Laserfiche WebLink
Liberty <br />Healthcare Professional Liability Unde . <br />LIBERTY INSURANCE UNDERWRITERS INC. <br />(A Stock Insurance Company, hucinafter the "Compann <br />ENDORSEMENT NO. <br />Effective Date: 08/21/2014 <br />Policy Number: AHY-754318001 <br />Issued To: Felice Hernandez <br />Return Premium ❑ <br />Additional Premium ❑ $ <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />COVERED OCCUPATIONS ENDORSEMENT <br />The business, occupation and/or profession shown in the Declarations of this policy is amended to include the <br />following: <br />Occupation Covered Occupation <br />Covered <br />Primary Professional Designation Rehabilitation Counselor Registered Nurse Employee <br />Other Owners Other Employees <br />Rehab Asst,Counselor,Thempist Registered Nurse -FT <br />Employee <br />Registered Nurse -PT Rehabilitation Assistant -FT <br />Rehabilitation Assistant -PT Rehabilitation Counselor -FT <br />Rehabilitation Counselor -PT I Rehabilitation Therapist -FT <br />Rehabilitation Therapist -PT <br />ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED. <br />APPROVED AS TO FORM <br />1 <br />HCPI-8020 (Ed, 04/14) Q A,1,iaβ€” <br />Laura A. Rossini <br />Assistant City Attorney <br />