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STATE COMPENSATION INSURANCE FUND ENDORSEMENT AGREEMENT EFFECTIVE MAY 17, 2005 AT 12.01 A.M. REP 09 1571364-05 RENEWAL SC 4-11-82-71 PAGE 1 ADDITIONAL INSURED EMPLOYER , . HOME OFFICE SAN FRANCISCO ALL EFFECTIVE DATES ARE AT 12:01 AM PACIFIC STANDARD TIME OR THE TIME INDICATED AT PACIFIC STANDARD TIME BROKER COPY UNITED PUMPING SERVICE,INC AND/OR UNITED STORM WATER INC. 14016 VALLEY BLVD CITY INDUSTRY, CA 91746 ANYTHING IN THIS POLICY TO THE CONTRARY NOTWITHSTANDING, IT IS AGREED THAT CITY OF SANTA ANA IS HEREBY NAMED AS AN ADDITIONAL INSURED EMPLOYER ON THIS POLICY BUT ONLY AS RESPECTS EMPLOYEES WHOSE NAMES APPEAR ON THE PAYROLL RECORDS OF UNITED PUMPING SERVICE,INC AND/OR (HEREIN CALLED THE PRIMARY INSURED) WHILE THOSE EMPLOYEES ARE ENGAGED IN WORK UNDER THE SIMULTANEOUS DIRECTION AND CONTROL OF THE PRIMARY INSURED AND THE ADDITIONAL INSURED EMPLOYER. IT IS FURTHER AGREED THAT THE PAYMENT OF THE FULL PREMIUM DUE AND PAYABLE UNDER THIS POLICY SHALL REMAIN THE SOLE RESPONSIBILITY OF THE PRIMARY INSURED. APPROVED I'_:~ I ~' ,. (>~ I, .>:?-:r", /' ) /, I ~--____~_ . :::.............) 1/"/1 ~ Lfura Stilt Shccev !\:)':lhL.dlt (~itv ;'"\ttn.'-,'", _' ....il (j'~" NOTHING IN THIS ENDORSEMENT CONTAINED SHALL BE HELD TO VARY, ALTER, WAIVE OR EXTEND ANY OF THE TERMS, CONDITIONS, AGREEMENTS, OR LIMITATIONS OF THIS POLICY OTHER THAN AS STATED. NOTHING ELSEWHERE IN THIS POLICY SHALL BE HELD TO VARY, ALTER, WAIVE OR LIMIT THE TERMS, CONDITIONS, AGREEMENTS OR LIMITATIONS OF THIS ENDORSEMENT. ~ MAY 19, 2005 ~~~ 0015 COUNTERSIGNED AND ISSUED AT SAN FRANCISCO: ~ AUTHORIZED REPRESENT A TIVE PRESIDENT