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MARKEL, <br /> EVANSTON INSURANCE COMPANY <br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> POLICY CHANGES <br /> This endorsement forms a part of the policy numbered below: Policy Change Number: 1 <br /> POLICY NUMBER POLICY CHANGES EFFECTIVE COMPANY <br /> MKLV5PSM001709 11/17/2025 Evanston Insurance Company <br /> NAMED INSURED AUTHORIZED REPRESENTATIVE <br /> California Forensic Phlebotomy,Inc. Amwins Access Insurance Services, LLC <br /> 21550 Oxnard Street, Suite 600 <br /> Woodland Hills, CA 91367 <br /> COVERAGE PARTS AFFECTED <br /> SPECIFIED MEDICAL PROFESSIONS PROFESSIONAL LIABILITY INSURANCE COVERAGE PART <br /> SPECIFIED MEDICAL PROFESSIONS PROFESSIONAL LIABILITY INSURANCE POLICY <br /> SPECIFIED MEDICAL PROFESSIONS GENERAL LIABILITY INSURANCE COVERAGE PART—OCCURRENCE <br /> COVERAGE <br /> SPECIFIED MEDICAL PROFESSIONS GENERAL LIABILITY INSURANCE COVERAGE PART—CLAIMS MADE <br /> COVERAGE <br /> CHANGES <br /> ENDORSEMENT DELETED AND REPLACED <br /> In consideration of the premium paid, it is hereby understood and agreed that the previously issued Waiver of <br /> Subrogation for Scheduled Additional Insured(s), MESM 2060 03 21 , is deleted in entirety and replaced with the <br /> attached effective as of the date stated above. <br /> All other terms and conditions remain unchanged. <br /> ® NO CHANGES ❑TO BE ADJUSTED AT ADDITIONAL PREMIUM RETURN PREMIUM <br /> AUDIT $ $ <br /> ;Luz <br /> Countersigned: 11/25/2025 By: <br /> DATE AUTHORIZED REPRESENTATIVE <br /> MIL 1212 0417 Page 1 of 1 <br />