Dominion Insurance Services: Where the Answers Are
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

Independent Contractor Care Manager Endorsement

In consideration of the premium for which this Insurance is written it is hereby understood and agreed that the individuals listed under Forms & Notices on the Declarations qualify as additional assured(s) under the Policy with respect to work performed in the capacity of a Care Manager for or on behalf of the Named Assured .

All other terms and conditions of the Policy remain unchanged.

Independent Contract Care Manager Endorsement (11/15)