CTR053480 Endorsement.pdf

These documents are insurance policy endorsements for a Health Care Umbrella Liability Policy issued by Zurich/National Union Fire Insurance Company to Northern Arizona Healthcare Corporation. The policy involves the Arizona Department of Health Services as an additional insured entity, with Marsh Risk & Insurance Services acting as the producer. The policy number is HPC 3222319-00, with an effective period from 07/01/2020 to 07/01/2021, and an endorsement effective date of 05/24/2021.

The endorsements modify the existing insurance policy to provide limited advice of cancellation to scheduled entities and add the Arizona Department of Health Services as an additional insured under Coverage A and Coverage B. The endorsements specify that the additional insured coverage is limited to liabilities arising from operations performed by or for the named insured, with a retroactive date of 05/24/2021. The policy includes provisions for notification of cancellation, requiring the insurer to attempt to mail notices to the scheduled entities at least 30 days prior to the cancellation effective date, though failure to provide such notice does not negate the policy cancellation.