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<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-WIPRO- 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 />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS - COMPLETED OPERATIONS <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br /> <br />SCHEDULE <br /> <br />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> <br />Name of Additional Insured Person(s) <br />or Organization(s): <br /> <br />Location And Description of Completed <br />Operations <br /> <br />------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- <br /> <br />WHERE REQUIRED BY INSURED CONTRACT <br /> <br />AS DESCRIBED ON CERTIFICATE <br /> <br />--------------------------------------------------------------------------------------....------------------------..------------_..---------------------------------~-------------------------- <br /> <br />Section II - Who Is An Insured is amended to include as an additonal insured the person(s) or organization(s) shown in the Schedule, but only with respect to <br />liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the schedule of this <br />endorsement performed for that additional insured and included in the 'products-completed operations hazard". <br /> <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 /> <br />CG 20 37 07 04 <br /> <br />\PPROV ED AS TO FORNI <br /> <br />--~^-U'"t% J/~ <br />. Laura Stitt She dy <br />,S:,lsta nt City ^ t torne\' <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: Michio Nekota <br /> <br />~?..L.L <br /> <br /> <br />