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RTi7-2003 THU 04:10 PH <br />FAX No. P. 03 <br />AP <br />Women'sTransitional Living <br />POLICY NUMBER: TBD <br />April 17, 2003 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED - DESIGNATED PERSON OR <br />ORGANIZATION <br />This endorsement modifies Insurance provided under the following; <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART. <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana- CDBG M 25 <br />Community Development Agency <br />(If no entry appears above, Information required to complete this endorsement will be shown in the Declara- <br />tions as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the person or organization shown in <br />the Schedule as an insured bul only with respect to liability arising out of your operations or premises owned <br />by or rented to you. <br />CC, 20 26 11 85 Copyright, Insurance Services Office, Inc., 1984 <br />