COI - H.K. Avery Construction - Expires 2022-05-04GONZALEZ INS AGENCY
1155 MERIDIAN AV #201
SAN JOSE, CA 95125
PROOREIJILIE`
COMMERCIAL
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
Additional insured endorsement
Name of Person or Organization
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
Policy number: 04690736-7
Underwritten by:
United Financial Cas Co
Insured:
HIRAM AVERY
April 14, 2021
Policy Period: May 4, 2021 - May 4, 2022
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: 04690736-7
Issued to (Name of Insured): HIRAM AVERY
H.K. AVERY CONSTRUCTION
Effective date of endorsement: 05/04/2021 Policy expiration date: 05/04/2022
Form 1 198 (01;04)