The Little Gym of Everett 12/3/2019

PROFESSIONAL LIABILITY Aggregate Limit $5,000,000 Each Abuse Limit $1,000,000 HIRED AND NON-OWNED AUTO Liability Limit $1,000,000 ITEM 6. MASTER POLICY FORMS&ENDORSEMENT SCHEDULE Interline Business Forms and Endorsement Schedule: IL 70 01 Business PRO Policy Common Dec IL 00 17 Common Policy Conditions IL 01 23 Washington Changes—Defense Costs IL 01 46 Washington Common Policy Conditions IL 01 98 Nuclear Energy Liability Exclusion(Broad Form) IL 71 89 Washington Exclusion-Asbestos IL 72 68 In Witness Clause IL 72 73 Loss Prevention Services IL 73 24 Economic and Trade Sanctions Clause IL 73 68 Disclosure Pursuant to Terrorism Risk Insurance Act IL 74 05 Risk Purchasing Group Endorsement Commercial General Liability Coverage Form CG 74 00 General Liability Declaration Page CG 00 01 General Liability Coverage Form CG 01 81 Washington Changes CG 01 97 Washington Changes—Employment Related Practices Exclusion CG 21 06 Exclusion—Access or Disclosure of Confidential or Personal Information and Data-Related Liability—With Limited Bodily Injury Exception CG 21 47 Employment Related Practices Exclusion CG 21 67 Fungi or Bacteria Exclusion CG 21 71 Exclusion of Other Acts of Terrorism Committed Outside the United States;CAP on Losses from Certified Acts of Terrorism CG 21 76 Exclusion of Punitive Damages Related to Terrorism CG 24 26 Amendment of Insured Contract Definition CG 77 94 Exclusion-Liability Arising Out of Lead CG 83 61 Silica or Related Dust Exclusion CG 83 71 Nuclear,Biological,or Chemical Exclusion CG 84 40 Coordination of Limits Endorsement CG 88 02 Failure to Provide Wavier and Release Sublimit CG 89 70 Signature General Liability Broadening Endorsement CG 90 82 Exclusion—Professional Services CG 90 83 Exclusion—Abuse,Molestation,Harassment or Sexual Conduct Abuse or Molestation Coverage Part CG 82 82 Abuse or Molestation Declarations Page CG 85 65 Abuse or Molestation Coverage CG 89 71 Additional Insured-Abuse or Molestation-Automatic Status for Other Parties when Required in Written Agreement Professional Liability CG 87 11 Professional Liability Declarations CG 87 10 Professional Liability Coverage CG 89 74 Additional Insured—Professional Liability—Automatic Status for Other Parties when Required in Written Agreement Business Auto Coverage Form—Hired and Non-owned Auto CA 00 01 Business Auto Coverage CA 20 54 Employee Hired Auto CA 23 85 Exclusion of Terrorism Involving Nuclear,Biological or Chemical Terrorism CA 80 03 BusinessPro Business Auto Coverage Form Declarations Page CA 84 29 Silica or Related Dust Exclusion CA 99 33 Employees as Insured CA 99 34 Social Service Agencies—Volunteer as Insureds F.36270 (Ed.5/18) Page 2 of 3