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THIS ENDORSEMENT CHANGED THE POLICY. PLEASE READ IT CAREFULLY <br />Additional Insured Endorsement <br />This endorsement modifies insurance provided under the following: <br />ALLIED HEALTHCARE PROVIDERS PROFESSIONAL <br />AND SUPPLEMENTAL LIABILITY POLICY <br />In consideration of the premium paid, this policy is amended as follows <br />Santa Ana Police Department is hereby added as an Additional Insured, solely for Damages arising out <br />of a Professional Incident covered under this policy. The Professional Incident must arise out of <br />services provided by the Insured, under contract with Santa Ana Police Department. <br />Additional Insured Name and Mailing Address: <br />Santa Ana Police Department <br />60 Civic Center Plaza <br />Santa Ana, CA , 92702 <br />All other terms and conditions of this policy remain unchanged. This endorsement is part of your policy and <br />takes effect on the effective date of your Policy, unless another effective date is shown below. <br />Policy: 025826 <br />Effective on and after: 08/31/2017 <br />Issued to: Nancy K. Bohl Inc. dba The Counseling Team International <br />Expiration date: 08/31/2018 <br />PI-PHCP-05 (03/01) <br />By: Robert O'Leary, Authorized Representative <br />ow � ale CF tIl 45 <br />