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SUNRISE MULTISPECIALISTS MEDICAL CENTER
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Last modified
8/20/2024 1:30:30 PM
Creation date
9/16/2021 1:50:42 PM
Metadata
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Template:
Contracts
Company Name
SUNRISE MULTISPECIALISTS MEDICAL CENTER
Contract #
N-2021-179
Agency
Human Resources
Expiration Date
7/11/2024
Insurance Exp Date
8/1/2024
Destruction Year
2029
Notes
For Insurance Exp. Date see Notice of Compliance
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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ iTCAREFULLY. <br />POLICY NUMBER: 602378275 <br />MA <br />FARMERS <br />INSURANCE <br />ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />BUSIN ESSOW NERS LIABILITY COVERAGE FORM <br />BUSI N ESSOW NERS COVERAGE FORM <br />APARTMENTOW N ERS LIABILITY COVERAGE FORM <br />CONDOMINIUM LIABILITY COVERAGE FORM <br />1*10111A01111" <br />Name Of Additional Insured Persons) Or Organization(s): <br />Ty70P75ANTA-AWRl8 MANA-GEK4 <br />Informatianrequired tocompletethisSchedule,ifnotshownabove,willbeshownintheDeclarations, <br />A. The following is added to Paragraph C. Who Is An insured of the applicable Coverage Form: <br />17238 <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 />liabllityfor "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 omisslons of those acting on your behalf in the performance of your ongoing <br />operations Orin 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 EXPenso ; Unril 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 contract or 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 />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 />937S8-ED102-19 Inclines copyrighted material of Insurance Services Office,tek Management Division <br />Inc.,nc., with Its permission. " EEREUIex/eD&{APPROVED BY. <br />s Risk ManagementAmtyst <br />
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