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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - OWNERS, LESSEES OR <br />CONTRACTORS (FORM B) <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana <br />Public Works Agency Parks, Fleet & Facilities <br />Services <br />20 Civic Center Piz ## M-11 <br />Santa Ana, CA 92701 <br />(If no entry appears above, information required to complete this endorsement will be shown in the Declarations <br />as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the <br />Schedule, but only with respect to liability arising out of "your work" for that insured by or for you. <br />Job or Project: <br />Any coverage provided by this endorsement applies only to landscape work <br />completed by the named insured for the City of Santa Ana. Additional <br />Insureds also includes: City of Santa Ana , its City Council, its <br />officers, officials, employees, agents, and volunteers. <br />Insured: <br />Mariposa Landscapes Inc <br />6232 Santos Diaz St <br />Irwindale, CA 91702-3267 <br />Includes copyrighted material of Insurance Services Office, Inc., with its permission. <br />CG-F-64 (06-19) Policy Number: 6069499 Transaction Effective Date: 04/01/2026 <br />(CG 20 10 11-85) <br />