2021/01/20 Group H Construction, Inc.SANDER JACOBS CASSAY
3200 VILLA LANE
NAPA, CA 94558
PI 99Rf1fw 1YF
C'0MME'°CIAL
CITY OF MENIFEE
29844 HAUN ROAD
MENIFEE, CA 92586
Additional insured endorsement
Name of Person or Organization
CITY OF MENIFEE
29844 HAUN ROAD
MENIFEE, CA 92586
Policy number: 03197396-0
Underwritten by:
United Financial Cas Co
Insured:
GROUP H CONSTRUCTION, INC
January 22, 2021
Policy Period: Jan 20, 2021 - Jul 20, 2021
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: 03197396-0
Issued to (Name of Insured): GROUP H CONSTRUCTION, INC
Effective date of endorsement: 01/20/2021
Form H98 (01/04)
Policy expiration date: 07/20/2021
COMMERCIAL
WAIVER OF SUBROGATION ENDORSEMENT
This endorsement modifies insurance provided under the following:
Commercial Auto Policy
Motor Truck Cargo Legal Liability Coverage Endorsement
Commercial General Liability Coverage Endorsement
We agree to waive any and all subrogation claims against the person or organization
designated below except for losses that are due in whole or part to the negligence or
errors and omissions of the designated person or organization.
CITY OF MENIFEE
29844 HAUN ROAD
MENIFEE, CA 92586
This endorsement applies to Policy Number: 031973960
Issued to: GROUP H CONSTRUCTION, INC
Endorsement Effective: 01/20/2021 Expiration: 07/20/2021
All other terms, limits and provisions of this policy remain unchanged.
Form 8610 (05/09) M_CL