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NOTEPAD <br />ty of San <br />pd onttat <br />Y IN <br />hi co <br />iver s�ubr <br />HOLDER CODE CITSAN3 <br />INSURED'S NAME landscape West Mgmt Svcs, Inc. <br />a Ana, it's Officers Em joye s Agents, Volunteers <br />ves are, InC luded as AdElcio onag Insured Inrespects t <br />an regUlretl 6y wVritte co�tract �er policy form HO <br />era iotisisrincltde d 19on- nt n p for <br />g 1 9 per policy form k 99 04 10B. <br />L AND800 <br />OP ID: KC <br />1e091 <br />PAGE 2 <br />D.W 03/24/2021 <br />RlVSWrD 6 APPROVED Br. <br />F cnc:r.e Z V:CLt. <br />Risk Management Analyst <br />