COI - Tom Chargin Construction - Expires 2022-09-09it
Customer Service: (800) 722-3391
Oki
01334254000073020100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
Claims Service: (800) 334-1661
PRIMARY AND NONCONTRIBUTORY ENDORSEMENT
Copy To
Policy ID Number
Expiration Date
City of Gilroy, Its Officers, Rep, Agts
and Employees
7351 Rosanna St
Gilroy, CA 95020
504-61002-7696-001
09/09/2022 12:01 a..m.
Named Insured
Tom Chargin Construction
This endorsement is attached to and forms a part of the listed policy.
The following endorsement applies only if Form Number 500PNCV01
appears on your Declarations Page.
This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY.
PART A — LIABILITY COVERAGE
OTHER INSURANCE — PART A ONLY
The following is added to this section:
The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from
any other insurance available to an additional insured under your policy provided that:
a. You have agreed in writing in a contract or agreement that the coverage afforded under your
Commercial Auto Policy would be primary and would not seek contribution from any other insurance
available to such additional insured; and
b. Such additional insured is a named insured under such other insurance.
ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.
ADDL INSURED COPY
AMEND DATE: 09/09/2021
500PNCV01
ENDORSEMENT: 12-1
D1334254000070020100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
Customer Service: (800) 722-3391 Claims Service: (800) 334-1661
ADDITIONAL NAMED INSURED ENDORSEMENT
Co To Policy ID Number Expiration Date
504-61002-7696-001 09/09/2022 12701 a.m.
City of Gilroy, Its Officers, Rep, Agts Named Insured
and Employees
7351 Rosanna St Tom Chargin Construction
GILROY, CA 95020
This endorsement is attached to and forms a part of the
listed policy. No changes will be effective prior to the time
changes are requested.
Additional Insured
City of Gilroy, Its Officers, Rep, Agts and Employees
Part A - Liability Coverage, is changed as follows:
The definition of insured is changed to include the additional insured named above. Adding an
insured will not increase the limit of our liability. The insurance provided by this endorsement will
be excess over any other valid and collectible insurance.
All other parts of this Policy remain unchanged.
ADDL INSURED COPY
AMEND DATE: 09/09/2021
50461 AIS01 ENDORSEMENT: 12-1
01334254000071010100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
Customer Service: (800) 722-3391 Claims Service: (800) 334-1661
ADDITIONAL NAMED INSURED ENDORSEMENT
Co To Policy ID Number Expiration Date
504-61002-7696-001 09/09/2022 12:01 a.m.
City of Gilroy, Its Officers, Rep, Agts Named Insured
and Employees
7351 Rosanna St Tom Chargin Construction
Gilroy, CA 95020
This endorsement is attached to and forms a part of the
listed policy. No changes will be effective prior to the time
changes are requested.
Additional Insured
City of Gilroy, Its Officers, Rep, Agts and Employees
Part A - Liability Coverage, is changed as follows:
The definition of insured is changed to include the additional insured named above. Adding an
insured will not increase the limit of our liability. The insurance provided by this endorsement will
be excess over any other valid and collectible insurance.
All other parts of this Policy remain unchanged.
ADDL INSURED COPY
AMEND DATE: 09/09/2021
50461AIS01 ENDORSEMENT: 12-1
Customer Service: (800) 722-3391
01334254000072010100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
PRIMARY AND NONCONTRIBUTORY ENDORSEMENT
Claims Service: (800) 334-1661
Copy To
Policy ID Number
Expiration Dla-M.
of Gilroy, Its Officers, Rep, Agts
and Employees
7351 Rosanna St
GILROY, CA 95020
504-61002-7696-001
09/09/2022 1City
Named Insured
Tom Chargin Construction
This endorsement is attached to and forms a part of the listeThe following endorsement applies only if Form Number 500
appears on your Declarations Page.
This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY.
PART A — LIABILITY COVERAGE
OTHER INSURANCE — PART A ONLY
The following is added to this section:
The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from
any other insurance available to an additional insured under your policy provided that:
a. You have agreed in writing in a contract or agreement that the coverage afforded under your
Commercial Auto Policy would be primary and would not seek contribution from any other insurance
available to such additional insured; and
b. Such additional insured is a named insured under such other insurance.
ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.
ADDL INSURED COPY
AMEND DATE: 09/09/2021
500PNCV01
ENDORSEMENT: 12-1