HomeMy WebLinkAboutCOI - A & C Trucking - Expires 2022-05-14LEADERS CHOICE INSUR
700 E STREET
SACRAMENTO, CA 95814
AR®ERFIf®lf "
COILIILIERCIAL
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: 00712322-2
Underwritten by:
United Financial Cas Co
Insured:
ALFONSO CERVANTES
May 14, 2021
Policy Period: May 14, 2021 - May 14, 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
Property Damage
Combined Liability
Not applicable
Not applicable
$750,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 00712322-2
Issued to (Name of Insured): ALFONSO CERVANTES
A & C TRUCKING
Effective date of endorsement: 05/14/2021
Form i i98 (0 1l04)
Policy expiration date: 05/14/2022