued subsequent to the preparation of the policy. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. THIS ENDORSEMENT MODIFIES INSURANCE PROVIDED UNDER THE FOLLOWING: CONTRACTORS POLLUTION LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: As required by written contract, prior to a loss to which this insurance applies (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) A. SECTION II — WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for injury or damage, to which this insurance applies, caused by or resulting from your work performed for that additional insured and included in the products -completed operations hazard, and only to the extent that such injury or damage is caused, in whole or in part, by your negligence or the negligence of those acting on your behalf. However: 1. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and 2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured. B. With respect to the insurance afforded to these additional insureds, the following is added to SECTION III - LIMITS OF INSURANCE: If coverage provided to the additional insured is required by a contract or agreement, the Iy�q�t.we will ay on behalf of the additional insured is the amount of insurance: KtV�E�/E(��1 APPROVED 1. Required by the contract or agreement; or By Rlsk MANACWMEW DivisiON 2. Available under the applicable Limits of Insurance shown in the Declarations; JUN 2,A 2020 whichever is less. ---�_ This endorsement shall not increase the applicable Limits of Insurance shown in the DeclarationsANG1E ACEVEdO All other terms and conditions of this policy remain unchanged. ENV-3251 (12/18) Includes copyrighted material of Insurance services Office, Inc. with itspermission Page 1 of 1 (221012.2)