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<br /> <br /> <br />DATE (MMfDDIYY) <br />12/27/04 <br /> <br />PRODUCER <br />MARSH RISK & INSURANCE SERVICES <br />P. O. BOX 193880 <br />SAN FRANCISCO, CA 94119.3880 <br />CALIFORNIA LICENSE NO. 0437153 <br /> <br />COMPANIES AFFORDING COVERAGE <br /> <br />COMPANY <br />E AMERICAN INTERNATIONAL SOUTH INSURANCE Co. <br /> <br />URSCA -ALL-WIPRQ-04.05 SFO URSA <br /> <br />COMPANY <br />F <br /> <br />INSURED <br />URS CORPORATION <br />dba URS CORPORATION AMERICAS <br />600 MONTGOMERY STREET <br />25TH FLOOR <br />SAN FRANCISCO, CA 94111 <br /> <br />COMPANY <br />G <br /> <br />COMPANY <br />H <br /> <br />Note: This is the usual form we use and it fulfills the legal requirement of Form CG2010 11 85. <br />POLICY NUMBER: GL 933.3116 <br /> <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED. OWNERS, LESSEES OR <br />CONTRACTORS. COMPLETED OPERATIONS <br /> <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />WHERE REOUIRED BY WRITTEN CONTRACT <br /> <br />...........--...--.--.----...-.---.------...--.------..-.--.-----....--.--.--.......------.-....-----.-....--.--.--.....---------...-------.-.....--------......--.-----.....-.--.--....... <br /> <br />-----.--....--.--.---....--.--.----...--.--.--....--.------....--.----......--.--.............................................................................-.....--.............--...... <br /> <br />Location And Description of Completed Operations: <br /> <br />Additional Premium: <br />o <br /> <br />......-.........................-.....--.................-...........-...........-....................................................................................--................... <br /> <br />..............................................................-.................................................-.............................................................-.....--..... <br /> <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declara. <br />tions as applJcable to this endorsement.) <br />Section II . Who Is An Insured is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of "your work" at the location designated and described in <br />the schedule of this endorsement performed for that insured and included in the "products.completed <br />operations hazard". <br />PRIMARY INSURANCE <br /> <br />Such insurance as is afforded by this endorsement for the additional insureds shall apply as primary insurance. Any other insurance maintained by the <br />additional insureds or its officers and employees shall be excess only and not contributing negligence on part of the additional insureds. <br />CG20371001 <br /> <br />APPROVED AS TO FORM <br />~~. ( ."1' cl / i3.--- <br /> <br />J l.ad'" "y. --". <br />AssiSl<la~ ell)' i\l.lU.:k\ <br /> <br />JAN04'05 Mil 9:41 PUI~ <br /> <br />CITY OF SANTA ANA <br />20 CIVIC CENTER PLAZA <br />P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br /> <br /> <br /> <br /> <br />MARSH USA INC. <br />BY; Michlo Nekota <br /> <br /> <br />