Laserfiche WebLink
PI-HS-011 (07/04) <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> ADDITIONAL INSURED <br /> This endorsement modifies insurance provided under the following: <br /> HUMAN SERVICES ORGANIZATION PROFESSIONAL LIABILITY COVERAGE FORM <br /> SCHEDULE <br /> Name of Person or Organization: <br /> As required per formal written contract <br /> City of Santa Ana <br /> The person or organization listed above is an additional insured when you and such person or <br /> organization have agreed in writing in a contract or agreement that such person or organization <br /> be added as an additional insured on your policy. Such person or organization is an additional <br /> insured only with respect to liability arising out of your ongoing operations performed for that <br /> additional insured. A person's or organization's status as an additional insured ends when your <br /> operations for that additional insured are completed. <br /> Page 1 of 1 <br />