Laserfiche WebLink
<br />05/17/2005 13:49 FAX <br /> <br />SPECIALTY_HOMAN_SERVICES <br /> <br />@003/003 <br /> <br />CG 20 26 <br />(Ed. 11 851 <br /> <br />THIS ENDORS~ENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED--DESIGNATED PERSOO OR ORGANIZATION <br /> <br />This endorsement modifi"es insurance provided under the following: <br /> <br />COMMERCIAL GENERAL liABILITY COVERAGE PART <br />For DC Human Relations Council, Poi icy # PHPKl17809 <br />SCHEDULE <br /> <br />Name of Person or Organization: <br />Ci ty of -Santa Ana <br />20 Civic' Center Plaza, M-37 <br />Santa Ana, CA 92701 . <br /> <br />(If no entry appears above, information required to complete this endorsement <br />w i I I be shown in, the De c I it rat ion s . sap p lie a b let 0 t his end 0 r s eme n t . ) <br />.'. <br /> <br />WHO IS AN INSURED (Section II) is amended to include 'as an Insured the pe.rSOM <br />or organization shown in the Schedule.as an insured but only with respect to <br />I iabi lity arising out of your operations or premIses owned by or rented to' <br />you. <br /> <br />: l~,~) I:"~":l <br /> <br />~. <br />.--,,', .... ~:', ."", ,', ",," <br />. ". .. '. . <br /> <br />,(,.-., '~'.' <br /> <br />. Copyright, Insurance Services Office. Inc., 1984 <br />CG 20 26 rReceived TimeFMaY.17. 11:42AMIPagil 1 of 1) <br /> <br /> <br />; <br />I <br />j <br />i <br />I <br />j <br />I <br />! <br />i <br />I <br />f <br />! <br />i <br />I <br />I <br />f <br />I <br />I <br />f <br />I <br />; <br />f- <br />ie <br />i <br />fi <br />I <br />f <br />j <br />!o: <br />! <br />i <br />I <br />I <br />i <br />