CRYONIC SUSPENSION AGREEMENT

"Suspended Animation Local Help" Rider

This Rider is attached to the Cryonic Suspension Agreement between _______________________________________________________________________ currently residing at_______________________________________________________ _______________________________________________________ (Hereinafter referred to as the "SA-CI Applicant") and the CRYONICS INSTITUTE, a Michigan nonprofit corporation (hereinafter "CI"), which agreement was finally executed at Clinton Township, Michigan. This Rider concerns Local Help to be delivered by Suspended Animation, Inc. (hereinafter "SA") located at 3020 High Ridge Road #300, Boynton Beach, FL 33426.

The SA-CI Applicant hereby certifies that he/she has reviewed an agreement titled "Individual Agreement Regarding Standby-Transport for a Cryonics Institute Member by Suspended Animation," and has reviewed an agreement titled "Cryopreservation Agreement between the Cryonics Institute and Suspended Animation," and has read and understood a document titled "Protocol for SA-CI Standby-Transport to be Performed for the Cryonics Institute by Suspended Animation" which defines various procedures (hereinafter "SA-CI Protocol"). The SA-CI Applicant wishes to receive SA-CI Protocol from SA as part of his/her overall cryonics plan. CI shall be responsible for providing services to the SA-CI Applicant including:

  1. The possession, protection and long-term storage of the body (corpus) of the SA-CI Applicant
  2. Financial administration of the Transport funding the SA-CI Applicant has allocated to SA and CI, including holding of insurance documents and prepaid money for Transport, collection of insurance money for Transport after legal death of the SA-CI Applicant, distribution of the money for services rendered or returning of insurance ownership or prepaid money to a SA-CI Applicant if this agreement is cancelled.
  3. Cryopreservation services normally provided by CI which are not provided by SA.
The SA-CI Protocol that may be provided by SA includes one or more of the following:
  1. SA-CI Standby or Transport procedures, meaning the deployment and utilization of personnel and equipment before and after the legal death of an SA-Affiliated CI Member, with the intention facilitating optimum subsequent human cryopreservation.
  2. Emergency transport (SA provides transport when standby is precluded by the untimely death of the SA-CI Applicant)
  3. If the SA-Affiliated CI Member has opted for cryopreservation via stepped concentrations of glycerol solution, as defined in the SA-CI Protocol, the procedure shall be supervised by a funeral director (if applied in Michigan) under advice of SA personnel.

CI in no way warrants the provision, quality, or outcome of the SA-CI Standby-Transport. CI is not responsible for any mistakes or omissions by SA. CI is generally familiar with SA’s operations, but is not responsible for monitoring SA’s procedures, business methods or legal status.

CI hereby cautions the SA-CI Applicant that if life insurance is used to fund the payment for SA-CI Transport described herein, CI will not make payment to SA for Transport provided for the SA-CI Applicant, unless the SA-CI Applicant dies. Should the SA-CI Applicant request SA-CI Protocol from SA in accordance with agreements between the SA-CI Applicant and SA and should the SA-CI Applicant not die but survive the Standby provided, SA-CI Applicant is responsible for payment to SA of SA fees due for the Standby provided. As a result, CI anticipates that SA may require financial security prior to initiating Standby in the form of a deployment account, prepayment, or additional life insurance for Standby for which SA is the beneficiary.

Of money prepaid to CI or paid to CI through insurance the SA-CI Applicant allocates $___________ (minimum $28,000 Lifetime Membership Member and $35,000 Yearly Membership Member) for CI and $__________ for SA for Transport. Any excess funding that is not reasonably used and itemized for SA-CI Transport shall revert to CI. Money to be paid for Standby shall be paid directly to SA, and shall not be derived from any funds included in this Local Help Rider. SA will provide CI with an itemized list of all charges. Other payment provisions are set forth in the Agreement between SA-CI Applicant and SA, which shall govern the relationship between SA-CI Applicant and SA. This Rider applies only if there is a valid, executed agreement between SA-CI Applicant and SA which has not been terminated or expired.

In the Individual Agreement Regarding Standby-Transport for a Cryonics Institute Member by Suspended Animation the SA-CI Applicant has indicated the SA-CI Protocol to be received from SA. The SA-CI Applicant alone is responsible for the choice of SA-CI Protocol provided by SA.

If the SA-CI Applicant is funding cryonics and SA-CI Protocol through life insurance, the SA-CI Applicant shall make CI the owner of the life insurance policy, unless the CI Board of Directors approves exceptional arrangements. If Standby is funded through insurance, SA should be the beneficiary of that portion of the insurance. CI agrees that CI will return ownership of the life insurance policy to the SA-CI Applicant at any time upon official written request. Should the SA-CI Applicant have CI relinquish ownership of the life insurance policy, neither CI nor SA shall be responsible for providing SA-CI Standby or Transport unless funded by the SA-CI Applicant through alternative means agreed to in writing to CI or CI and SA, as appropriate. CI may terminate a Cryonic Suspension Agreement Suspended Animation Local Help Rider immediately if insurance payments are in default, the amount of insurance obtained does not equal the amount allocated in this rider or set forth in the SA-CI Applicant’s agreement with SA, or if the SA-CI Applicant’s funds (from insurance or otherwise) may be less than completely available in the amounts set forth in this Rider. Termination of the "Individual Agreement Regarding Standby Service for a Cryonics Institute Member by Suspended Animation" shall result in termination of this Local Help Rider. The Cryonic Suspension Agreement Suspended Animation Local Help Rider terminates immediately if there is a termination of the "Cryopreservation Agreement between the Cryonics Institute and Suspended Animation." Insurance funding for Standby, for Transport and for Storage must be clearly designated and any excess insurance funding above these amounts shall go to CI. More specifically, insurance funding for Standby must name SA as beneficiary and all other insurance funding goes to CI and should name CI as beneficiary.

CI agrees to respect the confidentiality of the SA-CI Applicant and to not publicly disclose identifying information concerning the cryonics services or SA-CI Protocol delivered to the SA-CI Applicant without the permission of the SA-CI Applicant. CI may disclose technical information to the public concerning cryonics or SA-CI Protocol which do not allow for identification of the SA-CI Applicant.

_____________________________________ (Signature) I, the SA-CI Applicant, hereby give my permission to publicly disclose details of my identity and the circumstances of my cryonics Standby, Transport and SA-CI Protocol in the hope that this information will advance the science and public acceptance of cryonics.

_____________________________________ (Signature) I, the SA-CI Applicant, hereby state that I have given my permission to SA to supply CI copies of all documentation of the SA-CI Protocol prepared for the SA-CI Applicant, including written descriptions, recorded values (or summaries of recorded values) by measuring instruments and photographs as well as video and audio recordings.

IN WITNESS WHEREOF, the parties hereto have signed below:

CRYONICS INSTITUTE by ________________________________________________

its Contract Officer, dated ___________________________

SA-CI APPLICANT ________________________________

dated ____________

Subscribed and sworn to before me this ______day of ___________________,________

Name of Notary Public_____________________________________________________

Signature of Notary Public__________________________________________________

County and State__________________________________________________________

If two witnesses are used instead of a notary, for each witness please show signature, printed name, address, and date:

Witness 1 Signature ______________________________________

Date ___________________

Printed Witness 1 Name ___________________________________

Witness 1 Address________________________________________________________

Witness 2 Signature ______________________________________

Date ___________________

Printed Witness 2 Name ___________________________________

Witness 2 Address_______________________________________________________