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PI-PHCP-05 (03/01) <br />THIS ENDORSEMENT CHANGED 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 INSURANCE POLICY <br />In consideration of the premium paid, this policy is amended as follows: <br />City of Pleasanton is hereby added as an Additional Insured, solely for Damages arising out of a <br />Professional Incident covered under this policy. The Professional Incident must arise out of services <br />provided by the Insured, under contract with City of Pleasanton. <br />Additional Insured Name and Mailing Address: <br />City of Pleasanton <br />Pleasanton Police Department <br />PO Box 909 <br />Pleasanton, CA , 94566 <br />All other terms and conditions of this policy remain unchanged. <br /> <br />Policy #: AR174542 <br />Effective on or after: 05/12/2026 <br />Issued to: Public Safety Family Counseling Group, INC. <br />Expiration date: 05/12/2027 <br />Docusign Envelope ID: 233E1504-A3BA-87D9-817C-FD3B9C623DBC