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Effective date nfthis Endorsement: 01+Oct-2014 <br />This Endorsement is attached tv and forms a part uf Policy Number: Wi43B714U2D1 <br />Syndicates 2623/623 at Lloyd's Referred to in this endorsement ms either the "Insurer" or the <br />SCHEDULED ADDITIONAL INSURED ENDORSEMENT— GENERAL LIABILITY COVERAGE ONLY <br />This endorsement modifies insurance provided under the following: <br />Beazlwy Miscellaneous Healthcare <br />In consideration of the premium charged for the FoUoy, it is hereby understood and agreed that solely in <br />relation to coverage provided under INSURING AGREEMENTS, A. 2, General Liability, Clause ||. <br />PERSONS INSURED is amended to include the Additional Insureds listed in Item 8. below for which the <br />Insured has assumed such person's/entities liability in a written contract n/ agreement (an "Additional <br />Insured") solely for services rendered by or on behalf ofthe Named Insured and that is also named in a <br />Claim if all of the following conditions are met: <br />1. The Claim against the Additional Insured seeks damages for which the Insured has assumed <br />liability; <br />2. This insurance applies to such liability assumed by the Insured; <br />3 The obligation to defend the Additional |nsurmd, has also been assumed by the Insured in the <br />same contract oragreement; <br />4. The allegations in the Claim and the information known about the incident are such that no <br />conflict appears to exist between the interests of the Insured and the interests of the Additional <br />Insured-, <br />5. The Additional Insured and the Insured ask Underwriters to conduct and control the defense of <br />that Additional Insured against such Claim and agree that Underwriters can assign the same <br />counsel tu defend the Insured and the Additional Insured; <br />G. The Additional Insured agrees im writing to: <br />a. Cooperate with the Underwriters hl the investigation, settlement or defense of the Claim; <br />b. Immediately send Underwriters copies of any d*mondm, nmtices, summonses or legal <br />papers received in connection with the Claim; <br />C. Notify any other insurer whose coverage is available to the AddiUonal Insured; and <br />d. Cooperate with Underwriters with respect to coordinating other applicable insurance <br />available to the Additional |nemnad� and <br />, <br />7. The Additional Insured provides Underwriters with written authorization to: <br />Obtain records and other information related bm the Claim; and <br />Conduct and control the defense of the Additional Insured in such Claim. All other terms <br />and conditions cf this Policy remain unchanged. <br />City of Santa Ana <br />County of Marin <br />2O North San Pedro Road <br />San Rafael, CAS49Q3 <br />E02474 <br />O12811ed. <br />� �" �� /5 <br />� �c / <br />RPPRDOVED / Page of <br />`—��� <br />��� <br />w0 <br />