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<br />10/20/2004 14:13 FAX 415 467 7442 PUMP REPAIR SERVICE CO. ~012 <br />OCT. 20. 2004 2:09PM HRH N CAL 650 22L1810 NO. 213 P. ~ <br />C'NA G-17957 -F <br /> (Ed. 04198) <br /> THIS eNDORSEMeNT CHANGes THE! POLICY. PLEASE READ IT CAREFULLY. <br /> CONTRACTOR'S BLANKET ADDITIONAL INSURED ENDORSEMENT <br />This endorsement JJ10dlfiCftj imiulëlllI.õ1:I Jluvil.ltlU umJ~1 UII;! fulluwiug: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART , <br /> I <br />A. WI-IQ'S AN INSURED (Section It) is amended to (2) Th;:rt portion of "your work" out of which ì <br />include as an insured eny person or organizatJOI1 the il'ljury or damage arises hæ bean <br />(called additional Insured) whom you are rsqUl1'etl to put to its intended use by any person or <br />¡¡dd 851 an edditional insured on this policy under: orsanl:!atlen other than another <br />1. A wrItten contraGt or ifiI9re~men t; or contractor or subcontractor engagéd in I <br /> performing operations for a principal as 1 <br />z. An orc¡1 contract ur Cl91 eellles I t where i; part of the same project. <br /> Å“rtlfie=ate of InJJurance showing that person or b. ·~ocllly injury" or "property damageD arising I <br /> organization as an additional insured has been I <br /> out of acta or omissIons. of the õilddÎUonal I <br /> issued; but Insured other than in connection with the <br />the written or oral contract or .2Igreement must be: general supervision of "your work. D <br />1. Currently in effect or becoming effective during 4. The Insurance ~rcvided to the additional insured <br /> the term af this policy; and does 'lot app y to "bodily injury," "property <br />2. Executed prior to the "bOdily inJUIY," "property . damage,U "per$onal injury,U or "eclverth:ilng <br /> injury" arising cut nf ~n architect's, engineet's, <br /> damage," Mpersonal InJury- or "advertising or surveyor's rendering of or failure· to render <br /> injury. U any professional'servIces Including: <br />B. "·Ie in$uranÅ“ provldc:d tu ttuiI edditJon~1 jr¡:¡;urud i~ a. !he preparing, approving, or fafting to <br />limited as. follows: prepare or approve maps, snap arawings, <br />'I. Th.at pereon ~r org:aniztrtign ic anly an odditionol opinions, røport&. eurve~c, field ordor.1, <br /> insured with resÞect to lIabllltv arising out of: t:hange orders or drawings and <br /> specificatioMs:and I <br /> 3. Your premisP.!\; . r <br /> b. Supervisory, or inspection activities , <br /> b. "your worle'· ibr thllt IIdditlonal inl!llJted¡ or perfarmec as part of any related ; <br /> c. Acb or omi.ssion::. of the additional 1nzsured srohlteotureI or engineering açtiviti~. <br /> in connection with the caneral !';UI'ervlsiol'l C. As re::.pecls U I~ liuvel1Sge provldea under this <br /> of "~our work." endorsement, Paragraph 4.b. SECTION IV - <br /> The Limits of Insurance applicable to the COMMERCIAL GENERAL LIABILITY I <br />2. <br /> additional insured are those specified in the CONDITIONS is amended with the addition of the , <br /> wrlttl!tn oontract or agl1ilEemelnt gr In tha following: I <br /> I <br /> Declarations fo ' this policy, whichevRr i!'l IP_~c; 4. OthEllo In:õulilnce , <br /> These Limits of Insurance are ¡"elusive and not <br /> In aCldltJon to me UlT1lts of Insurance shown In b. Excess Insurance <br /> the Deolarations. This insurance Is excess over: <br />3. Exgept When required by ÇuIll/ä(,;L UI ~ij'~t~lIIent., Any other valid and collectible insurance <br /> the cOllerage provlderl to thA ~rfrf tlon:gl In5UrE!d availaDle to the additfonal insured whether <br /> by this endorsement does not apply to: primary. excess, contingent ur ull i:lny Qther <br /> a. "Bodily Injury" or ·þroperty damageV basis unless a contract sper:ifir:ally requires: <br /> occurring after: that this insurance be eJther primary or <br /> (1) All worI( on the project (other than prImary ana noncontribUting. Where <br /> rec(uircd by contrsct. W~ will oonsld6Dr any <br /> service. maintenance or repairs) to be other insurance mafntalnf!!!ci by the <br /> performed by or on be:half uf th~ additional Insured fo ' injury or damage <br /> additional insured at the site of the <br /> covered operations has been cove. ~U uy lhis endorsement to be excess I <br /> ~nd non~ontributing with this incuroncc. , <br /> completed; or <br /> ~ <br />G-1795'1- I Pagp. 1 nf 1 I <br />(I::d. U4/9t5) I <br /> , <br /> ! <br />RIlIOllivlld 10-20-04 02;05prn Frurn-415 467 7442 Tu-Rlldwuuu Ci ~y PWS PillIlI 012 <br /> - . þ.----~._-----._- .~,.__._.......~'_.....,_..._.~. <br /> i <br />