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LAND800 <br />PAGE <br />CITSAN3 <br />2 <br />HOLDER CODE <br />NOTEPAD: <br />OP ID: KC <br />INSURED'S NAMEDate <br />Landscape West Mgmt Svcs, Inc. <br />03/30/2022 <br />City of Santa Ana, it's Officers, Employees, Agents, Volunteers and <br />Representatives are included as Additional Insured inrespects to General <br />Liability when required by written contract per policy form HG 00 01 09 <br />16. This coverage is Primary and Non-Contributory. <br />Waiver Subrogration is included per policy form WC 99 04 10B. <br />