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JUL'23 2004 10:06AM TCA ASSOC <br />J <br />9093071245 <br />Insured: Mariners Church, Inc. and Lighthouse Learning Center <br />Policy Number: 1169-029 <br />Commercial <br />Liability <br />THIS ENDORSEMENT CHANGES THE POLICY.PLEASE RE I IT CAREFULLY <br />ADDITIONAL INSURED -OWNERS, LESSEES OR CON CTORS <br />(FORM 13) <br />This endorsement modifies insurance provided under th <br />COMMERCIAL GENERAL LIABILITY COVERAGE <br />SCHEDULE <br />Name of Person or Organization: <br />City of Santa Ana, its officers, agents, employees and representatives <br />Re: Operations of named insured: Grant <br />(If no entry appears above, information required to complete this endorsement <br />Declarations as applicable to this endorsement.) <br />WHO IS AN INSURED (Section 11) is amended to include as an insured the pei <br />inssu Schedule, but only with respect to liability arising out of your ongoing opera <br />CG 20 10 11 93 Copyright, Insurance Services Office, Inc. 1992 <br />be shown in -he <br />or organization shown in <br />o performed for that <br />■ <br />