COI - Tri-Valley Equipment Inc - Expires 2023-07-21MCDERMOTT-COSTA CO
1045 MACARTHUR BLVD
SAN LEANDRO, CA 94577
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
R E
Cif RFD
JUL 2 8 2022
GILROY CITY CLERK'S OFFICE
Additional insured endorsement
Name of Person or Organization
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
PROGREIS/UE'°
COMMERCIAL
Policy number: 04030456-5
Underwritten by:
United Financial Cas Co
Insured:
TRI-VALLEY EQUIPMENT INC
July 22, 2022
Policy Period: Jul 21, 2022 - Jul 21, 2023
Mailing Address
United Financial Cas Co
PO Box 94739
Cleveland, OH 44101
1-800-444-4487
For customer service, 24 hours a day,
7 days a week
The person or organization named above is an insured with respect to such liability coverage as is
afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of
another insured and then only to the extent of that liability. We also agree with you that insurance
provided by this endorsement will be primary for any power unit specifically described on the
Declarations Page.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $1,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 04030456-5
Issued to (Name of Insured): TRI-VALLEY EQUIPMENT INC
Effective date of endorsement: 07/21/2022 Policy expiration date: 07/21/2023
Form 1 198 (01 041
PROGRESSIVE
PO Box 94739
Cleveland, OH 44101-4739
650053 4584 1 MB 0.515 PPACSOIT 017 004584
CITY OF GILROY
7351 ROSANNA ST
GILROY CA 95020
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PROGRESSIVE
COMMERCIAL
WOODRUFF SAWYER & COMPANY
50 CALIFORNIA ST FL 12
SAN FRANCISCO CA 94111-4646
CITY OF GILROY, ITS OFFICERS, OFFICIALS AND EMPLOYEES
7351 ROSANNA ST
GILROY CA 95020-6141
CRIWMD
JUL 2 7 2022
GILROY CITY CLERK'S OFFICE
RE