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COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SUPPLEMENTAL SCHEDULE <br />Policy Number: PHPK803569 -001 Agent #: 6039 <br />Page 1 of 1 <br />Rates <br />Advance Premiums <br />Premium <br />Prod/Comp <br />Prod /Comp <br />Classiflcations 8 Code No. <br />Basis <br />Prem/O s <br />Prem/O s s <br />44311 - Non - Certified Fitness <br />knstructor <br />Each <br />Included <br />Induded <br />X182.00 <br />MGuded <br />TOTAL PREMIUM FOR THIS COVERAGE <br />PART: <br />5182.00 <br />Fnduded <br />Page 1 of 1 <br />