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APFz17-2003 THU 04:10 PH <br />FAX NO. r - P. 03 <br />Women's Transitional 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 a4ove, 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 but only with respect to iiabiliry, arising out of your operations or premises owned <br />by or rented to you. <br />CG 20 26 11 85 Copyright, Insurance Services Office, Inc„ 19&1 <br />