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COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SUPPLEMENTAL SCHEDULE <br />Policy Number: PHPK2457612-001 Agent #: 125725 <br />Rates <br />Advance Premiums <br />Premium <br />Prod/Comp <br />Prod/Comp <br />Classifications & Code No. <br />Basis <br />Prem/Ops Ops <br />Prem/Ops Ops <br />44311 - Certified Fitness <br />Each <br />Included <br />Included <br />$122.00 <br />Included <br />Instructor <br />TOTAL PREMIUM FOR THIS COVERAGE PART: <br />$122.00 <br />1 Included <br />Page 1 of 1 <br />Rink MnugahmtDhisimi <br />�\ RE esm & APPROVED BY.- <br />Il11' A--fr, ACW44 <br />® Risk Pdanagement Specialist <br />