HomeMy WebLinkAboutJose Michael Medina 06.18.2026�►,�M P�,�. LIQ Kemper Auto Commercial
11700 Great Oaks Way, Suite 460
COMMERCIAL Alpharetta, GA 30022
Underwritten by: Infinity Select Insurance Company
Customer Service, (800) 722-3391 Claims Service: (800) 353-6737
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ADDITIONAL NAMED INSURED ENDORSEMENT
Town of Los Altos Hills
Part A - Liability Coverage, is changed as follows:
The definition of 'Insured Is changed to include the additional 'Insured named above. Adding an intured will not
Increase the limit of our liability. The Insurance provided by this endorsement will be excess over any other valid
and collectible insurance, r
All other parts of this Policy remain unchanged.
ADDL INSURED COPY AMEND DATE: 06/18/2026
50461AIS01 ENDORSEMENT: 1.2
Kemper AutoCommercial
KEMP� Auto
11700 Great Oaks Way, Suite 450
C
Alpharetta, GA 30022
OMMIE:IZOAL
Underwritten by.: Infinity Select Insurance Company
Customer service: (800) 722-3391 Claims Service: (800) 353-6737
PRIMARY AND NONCONTRIBUTORY ENDORSEMENT
Town of Los Altos Hills
26379 W Fremont Rd
Los Altos Mills, �CA 94022
60034137801 1 06/18/2027 12:01 a.m.
Jose Michael, Medina
This ohdorsoment Is attached to and forms a part of the listed
policy, The following endorsement applies only If Form Number
600PNCVOI appears on your Declarations Page,
This' endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY.
DART A 00-0 LIABILITY COVERAGE OTHER INSURANCE — PART A ONLY
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The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from
any other insurance evadable to an additional Insured under your policy provided that:
aY You have agreed in writing in a contract or agreement that the coverage afforded under your Commercial
Auto Policy would be primary and would not seek contribution from any other insurance available to
such additional insured; and
b. Such additional insured is a named insured under such other insurance.
ALL OTHER TERMS, LIMITS, CONDITIONS, AND PIROVIS IONS OF THE POLICY REMAIN UNCHANGED,
ADDL IINSURED COPY AMEND DATE : 06/18/ 026
600PNCV01 ENDOR$EMENT: 1-2
Kemper Auto Cammiercial
F%.,Auto
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C. :0 ". IL -Al 11700 Great Oaks Way, Suite 450
Alpharetta, GA 30022
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Underwritten by: Infinity Select Insurance Company
customer Service: (800) 722-3391: Claims Service: (800) 363-6737
WAIVER OF SUBROGATION
50034137801 1 06-/18/2-027 12:01 a.m.
Town of Los Altos Hills
26370 W Fremont Rd
Los Altos Hills, CA 94022 Jose Michael Medina
This endorsement 'is attached to and forms a part of the
listed policy. No changes will be effective prior toithe time
changes are requested..
In return for your premium payment shown below, we agree that our rights of subrogation or rights of recovery
under the policy will not apply against the following person or organization:
Town of Los Altos Hills
(name of person erson or
,
organization)
Additional premium in the amount of $26.00 will be retained by us regardless of any early termination of this
endorsement or the policy.
All other policy provisions remain unchanged.
0 1,
ADDL ISI SURSID COPY AMEND DATE: 06/18/2026
604618WFOII ENDORSEMENT: 1-2