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THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY. <br /> Named Insured. Endorsement Number <br /> Reach Employee Assistance Inc 1 <br /> 101 E. Lincoln Ave, Ste. 230 <br /> Anaheim, CA92805-3206 <br /> Policy Symbol Policy Number Policy period: Effective Date <br /> OLG � G73741361 02/15/2026 to 02/15/2027 02/15/2022 <br /> Issued By(Name of Insurance Company) <br /> ACE American Insurance Company <br /> This endorsement modifies insurance provided under the following: <br /> Health Care and Allied Professional and Supplemental Liability Policy (Claims-Made) <br /> Health Care and Allied Professional and Supplemental Liability Policy (Occurrence) <br /> Additional Insured(s) Endorsement <br /> It is agreed that Section V, Definitions, of the policy is amended by adding the following to the definition of <br /> "insureds": <br /> • those natural persons or organization(s) listed by name as an Additional Insured in the Schedule below, but <br /> solely with respect to such Additional Insured's liability arising solely out of: <br /> 1. if Professional Liability coverage is indicated for such Additional Insured, "professional services" <br /> performed by "you" or on "your" behalf for such Additional Insured; or <br /> 2. if Premises/General Liability coverage is indicated for such Additional Insured, "bodily injury" or"property <br /> damage" caused by an "occurrence" covered under this insurance that was caused solely by: <br /> i. "you" or"your" employees acting on "your" behalf; and <br /> ii. within the scope of"your" duties to and performed on behalf of such Additional Insured. <br /> 3. if Personal Injury Liability coverage is indicated for such Additional Insured, "personal injury" caused by <br /> an offense covered under this insurance that was caused solely by: <br /> i. "you" or"your" employees acting on "your" behalf; and <br /> ii. within the scope of"your" duties to and performed on behalf of such Additional Insured. <br /> Schedule <br /> Additional Insured: Address: Additional Premium Applicable Coverage <br /> City of Santa Ana, P.O. Box 1988 Santa ❑ PREMISES OR GENERAL <br /> its City Council, Ana, CA 92702 LIABILITY COVERAGE <br /> officers, officials, ❑ PROFESSIONAL LIABILITY <br /> employees, agents, COVERAGE <br /> and volunteers ❑ PERSONAL INJURY <br /> LIABILITY COVERAGE <br /> All other terms and exclusions of this policy remain unchanged. <br /> PF-37216 (09/11) Page 1 of 2 <br />