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Philadelphia Indemnity Insurance Company <br />Form Schedule – General Liability <br />Policy Number: PHPK2411247 <br />Forms and Endorsements applying to this Coverage Part and made a part of this <br />policy at time of issue: <br />Form Edition Description <br />Gen Liab Dec1004Commercial General Liability Coverage Part Declaration <br />Gen Liab Schedule0100General Liability Schedule <br />CG00010413Commercial General Liability Coverage Form <br />CG21320509Communicable Disease Exclusion <br />CG21471207Employment-Related Practices Exclusion <br />CG21671204Fungi or Bacteria Exclusion <br />CG21700115Cap On Losses From Certified Acts Of Terrorism <br />CG24021204Binding Arbitration <br />CG32340105California Changes <br />PI-GL-0010917Exclusion - Lead Liability <br />PI-GL-002 CA0208Exclusion - Asbestos Liability <br />PI-GL-0050712Additional Insured Primary And Non-Contributory Ins <br />PI-GLD-HS1011General Liability Deluxe Endorsement: Human Services <br />PI-HS-0050704Exclusion - Professional Liability Coverage <br />PI-SAM-0060117Abuse Or Molestation Exclusion <br />PI-SE-0010720Special Events Endorsement <br /> Page of <br />11 <br /> <br /> <br />