Laserfiche WebLink
n PROfESSIONAI UNDERWRITERS <br />/ \ LIABILITY INSURANCE COMPANY <br />b TOC Company <br />Additional Insured Entity Endorsement <br />It is hereby understood and agreed that the following Entity: Retroactive Date Cancellation Date <br />September 1, 2005 February 2, 2009 <br />Medical Center of Santa Ana February 2, 2009 <br />John G. Alevizos, D.O., Inc. dba: East Edinger Industrial <br />Urgent Care &Tustin-Irvine Medical Group, Inc. <br />(hereinafter referred to as "said Entity"), is an Insured under this Policy. <br />However, coverage for said Entity is subject to the following provisions: <br />1) said Ent ry shall (become legallyfobligated to pay as Damages because ofil abil~ty milposedlupon the Namedlch <br />insured for a Claim against the Named Insured for Injury resulting from an Incident involving the Named <br />_•Insured's-rendg~Pt'~ssistnal.Services; <br />-__ __ _ - _ <br />- -- <br />2) Subject to said Entity's compliance with tfie terms of this Policy, and su~ll defend said (Entity aga nst any <br />defined, and subject to the deductible provisions stated, the Company <br />Claim made against both said Entity and the Named Insured which is reported to the Company during the <br />Claims Reporting Period. even if the allegations of the Claim are groundless, false or fraudulent; <br />3) This Endorsement does not increase the Limits of Liability stated on the Dedarations Page; <br />4) The Limits of Liability apply to any Claim against the Named Insured and to any Claim against the Entity; there <br />is only one set of limits and that set applies to both the Named Insured and the Entity, not individually but <br />jointly; <br />5) If the Named Insured does not have coverage for a Claim, the Entity also does not have coverage for that <br />Claim; <br />6) If the Company does not defend, or ceases to defend, the Named Insured against a Claim, then the Company <br />shall not have an obligation to defend (or to continue to defend) said Entity against that Claim; <br />7) The Company may utilize the same defense counsel assigned to the Named Insured in defending the Entity <br />even though the Entity did not participate in or authorize the Professional Services from which the Claim <br />arises; <br />8) The Company may settle a Gaim against the Entity without its consent; and, <br />9) Said Entity shall not be considered a Named Insured Entity under this Policy. <br />•- This-Endorserttentsu{ze_rssdes and replaces Endorsement #2 in its entirety. <br />Pagel of t <br />W150 <br />1198 <br />All ether terms and conditions remain urrchan Endorsement No. t 1 <br />Attached to and forming part of Poricy N°• P93605-09 <br />Date processed: February 4.2009 IF EFFECTIVE AFTER INCEPTION DATE OF POLICY: <br />Issued to: Luis E. Rivera, M.O. <br />Effective: Februa 2, 2009 <br />- ~~/ <br />ey <br />