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A-2-01)- )�_--� <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />Named Insured <br />Endorsement Number <br />Reach Employee Assistance, Inc. <br />15 <br />I <br />Policy Symbol <br />Policy Number <br />Policy Period <br />Effective Date of Endorsement <br />AHM <br />14940.6 <br />2/17/2014 to 2/17/2015 <br />2/17/2014 <br />Issued By (Name of Insurance Company) <br />ACE American Insurance Company <br />Additional insured(s) Endorsement <br />It is agreed that the natural person(s) or organization(s) listed by name as additional "insured(s)" in the Schedule <br />below shall be considered additional "insured(s)" under the Who Is An Insured section(s) of the applicable <br />Coverage Part(s) indicated in the Schedule below, but solely with respect to such additional "Insured's" liability <br />arising solely out of: <br />1. if Professional Liability coverage is indicated for such additional "insured", "healthcare professional services" <br />performed by you or on your behalf for such additional "insured'; or <br />2. if General Liability coverage is indicated for such additional "insured", "bodily injury", "property damage" or <br />"personal or advertising injury" caused by an "occurrence" or offense that was caused solely by: <br />a. you or your "employees" acting on your behalf; and <br />b. within the scope of your duties to and performed on behalf of such additional "insured". <br />Where no coverage or defense shall apply herein for the Named Insured, no coverage or defense shall be <br />afforded to such additional "insured(s)". This coverage shall not apply to any liability arising out of the sole <br />negligence of such additional "insured(s)". <br />Schedule <br />Additional Insured: <br />Address: <br />Additional <br />Applicable Coverage Part: <br />Premium: <br />City of Santa Ana <br />Attn: Kathy Crook <br />Included <br />GENERAL LIABILITY <br />Employment Benefits M-34 <br />P.O. Box 1988 <br />COVERAGE PART <br />Santa Ana, CA 92702-1988 <br />0 PROFESSIONAL LIABILITY <br />COVERAGE PART <br />This endorsement only applies to and amends coverage under this policy, including under any other Additional <br />Insured(s) Endorsements thereto, for those additional "insured(s)" listed in the Schedule above. If this policy <br />contains any other Additional Insured(s) Endorsements, then those endorsements remain in effect and are only <br />amended by the terms of this endorsement with respect to those additional "insured(s)" listed in the Schedule <br />above. Coverage for any additional "insured(s)" not listed in the Schedule above remains unchanged. <br />All other terms, conditions and exclusions of this policy remain unchanged. <br />Authorized Representative <br />PF -12934e (08/11) ©ACE Limited, 2005, 2006, 2007, 2011 Page 1 of 1 <br />Allied, FAC & LTC Primary <br />