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Forms Schedule — General Liability <br />Policy Number: PHPK2457612-001 <br />Forms and Endorsements applying to this Coverage Part and made a part of this policy at time of issue: <br />Form/Edition Description <br />CG 00 01 04 13 <br />Commercial General Liability Coverage Form <br />CG 20 26 04 13 <br />Additional Insured - Designated Person or Organization <br />CG 2167 12 04 <br />Fungi or Bacteria Exclusion <br />CG 21 70 01 15 <br />Cap On Losses From Certified Acts Of Terrorism <br />CG 32 34 01 05 <br />California Changes <br />Commercial General Liability <br />GL Coverage Part Declarations Page <br />Coverage Part Declarations <br />Commercial GL Supplemental <br />Commercial GL Coverage Supplemental Schedule <br />Schedule <br />IL 00 17 11 98 <br />Common Policy Conditions <br />IL 02 70 09 12 <br />California Changes - Cancellation And Nonrenewal <br />IL N 177 09 12 <br />California Premium Refund Disclosure Notice <br />PI-ACL-001 01 20 <br />ABSOLUTE CYBER LIABILITY AND ELECTRONIC EXCLUSION <br />PI-BELL-1 11-09 <br />Bell Endorsement <br />PI-FW-001 (01/07) <br />Coverage C- AthleticActivities Exclusion Deletion <br />PI-FW-002 04 16 <br />Fitness and Wellness Liability Insurance Exclusions <br />PI-FW-003 (01/07) <br />Fitness and Wellness Liability Insurance Extension <br />PI-FW-004 04 16 <br />Independent Contractors Providing Professional Training Services <br />PI-FW-005 (01/07) <br />Punitive Damages Exclusion <br />PI-FW-007 (01/07) <br />Specific Claimant Exclusion <br />PI-FW-008 (01/07) <br />Violation of Communication or Information Law Exclusion <br />PI-FW-009(06/11) <br />Blanket Additional Insured <br />PI-GL-001 09 17 <br />Exclusion - Lead Liability <br />PI-GL-002 CA 02 08 <br />Exclusion - Asbestos Liability <br />PI-SAM-001 05 19 <br />ABUSIVE CONDUCT COVERAGE SUBLIMITS DEFENSE WITHIN <br />LIMITS <br />Page 1 of 1 <br />Risk M�sg.=dDivbion <br />^�L-;' REVIEWED&APPROVED BY: <br />A A�w <br />�. <br />Risk Management Spedalist <br />