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POLICY NUMBER: MKLV5PSM000796 <br />MESM 2060 03 21 Page 1 of 1 <br />EVANSTON INSURANCE COMPANY <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />WAIVER OF SUBROGATION FOR SCHEDULED ADDITIONAL INSURED(S) <br />This endorsement modifies insurance provided under the following: <br />SPECIFIED MEDICAL PROFESSIONS PROFESSIONAL LIABILITY INSURANCE COVERAGE PART <br />SPECIFIED MEDICAL PROFESSIONS PROFESSIONAL LIABILITY INSURANCE POLICY <br />SPECIFIED MEDICAL PROFESSIONS GENERAL LIABILITY INSURANCE COVERAGE PART – OCCURRENCE <br />COVERAGE <br />SPECIFIED MEDICAL PROFESSIONS GENERAL LIABILITY INSURANCE COVERAGE PART – CLAIMS MADE <br />COVERAGE <br />In consideration of the premium paid, it is hereby understood and agreed that the following is added to Section H. <br />Subrogation of COMMON POLICY CONDITIONS: <br />The Company shall not exercise such rights of recovery against the additional insured person(s) or organization(s) stated <br />in the Schedule of this endorsement. <br />All other terms and conditions remain unchanged. <br />SCHEDULE <br />Name Of Additional Insured Person(s) Or Organization(s):Any natural person or legal entity to whom the Named <br />Insured is obligated by written contract or agreement to <br />provide Waiver of Subrogation to an Additional Insured. <br />Docusign Envelope ID: EAC72FF0-2F63-4ADB-9A2E-1E009CC6908F