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ACCIPRff CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MM/DDNYYY) <br />2/15/2018 <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 be endorsed. If SUBROGATION IS WAIVED, Subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder in lieu of such endorsement(s). <br />PRODUCER <br />AME! T Margaret Mayers <br />STAR Insurance - Fort Wayne Office <br />PHOT Eft (260) 467-5689 FRt< N (260)467-5691 <br />2130 East Dupont Road <br />AOMM!margaret.mayers@starfinancial.com <br />INSURERS AFFORDING COVERAGE NAIC # <br />MED EXP (Any oneperson) $ 51000 <br />INWRERAMativnal Casualty Company 11991 <br />Fort Wayne IN 46825 <br />INSURERB:Nationwide Life Insurance Co. 66869 <br />INSURED <br />Road Runners Club of America/2018 and Its <br />INSURER C: <br />Member (Tubs <br />INSURER D: <br />1501 Lee Highway, Suite 140 <br />INSURER E: <br />Arlington VA 22209 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:2018 $2M A. I. RFVI.Rinm NIIMRFR• <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 HERESN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS <br />1NSRTYPE OF INSURANCE •SUER{ POLICY EFF POLICY EXp <br />LTR I POLICY NUMBER MM/DD/YYYY MMfOD LIMITS <br />A <br />X COMMERCIAL GENERAL LIABILITY <br />� CLAIMS -MADE Ex OCCUR <br />EACH OCCURRENCE $ 2,000,000 <br />pR�t EBo"WratlC $ 500,000 <br />MED EXP (Any oneperson) $ 51000 <br />* Legal Liability to <br />KR00000007171000 <br />12/31/2017 <br />12/31/2018 <br />. Participant $2,000,000 <br />PERSONAL &ADV INJURY $ 2,000,000 <br />12:01 AM <br />12:01 AM <br />_GENT AGGREGATE LIMIT APPLIES PER: <br />POLICY PRO- LOC <br />I JECT <br />GENERAL AGGREGATE $ Unlimited <br />Abuse & Molestation <br />PRODUCTS-COMP/OPAGG $ 2,000,000 <br />Abuse and Molestation $ 500,000 <br />OTHER <br />Aggregate $5,000,000 <br />AUTOMOBILE <br />LIABILITY <br />EaaCNdeflt I L $ 2,000,000 <br />BODILY INJURY (Per person) $ <br />A <br />�., <br />ANY AUTO <br />ALL OWNED v SCHEDULED <br />AUTOS _ AUTOS <br />KR00000007171000 <br />12/31/2017 <br />12/31/2018 <br />BODILY INJURY Per accident $ <br />( ) <br />XX <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />12 : O1 AM <br />12 : Ol AM <br />RTS` DA7JIAGE <br />Per ides $ <br />$ <br />UMBRELLA LIAB <br />F1 <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />AGGREGATE $ <br />DED I RETENTION $ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBEREXCLUDED? F---1NIA <br />_7777T <br />CrT H_ <br />UTE FR <br />E L EACH ACCIDENT $ <br />E L DISEASE - EA EMPLOYE $ <br />(Mandatory in NH) <br />If yes, describe under <br />If ns, describe <br />NOF OPERATIONS below <br />E L DISEASE - POLICY LIMIT $ <br />B Excess Medical & Accident <br />SPX0000028554500 <br />12/31/201172/31/2018 <br />Excess Medical $10,000 <br />($250 Deductible/Claim) <br />12:01 AM12.01 <br />AM AD&Specific Loss $2,500 <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE <br />NAMED INSURED. DATE OF EVENT(S): 04/07/18 Yakima River Canyon Marathon and Half Marathon - a 26.2 Mile <br />and 13.1 Mile Road Race INSURED RRCA CLUB/EVENT MEMBER: Hard Core Running Club, Attln: Lenore <br />Dolphin, PO Box 1511, Yakima, WA 98907 Effective 02/15/18 this voids and replaces any previously <br />received certificates <br />VGr%I IrlLm 1 G Fj%j$..li F_ ; <br />04/07/18 Kittitas County <br />Attached: PCN0099-KRGL56 & KRGL79 <br />205 W. 5th, Room 108 <br />Ellensburg, WA 98926 <br />ACORD 25 (2014/01) <br />INS025 (201401) <br />LH[YLCLt_A I IUN <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />Terry Diller/MMA <br />U 1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />