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05 /17 /YOe5 13:49 FAX SPECIALTY-11UNAN_SERVICES Q003/003 <br />i 0 <br />CG 20 26 <br />(Ed. 11 85) <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INKIRED -- DESIGNATED PERSON OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COWAERCIAL GENERAL <br />Policy #PAC5373885 <br />Mercy House <br />LIABILITY COVERAGE PART <br />SCHEDULE <br />Name of Person or Organization: <br />The City of Santa Ana, its officials, employees, representatives, and volunteer <br />are hereby named as Additional Insureds as respects the operations of or on <br />behalf of Mercy House Transitional Living Center, performed under contract <br />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 11) is amended to include as an insured the person <br />or 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 />A slstaac i;itiy ,' <br />Copyright, Insurance Services Office, Inc., 1984 <br />CG 20 26 (Received Time FMay.t1• II:42AM( Paga 1 of 1) <br />