2019/07/16 John Dejulio Painting Additional Insured EndorsementL L
Customer Service: (800) 722-3391
01227407000614010100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
ADDITIONAL NAMED INSURED ENDORSEMENT
Claims Service: (800) 334-1661
Copy To Policy ID Number Expiration Date
504-42855-3493-001 09/13/2020 12:01 a.m.
City of Menifee 29714 Hun Rd CITY OF MENIFEE Named Insured
Menifee, CA 92586 FINANCE Dejulio, John
This endorsement is attached to and forms a part of the
listed policy. No changes will be effective prior to the time
RECEIVED changes are requested.
Additional Insured
City of Menifee
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: 09/13/2019
50461AIS01 ENDORSEMENT: 11-1
Customer Service: (800) 722-3391
i
01207479000944010100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
Claims Service: (800) 334-1661
NOTICE OF POLICY REINSTATEMENT
[Copy To Policy ID Number Expiration Date
CITY OF MENIFEE 504-42855-3493-001 09/13/2019 12:01 a.m.
Cityof Menifee FINANCE
2974 Hun Rd Named Insured
Menifee, CA 92586 SUN 2 6 2019 Dejulio, John
RECEIVED 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.
This is to notify you that the policy described above has been reinstated. The notice of
cancellation previously forwarded to you to be effective on 07/03/2019 will not take effect.
This policy has been reinstated without a lapse based on the money or information that
was provided. If a premium payment reinstated this policy, and that payment is returned
by the bank for any reason, the reinstatement will be rescinded and coverage will have
ceased on the original cancellation date.
ADDL INSURED COPY
AMEND DATE: 07/03/2019
50461 RIN01 ENDORSEMENT: 10-4
Customer Service: (800) 722-3391
01213418000876010100 Infinity Commercial Auto
11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
NOTICE OF POLICY REINSTATEMENT
Claims Service: (800) 334-1661
Copy To Policy ID Number Expiration Date
CITY OF MENIFEE 504-42855-3493-001 09/13/2019 12:01 a.m.
City of Menifee FINANCE Named Insured
MenifeeuCA 92586 JUL 2 2 2019 Dejulio, John
This endorsement is attached to and forms a part.of
RECEIVED the listed policy. No changes will be effective prior
to the time changes are requested.
This is to notify you that the policy described above has been reinstated. The notice of
cancellation previously forwarded to you to be effective on 07/31/2019 will not take effect.
This policy has been reinstated without a lapse based on the money or information that
was provided. If a premium payment reinstated this policy, and that payment is returned
by the bank for any reason, the reinstatement will be rescinded and coverage will have
ceased on the original cancellation date.
ADDL INSURED COPY
AMEND DATE: 07/31/2019
50461 RIN01 ENDORSEMENT: 10-6
01213090000007010110
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
NOTICE OF CANCELLATION OF AUTOMOBILE POLICY
Popy To CITY Of MEHIFtt Policy ID Number
City of Menifee JUL 2 2 2019 504-42855-3493-001
29714 Hun Rd Date of Notice
Men ifee, CA 92586 RECEIVED 07/16/2019
Cancellation Date
07/31/2019 12:01 a.m.
Named Insured:
Agency:
John Dejulio dba John Dejulio Painting
AUTO INSURANCE SPECIALISTS
13249 WAGON CREEK WAY
PO BOX 6507
EASTVALE, CA 92880-0706
ARTESIA, CA 90702
YOU ARE HEREBY NOTIFIED, IN ACCORDANCE WITH THE TERMS AND CONDITIONS
OF THE POLICY, THAT INSURANCE WILL CANCEL AT 12:01 AM ON 07/31/2019
Reason For Cancellation
_
Non-payment: Premium and/or fees due on 07/13/2019 in the amount of $137.53. This amount, and all other
amounts due before the cancellation date,must be received prior to the cancellation date for the policy to be
considered for reinstatement.
Unless the reason accompanies, or is included in the Notice of Cancellation, the notice shall state or be
accompanied b a statement that, upon written request of the named insured, mailed or delivered to the insurer
not less than 1y5 days prior to the effective date of cancellation, the insurer will specify the reason of such
cancellation. Such reason shall be mailed or delivered to the named insured within five days after the receipt of
such request.
Pursuant to Section 652 of the Insurance Code, you are hereby notified that:
1. The California Automobile Assigned Risk Plan provides a means by which applicants for
automobile bodily injury and property damage liability insurance may be assigned an Insurer authorized to
transact liability insurance.
2. If you are unable to procure such insurance through ordinary methods, and you are in good faith
eligible for such insurance in accordance with the standards of the Plan, it is possible for you to obtain it
through the plan.
3. Application forms for insurance through the Plan may be obtained from and submitted through
a any licensed insurance agent or broker, or
b the Plan itself at 425 California Street, P.O. Box 7917, San Francisco, CA 94120
ADDL INSURED COPY
AMEND DATE: 07/31/2019
50461 PNC01 ENDORSEMENT: 10-5