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Forms Schedule — General Liability <br />Policy Number: PHPK670403-002 <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 12 07 <br />Commercial General Liability Coverage Form <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 />PI -APG -004 (01/07) <br />Additional Conditions <br />PI -APG -CA -1 (01/07) <br />California Changes -Cancel, Nonrenewal and Cond. Renewal <br />PI -FW -001 (01/07) <br />Coverage C - Athletic Activities Exclusion Deletion <br />PI -FW -002 (03/09) <br />Fitness and Wellness Liability Insurance Exclusions <br />PI -FW -003 (01/07) <br />Fitness and Wellness Liability Insurance Extension <br />PI -FW -005 (01/07) <br />Punitive Damages Exclusion <br />PI -FW -006 (01/07) <br />Sexual Abuse Endorsement <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 />AppROv�D AS <br />TO FORM <br />Page 1 of 1 STpFtcK <br />%-Xs ECitY Attorc�eY <br />Ass�sta�t <br />