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WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
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WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
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Last modified
10/18/2024 9:46:50 AM
Creation date
8/18/2022 9:45:41 AM
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Contracts
Company Name
WILLIAM H. NUESSE M.D. AND MARY ANN NUESSE, D.O. dba SUNRISE MULTISPECIALIST MEDICAL CENTER
Contract #
A-2022-152
Agency
Human Resources
Council Approval Date
8/2/2022
Expiration Date
6/30/2025
Insurance Exp Date
5/29/2025
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 />to <br />will be shown in <br />A. The following is added to Paragraph C. Who lsAnInsured ofthe applicable Coverage Form: <br />j7238 <br />1 at 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 contractor agreement to <br />provide forsuch 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 />This endorsement is part of your policy. It supersedes and controls anything to the contrary. It is oth <br />terms of the policy. <br />RukMwgnwdiRsidan 4. <br />y+� REVIEWED&APPRDv®BY: w <br />® Risk Management Supervisor <br />J7238-ED 1 02-19 Includes Copyrighted material of Insurance office, Inc., with its permission. 937238 Page 1 of 1 <br />17238101 <br />
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