Notification of Changes for Business Entity
General Information
Business Entity Name:	CUSTOMIZED SERVICES ADMINISTRATORS, INC.
Incorporation / Formation Date:	04/25/1991
FEIN:	33-0463446
Ohio License Number:	1024960
NPN:	660418
DBA / Trade Name:
State of Domicile:	CA
County:	SAN DIEGO
Business Address
Address 1:	4181 RUFFIN ROAD, SUITE 150
Address 2:
City:	SAN DIEGO
State:	CA
Zip:	92123
Phone:	8588102277
Fax:	8588102451
Business Web Site Address:
Business Email Address:	JEDGINGTON@CSATRAVELPROTECTION.COM
Mailing Address
Address 1:	4181 RUFFIN ROAD, SUITE 150
Address 2:
City:	SAN DIEGO
State:	CA
Zip:	92123
Indicate the type of change you are seeking
Address Change:	NO
Business Entity Name Change:	NO	Old Business Entity Name:
New DBA/Trade Name:	YES	New DBA/Trade Name:	GENERALI GLOBAL ASSISTANCE & I
Amend DBA/Trade Name:	NO	Old DBA/Trade Name:
Add/Delete Producers, Members, Owners, Partners, Officers and/or Directors:	NO

Licensed Producers
Name	Title	NPN	Add	Delete	Eff. Date

Members, Owners, Partners, Officers and Directors
Name	Title	Identifying #	Add	Delete	Eff. Date

Title Business Entities Only
1. Is any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance? (i.e. banking, auto dealer, mortgage company)
2. Has any member, producer, owner, share holder, manager, partner, officer or director currently engaged in deriving income from or affiliated with (other than as a customer) any business or profession other than insurance since the filing of the previous CN-65 or the original application?
3. If the answer to questions #1 or #2 is yes, identify the business or profession and the nature of person's involvement

Submitted By
Submitted By:	JENNI EDGINGTON
Title:	COMPLIANCE ANALYST - PARTNER
Phone Number:	8588102277
Email Address:	JEDGINGTON@CSATRAVELPROTECTION.COM