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THIS ENDORSEMENT CIIANGES THE POLICY. PLEASE READ IT CAREFULLY <br />Additional Insured Endorsement <br />This endorsement modifies insurance provided under the following: <br />ALLIED HEALTHCARE PROVIDERS PROFESSIONAL <br />AND SUPPLEMENTAL LIABILITY POLICY <br />i <br />In consideration of the premium ipaid, this policy is amended as follows: <br />City of Santa Ana, its Officers, Agents, and Employees is hereby added as an Additional Insured, <br />solely for Damages arising out of a Professional Incident covered under this policy. The Professional <br />Incident must arise out of services provided by the Insured, under contract with City of Santa Ana, its <br />Officers, Agents, and Employees. <br />City of Santa Ana, its Officers, Agents, and Employees <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />All other terms and conditions of this Policy remain unchanged. This endorsement is part of your Policy <br />and takes effect on the effective date of your Policy, unless another effective date is shown below. <br />By: <br />Jamie Maguire, Authorized Representative <br />PI- PHCP -06 (3 /01) <br />Policy #: PFICP081041 Endorsement #:PHCP -06 <br />Effective on or after, 08 /21/2014 <br />Issued to: Wesley A Boselt <br />Expiration date: 08/21/2015 <br />