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Forms Schedule — General Liability <br />Policy Number: PHPK661902-008 <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 0104 13 <br />Commercial General Liability Coverage Form <br />CG 2167 12 04 <br />Fungi or Bacteria Exclusion <br />CG 2170 01 15 <br />Cap On Losses From Certified Acts Of Terrorism <br />CG 32 34 01 05 <br />California Changes <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 />IL 00 17 1198 <br />Common Policy Conditions <br />IL 02 70 09 12 <br />California Changes - Cancellation And Nonrenewal <br />IL N 177 09 12 <br />California Premium Refund Disclosure Notice <br />PI -BELL -1 11-09 <br />Bell Endorsement <br />PI -FW -001 (01/07) <br />Coverage C -Athletic Activities Exclusion Deletion <br />PI -FW -002 04 16 <br />Fitness and Wellness Liability Insurance Exclusions <br />PI -FW -003 (01/07) <br />Fitness and Wellness Liability Insurance Extension <br />PI -FW -004 04 16 <br />Independent Contractors Providing Professional Training Services <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 />JL' <br />Blanket Additional Insured '15 <br />PI -GL -001 09 17 <br />Exclusion - Lead Liability <br />PI -GL -002 CA 02 08 <br />Exclusion - Asbestos Liability <br />PI-TER-DN1 01 15 <br />Disclosure Notice Of Terrorism Ins Coverage Rejection <br />y <br />000,000 \AX <br />S <br />Page 1 of 1 QRG <br />