CARE AMBULANCE SERVICES INC. (2012-196-01)

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Effective date of this Endorsement: 01 -Oct -2014 This Endorsement is attached to and forms a part of Policy Number: W143137140201 Syndicates 2623/623 at Lloyd's Referred to in this endorsement as either the "Insurer" or the "Underwriters" SCHEDULED ADDITIONAL INSURED ENDORSEMENT — GENERAL LIABILITY COVERAGE ONLY This endorsement modifies insurance provided under the following: Beazley Miscellaneous Healthcare In consideration of the premium charged for the Policy, it is hereby understood and agreed that solely in relation to coverage provided under INSURING AGREEMENTS, A. 2, General Liability, Clause II. PERSONS INSURED is amended to include the Additional Insureds listed in Item 8. below for which the Insured has assumed such person's /entities liability in a written contract or agreement (an "Additional Insured ") solely for services rendered by or on behalf of the Named Insured and that is also named in a Claim if all of the following conditions are met: 1. The Claim against the Additional Insured seeks damages for which the Insured has assumed liability; 2. This insurance applies to such liability assumed by the Insured; 3 The obligation to defend the Additional Insured, has also been assumed by the Insured in the same contract or agreement; 4. The allegations in the Claim and the Information known about the incident are such that no conflict appears to exist between the interests of the Insured and the interests of the Additional Insured; 5. The Additional Insured and the Insured ask Underwriters to conduct and control the defense of that Additional Insured against such Claim and agree that Underwriters can assign the same counsel to defend the Insured and the Additional Insured; 6. The Additional Insured agrees in writing to: a. Cooperate with the Underwriters in the investigation, settlement or defense of the Claim; L Immediately send Underwriters copies of any demands, notices, summonses or legal papers received in connection with the Claim; C. Notify any other insurer whose coverage Is available to the Additional Insured; and d. Cooperate with Underwriters with respect to coordinating other applicable insurance available to the Additional Insured; and The Additional Insured provides Underwriters with written authorization to: a. Obtain records and other information related to the Claim; and b. Conduct and control the defense of the Additional Insured In such Claim. All other terms and conditions of this Policy remain unchanged. 8. City of Santa Ana County of Marin 20 North San Pedro Road San Rafael, CA 94903 E02474 012011 ed. �.t arc% v�U lta( pppPage 1 of 1