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<br />'\ <br /> <br />05/17/2005 13:49 FAX <br /> <br />SPECIALTY_HOMAN_SERVICES <br /> <br />THIS ENDORSBMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br /> <br />ADDITIONAL INSURED--DESIGNATED PERSmI OR ORGANIZATION <br /> <br />Th I II endo rsament mod if i"es I nsu r snce p roy I ded unde r the fa I I owl ng: <br /> <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />For DC Human Relations Council, Poi icy # PHPK117809 <br />SCHEDULE <br /> <br />Name of Plrlon or Organization: <br />Ci ty of -Santa Ana <br />20 Civic' Center Plaza, M-37 <br />Santa Ana, CA 92701 . <br /> <br />1aI003/003 <br /> <br />CG 20 26 <br />(Ed. 11 85) <br /> <br />(If no entry appears above, information required to complete this endorsement <br />wi II be shawn in .the ~~clarations u appl icable to this andorsement.) <br /> <br />WHO IS AN INSURED (Section III is amended to include as ;;an Insured the pe.rson <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 /> <br />,. ~.~) I;..~) 'T~\~_~, <br /> <br />e-/~. <br />r~~.- <br /> <br />- .J,~..::L .;: '-,.~} /'.! ~I,>--'~:::'_. <br /> <br />. Copyright, Insurance Services Office. Inc" 1984 <br />CG 20 26 rReceived TimeFMar.17. !1:~2AM(Pag. 1 of 1) <br /> <br />i <br />I <br />I <br /> <br />1 <br /> <br />I <br />I <br />I <br />I <br />! <br />I <br />I <br />I <br />r <br />I <br />I <br /> <br />i <br />t <br />I <br /> <br />r- <br /> <br />r <br />f <br />1 <br />I <br />I <br />I <br />; <br />! <br />I <br />I <br />I <br />