Laserfiche WebLink
— <br />WAIVER OF SUBROGATION <br />Named Insured <br />Endorsement Number <br />REACH EMPLOYEE ASSISTANCE INC. <br />3 <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />OGL <br />G73741361 <br />2/15/2022 to 2/15/2023 <br />2/15/2022 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Insert the policy number. The remainder of the information is to he completed only when this endorsement is issued subsequent to the preparation of the policy. <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />This endorsement modifies insurance provided under the following: <br />Health Care and Allied Professional and Supplemental Liability Policy <br />Under Section VI. GENERAL CONDITIONS, condition F. TRANSFER OF RIGHTS OF RECOVERY AGAINST <br />OTHERS TO US is deleted and replaced with the following: <br />F. SUBROGATION <br />In the event of any payment by "us" under this policy, "we" shall be subrogated to all the "insured's" rights of <br />recovery against any person, organization, or entity. The "insured" shall execute and deliver instruments and papers <br />and do whatever else is necessary to secure such rights. <br />The "insured" shall do nothing to prejudice "our" position, or potential or actual rights of recovery, after any <br />"professional incident," "occurrence," or offense. <br />However, solely with respect to the entities shown in the Schedule below, the "insured" and "we" hereby waive our <br />rights of recovery. This waiver shall apply only with respect to damages for a "professional incident," offense or an <br />"occurrence" arising out of work or "professional services" performed by an "insured" on "your" behalf pursuant to <br />a written agreement existing between the "insured" and the entities shown in the Schedule below, provided such <br />agreement was executed and in effect prior to the time of the "professional incident," "occurrence" or offense and <br />requires this waiver of subrogation. This waiver shall not be construed to be a waiver with respect to other <br />operations of such entities in which you have no written or contractual interest. <br />SCHEDULE <br />City of Santa Ana / Benefits Dept. <br />PO Box 108 <br />Santa Ana, CA A2702-1A88 <br />All other terms and conditions of this Policy remain unchanged. <br />PF-51695(01/19) <br />(272448) <br />Authorized Representative <br />cF RAManagementDMsian <br />Jy/,'q REVIEWED & APPROVED BY: <br />V"° <br />--� Risk janagement Analyst <br />