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O' I _E <br />IRONSHORE SPECIALTY INSURANCE COMPANY <br />175 Berkeley Street <br />Boston, MA 02116 <br />Toil Free: (877) IRON411 <br />Endorsement # 5 <br />Policy Number: HC7BAB5A62002 <br />Insured Name: NaphCare, Inc. <br />Effective Date of Endorsement: December 31, 2021 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />CITY OF SANTA ANA ENDORSEMENT <br />LIMITS OF LIABILITY <br />THIS ENDORSEMENT MODIFIES THE GENERAL LIABILITY COVERAGE PART AND THE PROFESSIONAL LIABILITY COVERAGE <br />PART OF THE POLICY AS FOLLOWS: <br />The coverage provided by the policy applies to each insured against whom claim is made or suit is brought subject <br />to the applicable limit of liability. <br />ADDITIONAL INSUREDS <br />THIS ENDORSEMENT MODIFIES THE GENERAL LIABILITY COVERAGE PART AND THE PROFESSIONAL LIABILITY COVERAGE <br />PART OF THE POLICY AS FOLLOWS: <br />The City of Santa Ana, 20 Civic Center Plaza, Santa Ana, California 92701, its officers, employees, agents, <br />volunteers and representatives are included as additional insureds under the above -described Coverage Part(s) of <br />the policy, but only with respect to liability arising solely out of the operations of the policyholder. The coverage <br />provided by this policy shall be primary and non-contributory, provided that the alleged acts or omissions giving <br />rise to the liability are otherwise covered by the policy. <br />SPECIAL NOTICE OF CANCELLATION <br />The policy is hereby amended as follows: <br />We will provide thirty (30) days'prior notification to the City of Santa Ana in the event that we cancel or materially <br />change or alter this policy. <br />City of Santa Ana <br />20 Civic Center Plaza <br />Santa Ana, California 92701 <br />All other terms and conditions of this Policy remain unchanged. <br />Authorized Representative <br />MMF.END.171(2.19 ed.) <br />May 22, 2020 <br />Date <br />Pa o NSF Risk Management])Msian <br />z <br />REVIEWED & APPROVED BY. - <br />Risk Management Analyst <br />