2021/07/20 Group H Construction, Inc.SANDER JACOBS CASSAY
3200 VILLA LANE
NAPA, CA 94558
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
M91RRErrIUE
COMMERCIWL
Policy number: 03197396-1
Underwritten by:
United Financial Cas Co
Insured:
GROUP H CONSTRUCTION, INC
July 8, 2021
Policy Period: Jul 20, 2021 - Jan 20, 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 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: 03197396-1
Issued to (Name of Insured): GROUP H CONSTRUCTION, INC
Effective date of endorsement: 07/20/2021
Form 1198 (01/04)
Policy expiration date: 01/20/2022