HomeMy WebLinkAboutCOI - Anjenay Transport - Expires 2024-07-27HANSE N INS PROGREIIIVE"
800 EAST LA KE AVE
WA TS ONV ILLE , CA 95076 COMMERCIAL
CITY OF GILROY
7351 ROSANNA ST
GILROY, CA 95020
Additional insured endorsement
Name of Person or Organization
CITY OF GILROY
7351 ROSAN NA ST
GILROY , CA 95020
Policy number: 02571980-8
Underwritten by :
United Financial Cas Co
Insured:
JAMES J BREWER
July 29, 2023
Policy Period Jul 27, 2023 -Jul 27 , 2024
Mailing Address
United Financial Cas Co
PO Box 94739
Cleveland, OH 44101
1-800-876-8270
For customer service, 24 hours a day,
7 days a week
Th e person or organ ization named above is an insured with respect to such li ab ili ty coverage as is
afforded by the policy, but this insurance applies to sa id insured only as a person li ab le for the conduct of
another insured and then on ly to the extent of that liabilit y. We also agree with you that insurance
prov id ed by this end orsement will be primary for any power unit spec ifically described on the
Declarations Page .
Limit of Liability
Bodily Injury
Property Damage
Combined Liability
Not applicable
Not app li cable
$1,000,000 each acciden t
All other terms, limits and provisions of this policy remain unchanged.
Th is endorsement app li es to Policy Number: 025 71980-8
Issued to (Name of Insured): JAMES J BREWER
ANJENAY TRANSPORT
Effecti ve date of endorsement: 07/27/2 023
Form 1198 (0 1/04)
Policy exp ir ation date: 07/27/2024