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05/Ij.'2005 I3:49 PA% SPECIALTY_EDMAN_SERVICES 2 003/003 <br />CG 20 28 <br />(Ed. 11 85) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INCUR® --DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the iollowing:policY#PAC537388 <br />CONIWRCIAL GENERAL LIABILITY COVERAGE PART for MERCY HOUSE, P.O. BOX 1905, <br />Santa Ana, CA, 92702, <br />SCHEDULE <br />Name of Person or Organization: The City of Santa Ana, its officials, employees, <br />representatives, and volunteers are hereby named as Additional Insureds as <br />respects the operations of or on behalf of Mercy House Transitional Living <br />Center, performed under contract with The City of Santa Ana. <br />(If no entry appears above, Information required to complete this endorsement <br />will be shown in the Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section II) is amended to include as an insured the Doreen <br />of organization shown in the Schedule as an insured but only with respect to <br />liability arising out of your operations or premises owned by or rented to <br />You. <br />Copyright, Insurance Services Office, Inc., 1984 <br />CG 20 26 (Received TimeWay•11. 11:42AM(Page 1 of 1) <br />