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<br /> <br />DATE (MM/DD/YY) <br />04101/05 <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 />MISC -UNITE-W/PRO- UIT CA <br /> <br />COMPANY <br />F <br /> <br />INSURED <br />UNITED INSPECTION & TESTING INC <br />22620 GOLDENCREST DRIVE, SUITE 114 <br />MORENO VALLEY, CA 92553 <br /> <br />COMPANY <br />G <br /> <br />COMPANY <br />H <br /> <br /> <br />Note: This is the usual form we use and it fulfills the legal requirement of Form CG2010 11 85. <br />POLICY NUMBER: 706-1033 <br /> <br />COMMERCIAL GENERAL LIABILITY <br /> <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS <br />- SCHEDULED PERSON OR <br />ORGANIZATION <br /> <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />Name of Additional Insured Person(s) <br />or Organization: <br /> <br />Location(s) of Covered Operations <br /> <br />WHERE REQUIRED BY INSURED CONTRACT <br /> <br />AS DESCRIBED ON CERTIFICATE <br /> <br />A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule. but only with respect <br />to liability for "bodily injury", property damage" or "personal and advertising injury" caused, in whole or in part, by: <br /> <br />1. Your acts or omissions; or <br />2. The acts or omissions of those acting on your behalf; <br /> <br />in the performance of your ongoing operations for the additional insured(s) at the location(s) <br />designated above. <br /> <br />B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply: <br /> <br />This insurance does not apply to "bodily injury" or "property damage" occurring after: <br /> <br />1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or <br />repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or <br /> <br />2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than <br />another contractor or subcontractor engaged in performing operations for a pnncipal as a part of the same project. <br /> <br />PRIMARY INSURANCE <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 /> <br />GG 20 10 07 04 <br /> <br /> <br /> <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />CONSTRUCTION ENGINEERING <br />P.O. BOX 1988/M-22 <br />SANTA ANA, CA 92702 <br /> <br />MARSH USA INC. <br />BY: Michlo Nekota <br /> <br />~UL <br /> <br />