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Attachment Code: D664474 Certificate ID: 19715405 <br /> IRONSHORE <br /> A Liberty Mutual Company <br /> IRONSHORE SPECIALTY INSURANCE COMPANY <br /> 175 Berkeley Street <br /> Boston, MA 02116 <br /> Toll Free: (877) IRON411 <br /> Endorsement# 5 <br /> Policy Number: HC7CAB4HM9005 Effective Date of Endorsement: October 29, 2024 <br /> Insured Name: Halcyon Behavioral LLC <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED ENTITY ENDORSEMENT <br /> In consideration of the premium charged: <br /> 1. The term "Insured Entity,"as defined in Section II DEFINITION (G)of this Policy, is amended to include the <br /> following: <br /> • Physmetrics fka Chirometrics, LLC- 10/29/2007 <br /> • Oswald Associates, Inc. - 1/15/2013 <br /> • Halcyon Behavioral, Inc. - 1/15/2013 <br /> • ChiroSource,Inc. 10/29/20 <br /> • Chiropractic Health Plan of California- 10/29/20 <br /> 2. No coverage will be available under this Policy for Loss,including Defense Expenses,from any Claim based upon, <br /> arising out of,directly or indirectly resulting from, in consequence of,or in any way involving any Wrongful Act committed <br /> or allegedly committed by any entity listed in paragraph (1)above,or any Insured Person thereof, prior to the date listed <br /> opposite such entity. <br /> All other terms,conditions and limitations of this Policy shall remain unchanged. <br /> MC.P.015 (4.08 ed.) Page 1 of 1 <br />