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APOSTOLIC ASSEMBLY OF THE FAITH IN CHRIST JESUS, INC. (3)
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APOSTOLIC ASSEMBLY OF THE FAITH IN CHRIST JESUS, INC. (3)
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Last modified
4/15/2019 11:50:20 AM
Creation date
4/15/2019 11:47:53 AM
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Contracts
Company Name
APOSTOLIC ASSEMBLY OF THE FAITH IN CHRIST JESUS, INC.
Contract #
N-2019-061
Agency
FINANCE & MANAGEMENT SERVICES
Expiration Date
3/31/2020
Insurance Exp Date
9/1/2019
Destruction Year
2025
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04MSA0468911 <br />This Schedule is an attachment to the Commercial Liability Coverage Provision Modification —Designated Additional <br />Insured(s) endorsement (BGL-150). This schedule contains identifying and specifying information only, and does <br />not grant, change or modify any coverage of the policy unless attached to the Commercial Liability Coverage <br />Provision Modification —Designated Additional Insured(s) endorsement (BGL-150). This endorsement is attached <br />to and made part of the Commercial Liability Coverage Provision Modification — Designated Additional Insured(s) <br />endorsement (BGL-150). <br />COMMERCIAL LIABILITY COVERAGE <br />PROVISION MODIFICATION <br />DESIGNATED ADDITIONAL INSURED(S) <br />SCHEDULE <br />(The information required below may be shown on a separate schedule and/or supplemental declarations.) <br />Named Insured: APOSTOLIC ASSEMBLY OF THE FAITH IN CHRIST Policy Number: 04M5A0468911 <br />JESUS DBA', IGLESIA APOSTOLICA SION <br />Additional Insured: See Attached <br />20 Civic Center Plaza M-25, PO Box 1988 <br />Santa Ana CA 92702 <br />:able Coverage(s) and Limit(s): <br />RAGE L $1,000,000 <br />Begins: 09/01/2018 <br />Coverage Ends: 09/01/2019 <br />Copyright 2015, Brotherhood Mutual Insurance Company <br />BGL-150 (4.1) Al Rights Reserved <br />Y ✓` t" `j 47 PA - <br />K of -5 - <br />Page 3 of 3 <br />
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