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Philadelphia Indemnity Insurance Company <br />Form Schedule — General Liability <br />Policy Number: PHPK2635616 <br />Forms and Endorsements applying to this Coverage Part and made a part of this <br />policy at time of issue - <br />Form <br />Gen Liab Dec <br />Gen Liab Schedule <br />CG0001 <br />CG2026 <br />CG2132 <br />CG2133 <br />CG2147 <br />CG2149 <br />CG2153 <br />CG2167 <br />CG2170 <br />CG2196 <br />CG2245 <br />CG2402 <br />CG3234 <br />PI-GL-001 <br />PI-GL-002 CA <br />PI-GL-031 <br />PI-GL-042 <br />PI-GO-003 <br />PI-GO-008 <br />PI-GO-011 <br />PI-SAM-006 <br />Edition Description <br />1004 Commercial General Liability Coverage Part Declaration <br />0100 General Liability Schedule <br />0413 Commercial General Liability Coverage Form <br />0413 Additional Insured - Designated Person Or Organization <br />0509 Communicable Disease Exclusion <br />1185 Exclusion - Designated Products <br />1207 Employment -Related Practices Exclusion <br />0999 Total Pollution Exclusion Endorsement <br />0196 Exclusion - Designated Ongoing Operations <br />1204 Fungi or Bacteria Exclusion <br />0115 Cap On Losses From Certified Acts Of Terrorism <br />0305 Silica or Silica -Related Dust Exclusion <br />0413 Exclusion - Specified Therapeutic Or Cosmetic Services <br />1204 Binding Arbitration <br />0105 California Changes <br />0917 Exclusion - Lead Liability <br />0208 Exclusion - Asbestos Liability <br />0318 Subsidence Exclusion <br />0422 Total Exclusion - PFC/PFAS <br />0808 Aircraft, Auto or Watercraft Exclusion <br />0808 Limitation of Coverage to Designated Activities <br />0808 Personal Watercraft Exclusion <br />0117 Abuse Or Molestation Exclusion <br />F RAMougementDMslcrn <br />%x REVIEWE<7&PaPPROVmBY: <br />— Risk Management Specialist <br />Page 1 of <br />