Laserfiche WebLink
THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY. <br />Named Insured.Endorsement Number <br />Reach Employee Assistance Inc <br /> 1 <br />Policy SymbolPolicy NumberPolicy PeriodEffective Date <br />OLG02/15/2024 <br />G73741361 02/15/2024 to 02/15/2025 <br />Issued By (Name of Insurance Company) <br /> ACE American Insurance Company <br />This endorsement modifies insurance provided under the following: <br />Health Care and Allied Professional and Supplemental Liability Policy(Claims-Made) <br />Health Care and Allied Professional and Supplemental Liability Policy (Occurrence) <br />Additional Insured(s) Endorsement <br />It is agreed that Section V, Definitions, of the policy is amended by adding the following to the definition of <br />nsureds: <br />thosenatural persons or organization(s) listed by nameas an Additional Insuredin the Schedule below,but <br />solely : <br />1.if Professional Liability coverage is indicated for such Additional Insured, professional services <br />performed byyouor on yourbehalf for such Additional Insured; or <br />2.if Premises/General Liability coverage is indicated for such Additional Insured, bodily injuryorproperty <br />damagecaused by anoccurrencecovered under this insurance that was causedsolely by: <br />i.youoryouremployees acting on yourbehalf; and <br />ii. within the scope of yourduties to and performed on behalf of such Additional Insured. <br />3.caused by <br />an offense covered under this insurance that was caused solely by: <br />youyouryourbehalf; and <br />yourduties to and performed on behalf of such Additional Insured. <br />Schedule <br />Additional Address:Additional PremiumApplicable Coverage <br />Insured: <br />PREMISES OR GENERAL <br />City Of Santa Ana P.O. Box 1988 <br />LIABILITY COVERAGE <br />/ Benefits Dept <br />Santa Monica, CA <br />PROFESSIONAL LIABILITY <br />92702 <br />COVERAGE <br />PERSONAL INJURY <br />LIABILITY COVERAGE <br />PF-37216(09/11) Page 1of 1 <br />