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DocuSign Envelope ID: E67DC299-98E1-4682-B281-3085AC9FC5B4
<br /> DATE(MM/DDIYYYY)
<br /> ACOR" CERTIFICATE OF LIABILITY INSURANCE
<br /> �� 11/17/2021
<br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br /> BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br /> REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
<br /> IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
<br /> If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br /> this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
<br /> PRODUCER CONTACT
<br /> NAME: Susan D.Masters,CIC
<br /> Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX
<br /> 201 E.4th Street, Ste 625 AIC No Ext: 513-977-3139 A/c No),
<br /> Cincinnati OH 45202 ADDRESS; susan_masters-oh@ajg.com
<br /> INSURER(S)AFFORDING COVERAGE NAIC#
<br /> INSURERA:Continental Insurance Company 35289
<br /> INSURED CLUBLLC-01 INSURER B:Continental Casualty Company 20443
<br /> Clubessential Holdings, LLC 4600 McAuley Place Ste 350 INSURER C:Valley Forge Insurance Company 20508
<br /> Cincinnati OH 45242-4765 INSURER D:Ascot Specialty Insurance Company
<br /> INSURER E: Crum&Forster Specialty Insurance Co 44520
<br /> INSURER F:
<br /> COVERAGES CERTIFICATE NUMBER:1743106405 REVISION NUMBER:
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br /> INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br /> CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
<br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br /> INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS
<br /> LTR INSD WVD POLICY NUMBER MM/DDIYYYY MM/DDIYYYY
<br /> C X COMMERCIAL GENERAL LIABILITY N N 6079684571 11/15/2021 11/15/2022 EACH OCCURRENCE $1,000,000
<br /> F—V� DAMAGE TO CLAIMS-MADE OCCUR PREMISES
<br /> ('a
<br /> a RENTED
<br /> ) $100,000
<br /> MED EXP(Any one person) $5,000
<br /> PERSONAL&ADV INJURY $1,000,000
<br /> GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
<br /> X POLICY jE LOC PRODUCTS-COMP/OP AGG $2,000,000
<br /> OTHER: $
<br /> C AUTOMOBILE LIABILITY N N 6079684568 11/15/2021 11/15/2022 COEaMBINED accidentSINGLELIMIT $1,000,000
<br /> X ANY AUTO BODILY INJURY(Per person) $
<br /> OWNED SCHEDULED BODILY INJURY(Per accident) $
<br /> AUTOS ONLY AUTOS
<br /> HIRED NON-OWNED PROPERTY DAMAGE $
<br /> AUTOS ONLY AUTOS ONLY Per accident
<br /> X Hired PhyDam Hired PhyDam $75,000
<br /> A X UMBRELLA LIAB X OCCUR N 6079684604 11/15/2021 11/15/2022 EACH OCCURRENCE $2,000,000
<br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $2,000,000
<br /> DED X RETENTION$In nnn $
<br /> A WORKERS COMPENSATION Y 6079684599 11/15/2021 11/15/2022 X PER OTH-
<br /> A AND EMPLOYERS'LIABILITY Y/N WC679684585 11/15/2021 11/15/2022 STATUTE ER
<br /> ANYPROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $1,000,000
<br /> OFFICER/MEMBER EXCLUDED? N/A
<br /> (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000
<br /> If yes,describe under
<br /> DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000
<br /> E Prof/Cyber-CM TCM101288 3/23/2021 3/23/2022 Ea Claim/Agg $5,000,000
<br /> B Crime-3rdParty 652175238 11/15/2021 11/15/2022 Ea Claim $1,000,000
<br /> D Excess Prof/Cyber-CM EOXS2110000601-01 3/23/2021 3/23/2022 Ea Claim $5,000,000
<br /> DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
<br /> Complete Named Insured:Clubessential Holdings LLC;CE Management Holdings, LLC;Clubessential,LLC;ClubReady,LLC; LEGP II Blocker(CR), Inc;
<br /> ClubReady Canada Software ULC;GYM HQ, LLC; FitBPO Solutions, LLC; PrestoSports, LLC; RecTrac, LLC dba Vermont Systems; Immersion Media, Inc.
<br /> dba ScoreShots;(eff 1/29/21)iKizmet, Inc;(eff 2/19/21)Golf Compete, Inc dba foreUP;(eff 5/25/21): Exerp Buy Co.;Exerp America Inc.;Exerp Holdings ApS;
<br /> Exerp ApS; Exerp Asia-Pacific Pty Ltd
<br /> OH Employers Defense Liability(Stop Gap): Policy#6079684571 11/15/2021-11/15/2022$1,000,000/$1,000,000/$1,000,000
<br /> CGL:CNA74872XX(01/15)CNA Technology Broadening Endorsement provides:
<br /> See Attached...
<br /> CERTIFICATE HOLDER CANCELLATION
<br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br /> Orange County Attn: Risk Management ACCORDANCE WITH THE POLICY PROVISIONS.
<br /> 200 South Cameron Street
<br /> PO Box 8181 AUTHORIZED REPRESENTATIVE
<br /> Hillsborough NC 27278
<br /> USA � %C-6
<br /> ©1988-2015 ACORD CORPORATION. All rights reserved.
<br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
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