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Froro:UPS STORE RIVERSIDE 951 780 9283 <br />FIRST SERV INS AGENT <br />215 ESTATES DR ST #1 <br />ROSEVILLE, CA 95678 <br />L & S PIPELINE INC <br />CONSTRUCTION CONTRACTOR <br />17805 BRAZIER DR <br />RIVERSIDE, CA 92508 <br />01120/2015 12:43 #640 P.008/009 <br />Policy number: 03407059.0 <br />Underwritten by: <br />United financial Casualty Company <br />insured: L & S PIPELINE INC <br />December 12, 2014 <br />Policy Period; Dec 10, 2014 . Dec 10, 2015 <br />IVlrsiling Address <br />United Financial Casualty Company <br />PO Flox 94739 <br />Additional insured endorsement Cleveland, OH 44101 <br />1400.4444487 <br />APPROVED For CUSturrlei service, 24 hours a day, <br />Name of Person or Organization 7 r days a week <br />CITY OF RIVERSIDE <br />3900 MAIN ST <br />RIVERSIDE, CA 91522 <br />The person o1 organization named above is an Insured with respect to such liability coverage as is <br />afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of <br />another insured and then only to the extent of that liability. We also agree with you that insurance <br />provided by this endorsement will be primacy for any power unit specifically described on the <br />Declarations Page. <br />Limit of Lability <br />Bodily injury Not applicable <br />Property Damage Not applicable <br />Combined Liability $ 1,000,000 each accident <br />All other terms, limits and provisions of this policy remain unchanged. <br />This endorsement applies to Policy Number: 03407059-0 <br />Issued to (Naive of Insuted): L & S PIPELINE INC <br />CONSTRUCTION CONTRACTOR <br />Effective date of endorsement: 1211012014 Policy expiration date, 12/10/2015 <br />Foim 1198(01104) <br />