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KAISER FOUNDATION HEALTH PLAN
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Last modified
6/30/2022 3:20:00 PM
Creation date
6/30/2022 3:19:13 PM
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Contracts
Company Name
KAISER FOUNDATION HEALTH PLAN
Contract #
N-2022-182
Agency
Human Resources
Expiration Date
7/19/2022
Insurance Exp Date
1/1/2023
Destruction Year
2026
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The amount we will pay on behalf of such Additional Insured(s) shall be a part of, and not in addition to, <br />the Limits of Insurance shown in the Coverage Form Declarations and described in this section. Such <br />amount will thus not increase the Limits of Insurance shown for the Coverage Form. <br />d. Obligations at the Additional Insured's Own Cost <br />No Additional Insured will, except at their own cost, voluntarily make a payment, assume any obligation, <br />or incur any expense, other than for first aid, without our consent. <br />SECTION IV — CONDITIONS is amended by deleting item a. Primary Insurance under 4. Other Insurance and <br />replacing such item by the following, only with respect to insurance provided to the Additional Insured(s) shown <br />in the above Schedule: <br />a. Primary Insurance and/or Primary and Non -Contributory Insurance <br />This insurance is primary if you have agreed in a written contract that this insurance is to be primary. If <br />you have agreed in a written contract that this insurance is primary and non-contributory with the <br />Additional Insured(s) own insurance, this insurance is primary and we will not seek contribution from that <br />other insurance. <br />The Additional Insured(s) scheduled above shall be subject to all other conditions set forth in the Coverage Form. <br />This endorsement does not alter coverage provided in the Coverage Form. <br />This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. <br />(The information below is required only when this endorsement is issued subsequent to preparation of the policy.) <br />Endorsement Effective 01/01/2020 Policy No. cL 4048M Endorsement No. <br />Named Insured KAISER FOUNDATION HEALTH PLAN, INC. Premium $ Included <br />Insurance Company Safety National Casualty Corporation <br />Countersigned By <br />Page 2 of 2 Safety National Casualty Corporation <br />RiskMnuganadDlAsian <br />Rine & APPRovm By., <br />F4acr. ,: W Z WLIWAl <br />U Rtsk Management Analyst <br />
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