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r. S/29/2007 14:37 1XIS Rosario Ruslos+Carla 3/4 <br />ILIC r_' YU BER. 1700003946071 <br />('(2o, TFRCLAJ, GENERAI, L14bILITP <br />Merchants Landscape Sen ices, Inc. <br />THIS ENDORSEMENT CHANCES THE POLICY. PLEASE REND ITCAREFULLY. <br />ADDITIONAL INSURED - OW\TRS, LESSEES OR <br />CONTRACTORS (FORM B) <br />(Cl} 20 10 11 S5 ) <br />_..., ,,...,.rscnient modifies insurance provided under the following: <br />CONTMERCIAL GENERAL, LIABILITY COVERAGE PART. <br />('-!n t_, 2007 <br />ame of Person or Organization: <br />City of Santa .Ana <br />? �t Pertains to Job a+ 20 Civic Center Plaza Santa Ana, CA 92702 <br />zlpears above, information required to complete this endorsement will be shown in the Declai.�tinns as <br />a r.ic-b:e to this endorsement.) <br />7 :8O'S AN INSL RFD (Section II) is amended to include as an Insured the person or organization shown in the <br />%uf on'y with respect to liability arising out of"your work" for that insured by or for you. <br />r ?OJ} si) AS lYi (i„ Wo <br />_ c <br />.'ls�utau! �.i1v ', rtor�:v <br />"Q1 591 12 99 Copyright, EvcrestReinsurance Company, 1998 <br />Includes copyrighted material of Insurance Services Office. Inc. used with its pennission <br />Copyright, tnsuran" Services Office, tne... 1984 Page 1 of 1 <br />