**POLICY NO:** 8559700  
**EFFECTIVE DATE:**  
**AGENCY NO:**  
**ADDED PREMIUM:** $ INCL. IN COMPOSITE RATE $  
**RETURN PREMIUM:** $  

**Named Insured**

This endorsement is issued by that company named below which is the insurer under the policy designated above issued to the Named Insured and forms a part of said policy as of the effective date hereof, at the hour stated in the policy Declarations.

**MALPRACTICE ENDORSEMENT**

IT IS AGREED THAT SUCH INSURANCE AS IS AFFORDED BY THIS POLICY IS EXTENDED TO COVER

INJURY, SHOCK OR MENTAL ANGUISH INCLUDING DEATH AT ANY TIME RESULTING THEREFROM, SUSTAINED DURING THE POLICY PERIOD BY ANY PERSON, WHETHER OR NOT ENGAGED IN THE EMPLOYMENT OF THE INSURED, AND ARISING OUT OF MALPRACTICE, ERROR OR MISTAKE COMMITTED (A) IN THE RENDERING OR FAILING TO RENDER MEDICAL, DENTAL, SURGICAL OR NURSING SERVICE OR TREATMENT, OR (B) THE FURNISHING OR DISPENSING OF DRUGS, OR MEDICAL, DENTAL OR SURGICAL SUPPLIES OR APPLIANCES IF THE ACCIDENT OCCURS AFTER THE INSURED HAS RELINQUISHED POSSESSION THEREOF TO OTHERS, OR (C) THE RENDERING OR FAILURE TO RENDER SERVICES OR TREATMENT BY INDUSTRIAL PSYCHOLOGISTS.

SUCH INSURANCE AS IS AFFORDED BY THIS ENDORSEMENT SHALL EXTEND TO INCLUDE THE INTEREST OF PHYSICIANS AND NURSES EMPLOYED BY THE NAMED INSURED AS A NAMED INSURED, ONLY WHILE ACTING WITHIN THE SCOPE OF EMPLOYMENT AND WHILE PERFORMING DUTIES IN HOSPITALS AND CLINICS AGREED TO BY THE NAMED INSURED.

**EXCLUSIONS**

SUCH INSURANCE AS IS AFFORDED BY THIS ENDORSEMENT SHALL NOT APPLY TO:

(A) INJURY ARISING OUT OF THE PERFORMANCE OF A CRIMINAL ACT OR CAUSED BY A PERSON WHILE UNDER THE INFLUENCE OF INTOXICANTS OR NARCOTICS.

(B) LIABILITY OF OTHERS ASSUMED BY THE INSURED UNDER ANY CONTRACT OR AGREEMENT OR LIABILITY ASSUMED BY THE INSURED UNDER ANY AGREEMENT GUARANTEEING THE RESULT OF ANY TREATMENT.

(C) ANY USE OF X-RAY APPARATUS FOR THERAPEUTIC TREATMENT.

(D) LIABILITY OF THE INSURED AS PROPRIETOR, SUPERINTENDENT OR EXECUTIVE OFFICER OF ANY HOSPITAL, SANITARIUM, CLINIC WITH BED AND BOARD FACILITIES OR BUSINESS ENTERPRISES.

**ZURICH INSURANCE COMPANY**  
**AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY**

**Countersigned:**  
**Duly authorized agent:**

Form 116-G 1000 3-62 100 €**  
**United States Manager (Zurich)**  
**President (American Guarantee)**  
**Secretary (American Guarantee)**

**END. #27**  
**PAGE #1**  
**Z 006831**