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04M5AC468911 <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 <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 />Applicable Coverage(s) and Limit(s): <br />COVERAGE L $1,000,000 <br />Coverage Begins: 04/01/2018 <br />Policy Number: 04M5A0468911 <br />Coverage Ends: 09/01/2018 <br />_ Copyright 2015, Brotherhood Mutual Insurance Company <br />BGL-150 (4.1) Al Rights Reserved Page 3 of 3 <br />