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THIS ENDORSEMENT CHANGES THE POLICY, PLEASE REAR IT CAREFULLY: <br />ADDITIONAL PROTECT ER PERSa7NS' ENDORSEMENT <br />This' endorsemeht modifies insurance provided u der'the t911dtNing;, <br />Healthcare General Liability Coverage Form or <br />HeaJthoore Galteml Lleblllty Coverage Form — Clalms- Made; ' <br />wHlahever appllas, <br />The Individuals ororgpnlaltoria, listed, IY3lq� -ere add'ad to Sectton'll —tNho IAn, Insured of your Polley, 1. Coverage is rovldod for them' only far the work you p�Horen orghnuld Havtt.p�rrfI r d on Ir behelf, <br />They wi11 here In your limits of Inaurpnce fnr atuy dpvered "ctal01, Dam gas paid on tMelr nahalf will <br />reduce 9hd may exhaust your jimlts of l'kse,yYehca uridaP thta policy. <br />The 0fly pfSppip Aha, Itls C1fFieers, Employees, Agents, Volunteers.and Representatives: <br />s2 CMG Centar Playa <br />Santa Ana, CA 92702 <br />County ofOranpd:' <br />Its aieeted and agppinted offl es, officers, employees„ agents and those special distrieta aYtd,agenGias'foY <br />which County's aaYd pCSuparvtsoYSaots asthe gpvarnfng Bnard;Hoalth Garp 4ganey MadIGal $ <br />institutlonaf Health Servidos Cperallons <br />409 West 9th Street, 7th Fluor <br />Santa Ana, CA 92701 <br />All other terms of your policy remain unchanged. <br />APPROVED AS TO FORM <br />Laura A. Rossini <br />Assistant City Attorney <br />Endgrsamarrt NUYnbar; 1 <br />Poilcy w*sra r-I P00000,0 <br />Named Insured: Correctional Managed Qons Medical C'4Cp <br />This andorsement'Is effective on the Ihcaptlgn data 0f h($ PGllcy 4hfess dtherWIdd atattd heReih" <br />fWarsarnenteffeetiva.C),ate; September01,,i2D14 <br />Q2 HGL0g0 , 00 02 07 IncIud0s popyrIghIed material' of, Ineuranae Services offica, Inc,, Page 1 of 1 <br />Withita :permipsion <br />