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Forms Schedule — General Liability <br />Policy Number: PHPK670403-004 <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 />CoverageC-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-006 (01/07) <br />Violation of Communication or Information Law Exclusion <br />PI-FW-009 (06/11) <br />Blanket Additional Insured <br />Reviewed by: <br />Silvia Cuevas ] <br />PRCSA/Admin. Ito <br />Page 1 of 1 <br />