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'A' SCOTTSDALE INSURANCE COMPANT <br />ENDORSEMENT <br />NO. <br />ATTACHEDTO AND <br />ENDORSEMENT EFFECTIVE DATE <br />FORMING A PART OF <br />(12:01 A.M. STANDARD TIME) <br />NAMED INSURED <br />AGENTNO. <br />POLICY NUMBER <br />CPS1339230 <br />02/02/11 <br />PACIFIC SYSTEMS ELECTRIC <br />04058 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS SPECIAL CONDITION <br />If any of the endorsements below are attached to this policy, coverage provided by the additional insured <br />endorsement is amended to be afforded on a primary, noncontributory or primary and noncontributory <br />basis when and as agreed to in writing in a contract or agreement between you and the additional insured. <br />Additional Insured - Owners, Lessees Or Contractors - Scheduled Person Or Organization (CG 20 10) <br />Additional Insured - State Or Political Subdivisions - Permits (CG 20 12) <br />Additional Insured - Owners, Lessees Or Contractors - Automatic Status When Required In Construc- <br />tion Agreement With You (CG 20 33) <br />Additional Insured - Owners, Lessees Or Contractors - Completed Operations (CG 20 37) <br />Other: (Specify title and form number) <br />CC -2010 (07-04) <br />GLS -295s (7-08) <br />AUTHORIZED REPRESENTATIVE DATE <br />Page 1 of 1 <br />INSURED <br />g1s295s.fap <br />