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

Named Assured Amendatory Endorsement

In consideration of the premium for which this Insurance is written it is hereby understood and agreed that the Named Assured listed in item 1. on the declarations page is amended to read as listed under Forms & Notices.

All other terms and conditions of the Policy remain unchanged.


Named Assured Amendatory Endorsement (09/16)