Laserfiche WebLink
THIS ENDORSEME T CHA GES THE POLICY. PLEASE READ IT CAREFULLY_ <br />GENERAL PURPOSE ENDORSEMENT <br />This endorsement modifies insurance provided under the following: <br />This information is c ompleted ent , wnen this endorsemen is · ed <br />preparation of the policy: <br />POLICY CHANGES ARE INDICATED BY AN T: <br />[X] Endorsecnent(s) is/ar e amended as s h own betow. <br />seq el to <br />The Additional Insured is hereby added solely for Damages arising out of a Professional <br />Incident covered under this policy. The Professional Incident must arise out of services <br />provided by the Insured, under contract with the Additional Insured. <br />DCYF 1661 F01Ao4er St <br />Richard , V*. 99352 <br />All other terms and conditions of this Policy remain undlanged. This endorsement is part of your <br />Policy and takes effect on the effective date of your polrcy , unless another effective. date is shown <br />below. <br />PL Policy: P-IND3TDIS9KVQX-02 <br />Effective on and after: 0711612019 <br />Issued to: Kristi L Hunziker <br />Expiration: 03/08/2020 <br />NASWRRG UE-00 1 7 /30/201 9 <br />(~ptriQht) 2015 NASW Risk Retontion Group. Inc.; Al righlS reserved. <br />By: <br />Customer ID: 3TDIS92CJX <br />GLPolicy:G--45T45HGS4J-OO <br />Total Amount Paid: $16.10 <br />Tony Benedetto, Authorized Representative