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Attachment Code: D664474 Certificate ID: 19715405 <br />IRONSHORE <br />A Liberty Mutual Company <br />IRONSHORE SPECIALTY INSURANCE COMPANY <br />175 Berkeley Street <br />Boston, MA 02116 <br />Toll Free: (877) IRON411 <br />Endorsement# 5 <br />Policy Number: HC7CAB4HM9005 Effective Date of Endorsement: October 29, 2024 <br />Insured Name: Halcyon Behavioral LLC <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED ENTITY ENDORSEMENT <br />In consideration of the premium charged: <br />1. The term "Insured Entity,"as defined in Section II DEFINITION (G)of this Policy, is amended to include the <br />following: <br />Physmetrics fka Chirometrics, LLC- 10/29/2007 <br />Oswald Associates, Inc. - 1/15/2013 <br />Halcyon Behavioral, Inc. - 1/15/2013 <br />ChiroSource, Inc. 10/29/20 <br />Chiropractic Health Plan of California- 10/29/20 <br />2. No coverage will be available under this Policy for Loss,including Defense Expenses,from any Claim based upon, <br />arising out of,directly or indirectly resulting from, in consequence of,or in any way involving any Wrongful Act committed <br />or allegedly committed by any entity listed in paragraph(1)above,or any Insured Person thereof, prior to the date listed <br />opposite such entity. <br />All other terms,conditions and limitations of this Policy shall remain unchanged. <br />MC.P.015(4.08 ed.) Page 1 of 1