WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER

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THIS ENDORSEMENT CH)WSES TH E VOL ICY. PLEASE READ IT CAR EFU LLY. IN, j71 00 F A R M E Ft 2.nd Editl Q T) INSURANCE PRIMARY AND NONCONTRIBUTORY INSURANCE Ihisendorsement nnodiffes inswan-ceprovidedunone: GUSINESSOWN ERS POLICY SCNEDULE I Name of Additional Insured Person.5(s) or Organ zation(s): .1 . . ............. - .............. ................. CITY OF SANT A MA. Of FICERS. ric I -SEEJ71 OSAMENOTOADDNL INS ...... .......... Unforniation required to complete this Schedule, if s[iown above, will be showil I n the Declarat.iom.. The following Is added to Parac ir-aph H. Other InSUIrance Qf thQ Bus inessowners Common Policy Conditions and SUPersedes all' pf ovis 1 u r i to t h e cc- ii t ra ry: Primavy arid Noncontributory Insurance llils insurance is prirridry to and wl 11 riot seek co . it i bution ftom airy other i iiw aiice- avail ab[c Lo the adds timial insured shoo vii lil the SChe&111�, provided that.- 1 . flie ads Wonal MW.red shown in the Schedule is a Natned Insured under -such other fristif x ice; 2You havc- agreed in writing In a contract or agrlp.eio-iic that this instirancq, vvc)t4j(.j be p(-trilary aric-1 viould riot seek r-onitt iWition from any other Insurance avallable to tho addi buynal inSLjred+ and 3. The addl tional Insured shown In this Schedd le Is also a ii Additional Insured on ui is pup icy. The coverage Provided udder thlri endorserii fU Is sul>ject to the terms and condItions of th.a applicable, i.jnderlyins; Additional insured 011dorsemen L. I This endorse in en t is part of your po 1Icy. It SUpersede a n d controls a nyt h i rig to t h e con t r ary. It is otherwise s u bj ec I to a I I t 1-1 e I t5 r ri 1-� of the policy -ite ial of Insurance Services Uff ice, hit, �Ni H i I is per rnfi�s 17100- E D2 0 5-18 111 cl ud es col.-qr iq I LeLf n i L mok Mmsgma& Division 9 a-7 I Q 0 M, . REVIEWED & APPRoveD By. A( zvd-a Risk Management Specialist