Orange County NC Website
Docusign Envelope ID:C101DF94-8EEA-4210-A163-1FB71C9DF46C <br /> DATE(MM/DD/YYYY) <br /> A�" CERTIFICATE OF LIABILITY INSURANCE <br /> 73/20/2025 <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, LLC a/c"N Ext: 513-977-3139 A/C No):513-977-4641 <br /> 201 E 4th Street E-MAIL <br /> Suite 625 ADDRESS: susan_masters-oh@ajg.com <br /> Cincinnati OH 45202 INSURER(S)AFFORDING COVERAGE NAIC# <br /> INSURERA:Continental Insurance Company 35289 <br /> INSURED CLUBLLC-01 INSURER B:Valley Fore Insurance Company 20508 <br /> RecTrac, LLC dba Vermont Systems 12 Market Place INSURER C:American Casualty Company of Reading, PA 20427 <br /> Essex Jct,VT 05452 INSURER D:Columbia Casualty Company 31127 <br /> INSURER E:Zurich American Insurance Company 16535 <br /> INSURER F: <br /> COVERAGES CERTIFICATE NUMBER:1981074676 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 /> B X COMMERCIAL GENERAL LIABILITY Y N 6079684571 11/15/2024 11/15/2025 EACH OCCURRENCE $1,000,000 <br /> TED <br /> CLAIMS-MADE � OCCUR PREMISES(Ea o DAMAGE TO ccurrence) $100,000 <br /> MED EXP(Any one person) $15,000 <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: EBL $1,000,000 <br /> A AUTOMOBILE LIABILITY N N 6079684568 11/15/2024 11/15/2025 COMBINED SINGLE LIMIT $1,000,000 <br /> Ea accident <br /> ANY AUTO BODILY INJURY(Per person) $ <br /> OWNED SCHEDULED BODILY INJURY(Per accident) $ <br /> AUTOS ONLY AUTOS <br /> X HIRED X 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 N 6079684604 11/15/2024 11/15/2025 EACH OCCURRENCE $5,000,000 <br /> EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 <br /> DED X RETENTION$In nnn $ <br /> C WORKERS COMPENSATION Y 6079684599 11/15/2024 11/15/2025 X <br /> C AND EMPLOYERS'LIABILITY Y/N 6079684585 11/15/2024 11/15/2025 STATUTE ERH CA&AOS <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 /> D Prof/Cyber-CM 652510479 3/23/2025 3/23/2026 Ea Claim/Agg $10,000,000 <br /> E Crime-3rdParty MPL6958336-02 1/15/2025 1/15/2026 Ea Claim $1,000,000 <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 f/k/a CE Holdco,LLC;CE Management Holdings, LLC;ClubReady, LLC;LEGP II Blocker(CR), Inc; <br /> iKizmet, Inc;ClubReady Canada Software, ULC;RecTrac, LLC d/b/a Vermont Systems; RecDesk, LLC(+5/16/24);Clubessential,LLC; BlueGolf,LLC;Advance <br /> Scoreboards,LLC d/b/a taskTracker(+5/22/24);GolfCompete, Inc d/b/a foreUP;RW2 Marketing&Design, Inc d/b/a 1-2-1 Marketing;Exerp Buy Co;Exerp <br /> America Inc <br /> OH Employers Defense Liability(Stop Gap):Policy#6079684571; 11/15/2024-11/15/2025$15000,0001$1,000,0001$1,000,000 <br /> CGL:CNA74872XX(01/15)CNA Paramount Technology General Liability Extension 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 ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 300 West Tryon Street <br /> P.O. Box 8181 AUTHORIZED RZFL- <br /> @Hillsborough NC 27278 <br /> USA ? 1988-2015 ACORD CORPORATION. All rights reserved. <br /> ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD <br />