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NOTEPAD: . HOLDER CODE SANSANI DMSFA-1 PAGE 2 <br />INSURED-S NAME DMS Landscaping OP ID: KU DATE <br />_. 02/25N 5 <br />of Santa, it;s officers, employees agents and representative are <br />as an additional insured as respec�s General Liability only per <br />hed forms CG 20 10 04 13 and CG 20 37 04 13 which are part of the <br />policy shown above, <br />wording is included pursuant to the attached <br />is part of the insurance policy shown above, <br />Day Notice of Cancellation applies per attached form GL0200, <br />F,eviewed by: <br />�PRCSAJA <br />