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Liberty
<br /> p_ ` International
<br /> [Underwriters,
<br /> Healthcare Professional Liability
<br /> Policy
<br /> LIBERTY INSURANCE UNDERWRITERS INC.
<br /> (A Stock Insurance Company,hereinafter the"Company")
<br /> ENDORSEMENT NO. [ ]
<br /> Effective Date: 07/01/2019
<br /> Policy Number: AHY-630201008
<br /> Issued To: Lynn D Shatz
<br /> THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
<br /> WASHINGTON AMENDATORY ENDORSEMENT
<br /> In consideration of the premium paid,it is agreed and understood that the above-referenced policy is hereby amended as
<br /> follows:
<br /> I. Part VI.EXCLUSIONS,paragraph 6.is deleted in its entirety and replaced by the following
<br /> 6. to any claim, action, judgement,liability, settlement, loss, defense, cost or expense in any way arising out of
<br /> actual,alleged or threatened pollution,contamination or any environmental impairment resulting from seepage,
<br /> discharge, dispersal, release or escape of any solid, liquid, gaseous or radioactive matter including, but not
<br /> limited to, smoke,vapors, soots, fumes, acids, alkalis, chemicals or toxic matter; or waste material (including
<br /> materials to be recycled, reconditioned or reclaimed); or oil or other petroleum substances or derivatives
<br /> (including oil refuse or oil mixed with waste),or thermal or vibratory effect including,but not limited to,sound
<br /> or noise,heat or cold,into or upon land,the atmosphere or any water course or body of water,underground
<br /> water or water table supplies,resulting from the Insured's activities or the activities of others and whether or
<br /> not such is sudden,gradual, accidental,intended, foreseeable, expected, fortuitous or inevitable and wherever
<br /> or however such occurs.
<br /> But this exclusion shall not apply to Bodily Injury or Property Damage caused by heat, smoke or fumes
<br /> from a Hostile Fire unless such fire involves:
<br /> a. materials which are or were at any time used for the handling,storage,disposal,processing or treatment of
<br /> waste;or
<br /> b. any premises,site or location:
<br /> i. which is or was at any time used for handling,storage,disposal,processing or treatment of waste;or
<br /> ii. on which any Insured or contractors or subcontractors working directly or indirectly on any
<br /> Insured's behalf are performing operations to test for, monitor, cleanup, remove, contain, treat,
<br /> detoxify or neutralize,or in any way respond to,or assess the effects of,pollutants;
<br /> II. Part VIII.E.,CONDITIONS is deleted in its entirety and replaced by the following:
<br /> E. CANCELLATION AND NONRENEWAL
<br /> 1. CANCELLATION
<br /> This insurance may be cancelled on the customary short-rate basis by the Named Insured at any time by
<br /> one of the following methods:
<br /> a. written notice to the Company or its authorized representative by mail,fax or e-mail;
<br /> 3
<br /> HCPL-2037-9000-WA(Ed. 04/14)
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