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UNITED STATES LIABILITY INSURANCE GROUP <br />WAYNE, PENNSYLVANIA <br />This endorsement modifies insurance provided under the following: <br />SPECIFIED PROFESSIONS PROFESSIONAL LIABILITY COVERAGE FORM <br />ADDITIONAL INSURED ENDORSEMENT <br />In consideration of the premium paid, it is agreed that the following is added as an Additional Insured, but <br />only as respect to Claims arising out of any negligent act, error, omission, or Personal Injury in the <br />rendering or failure to render Professional Services by any individual or entity of the Named Insured <br />specified in Item I. of the Declarations. <br />Effective Date: 07/01/2023 <br />CITY OF BREA, ITS OFFICIALS, OFFICERS, EMPLOYEES, AGENTS, SERVANTS, DESIGNATED <br />VOLUNTEERS AND AGENTS SERVING AS INDEPENDENT CONTRACTORS IN THE ROLE OF CITY <br />OFFICIALS. <br />ATTN: JAMIE MCDONALD <br />1 CIVIC CENTER CIRCLE <br />BREA, CA 92821 <br />�„orz,N�F RisieManagemattDiviaian <br />All other terms and conditions of this Policy remain unchanged. This endorsement s REVIEWED&APPROVED BY. <br />Insured's Policy and takes effect on the effective date of the Insured's Policy unle A Acev44 <br />®� <br />date is shown. Risk Management Specialist <br />Page 3 of 6 <br />SP 224 (07-09) <br />