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DocuSign Envelope ID: FE2D5F70-64AE-410D-A6C6-DD13D47242FB <br /> AGENCY CUSTOMER ID: S70000052633 <br /> _ LOG#: <br /> ADDITIONAL REMARKS SCHEDULE Page _ of _ <br /> AGENCY NAMEDINSUREP <br /> Aon Risk Services central, Inc. Playpower Holdings, Inc. <br /> POLICY NUMBER <br /> see certificate Number: 570074949751 <br /> CARRIER NA1C CODE <br /> see Certificate Number: 570074949751 EFFECTIVE DATE: <br /> ADDITIONAL REMARKS <br /> THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br /> FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance <br /> INSURER(S)AFFORDING COVERAGE NAIL# <br /> INSURER <br /> WSIURER <br /> I <br /> INSURER <br /> INSURER <br /> r1ADITIUPlr1T POLICIE,S Tf a policy below does not include limit inronnation,refer to the corresponding policy on the ACORD <br /> certificate form for policy limits. <br /> POLICY POLICY <br /> INSR ADDL sUBR EFFECTIVE EXPIRATION LIASrrS <br /> LTR T1�PEOFINSURANCE 1NSD ►','VD PULICYNLIi1faER DATE DATE <br /> Au%tIDD1YYY bJNI1DD1YYY <br /> EXCESS LIABILITY <br /> C 000860430 10/01/2018 10/01/2019 Aggregate S5,0001000 <br /> Excess Liab S5M x $5N <br /> Each $5.000,000 <br /> occurrence <br /> ACORD 101(2008101) 02008 ACORD CORPORATION.Ali rights reserved, <br /> The ACORD name and logo are registered marks of ACORD <br />