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SUNRISE MULTISPECIALIST MEDICAL CENTER
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Last modified
8/20/2024 1:22:49 PM
Creation date
4/16/2020 3:04:57 PM
Metadata
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Template:
Contracts
Company Name
SUNRISE MULTISPECIALIST MEDICAL CENTER
Contract #
N-2020-084
Agency
HUMAN RESOURCES
Expiration Date
6/30/2021
Insurance Exp Date
12/31/2023
Destruction Year
2026
Notes
For Insurance Exp. Date see Notice of Compliance
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />POLICY NUMBER: 602378275 <br />FARMERS <br />INSURANCE <br />ADDITIONAL INSURED — DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSINESSOWNERS LIABILITY COVERAGE FORM <br />BUSINESSOWNERS COVERAGE FORM <br />APARTMENTOWNERS LIABILITY COVERAGE FORM <br />CONDOMINIUM LIABILITY COVERAGE FORM <br />SCHEDULE <br />Name Of Additional Insured Persons) Or Organization(s): <br />jC1TY-GF S CtTTXWNA1:UWMARAGEMENT jNf5M— <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />A. The following is added to Paragraph C. Who Is An Insured of the applicable Coverage Form: <br />j7238 <br />1st Edition <br />Any person(s) or organization(s) shown in the Schedule is also an additional insured, but only with respect to <br />liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by <br />your acts or omissions or the acts or omissions of those acting on your behalf in the performance of your ongoing <br />operations or in connection with your premises owned by or rented to you. <br />However: <br />a. The insurance afforded to such additional insured only applies to the extent permitted bylaw; and <br />b. If coverage provided to the additional insured is required by a contractor agreement, the insurance afforded to <br />such additional insured will not be broader than that which you are required by the contract or agreement to <br />provide for such additional insured. <br />B. With respect to the insurance afforded to these additional insureds, the following is added to Paragraph D. Liability <br />And Medical Expenses Limits Of Insurance of the applicable Coverage Form: <br />If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of <br />the additional insured is the amount of insurance: <br />1. Required by the contractor agreement; or <br />2. Available under the applicable Limits Of Insurance shown in the Declarations; <br />whichever is less. <br />This endorsement shall not increase the applicable Limits Of Insurance shown in the Declarations. <br />REVIEWED & APPROVED <br />By Risk MANAGEMENT DIVISION <br />M 2020 <br />ANGIE ACEVEdO <br />This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is otherwise subject to all the <br />terms of the policy. <br />J7238-ED102-19 Includes copyrighted material of insurance Services Office, Inc., with its permission. Pagel oft <br />937238 J7238101 <br />
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