Endorsement: Specific Claim(s) Exclusion (15/11)

370 Park Street, Suite 8, Moraga CA. 94556
341 S. Main, Suite 100, Alpine UT. 84004
888.313.9977(t) ~ 925.313.9978(f)
info@dominioninsurance.com
dominion-insurance.com

Specific Claim(s) Exclusion Endorsement

In consideration of the premium for which this Insurance is written it is hereby understood and agreed that this Policy does not apply to any claims brought by or related to any entity listed on the Declarations Page.

All other terms and conditions of the Policy remain unchanged.

Specific Claim(s) Exclusion Endorsement (11/15)