HomeMy WebLinkAboutEnd. 7- Kitsap OPS0070063
ENDORSEMENT
NO. 7
ATTACHED TO AND
FORMING A PART OF POLICY NUMBER
ENDORSEMENT EFFECTIVE DATE (12:01 A.M. STANDARD TIME) NAMED INSURED AGENT NO.
OPS0070063
07/19/2021
Kitsap Mental Health Services
Negley
Associates
29518
COMMERCIAL GENERAL LIABILITY COVERAGE PART:
PROFESSIONAL LIABILITY COVERAGE PART:
The following Name of Person or Organization is hereby added to CG 20 26 07 04 ADDITIONAL INSURED-
DESIGNATED PERSON OR ORGANIZATION and CLS-59s (4-10) ADDITIONAL INSURED (VICARIOUS)-
DESIGNATED PERSON OR ORGANIZATION:
Name of Person or Organization:
City of Bremerton
345 6th Street, STE 100
Bremerton, WA 98337
No Additional Premium
UTS-3g (3-92) 07/28/2021 dgallagher