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(NOTEPAD: HOLDER CODE CITY025 TOAND-1 PAGE <br />iNsuRED•s NAME Standard Enterprises Inc OP ID: KA Dam 05/28/2021 <br />contributory wording endorsement CG2001(0413) attached. Blanket auto <br />liability additional insured endorsement NICA5057(0614) attached. Blanket <br />workers compensation waiver of subrogation endorsement WC990634 (0800) <br />attached. •30 day notice of cancellation applies/10 day notice for non- <br />payment. <br />�� <br />RinkMumgmwdDMslan <br />REmEwED & APPRo By. <br />Fv K: P. v cc 4,t <br />® <br />Risk Management Malys[ <br />