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AGENCY CUSTOMER ID: 171-235-5 <br />LOC #: <br />AC RO O® <br />ADDITIONAL REMARKS SCHEDULE Page 1 of 1 <br />FEDERATED MUTUAL INSURANCE COMPANY MARIPOSA LANDSCAPES INC <br />PoLICV NUMBER 6232 SANTOS DIAZ ST <br />SEE CERTIFICATE # 36.1 IRWINDALE, CA 91702-3267 <br />SEE CERTIFICATE # 36.1 I EFFECTIVE DATE: SEE <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE <br />IRE: ALL LANDSCAPE OPERATIONS PERFORMED BY OR ON BEHALF OF THE NAMED INSURED <br />CITY OF SANTA ANA, ITS OFFICERS, EMPLOYEES, AGENTS AND REPRESENTATIVES ARE NAMED AS ADDITIONAL INSURED WITH <br />RESPECT TO THE COMMERCIAL GENERAL LIABILITY POLICY. <br />INSURANCE PROVIDED BY THE GENERAL LIABILITY COVERAGE IS PRIMARY AND NONCONTRIBUTORY OVER OTHER INSURANCE. <br />FOR REASONS OTHER THAN NON-PAYMENT OF PREMIUM, 30 DAYS NOTICE WILL BE PROVIDED TO THE CERTIFICATE HOLDER IN THE <br />EVENT THAT THE ISSUING COMPANY CANCELS THE POLICY BEFORE THE EXPIRATION DATE OF THE POLICY. <br />Q$G <br />O 2008 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />