2021/04/20 Larson, Ralph Additional Insured Endorsement013161411001452020100 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
0 ADDITIONAL NAMED INSURED ENDORSEMENT
Copy To
City Of Meifee
29844 Haun Rd
Menifee, CA 92586
Policy ID Number Expiration Date
504-61013-7447-001 04/20/2022 12:01 a.m.
Named Insured
Larson, Ralph
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 Meifee
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: 04/20/2021
50461AIS01 ENDORSEMENT: 2-1