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ACC>RhP CERTIFICATE OF LIABILITY INSURANCE <br />DATE (MMIDD/YYYY) <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 />CONTACT Margaret Mayers <br />NAIVE: g Y <br />STAR Insurance - Fort Wayne Office <br />NE , i.(260)467-5689 F H , (260)467-5691 <br />eaNl margaret.mayers@starfinancial.com <br />2130 East Dupont Road <br />INSURE S AFFORDING COVERAGE NAIC # <br />INSURERA:National Casualty Co an 11992 <br />Fort Wayne IN 46825 <br />.INSURERB:Nationwide Life Insurance Co. 66869 <br />INSURED <br />INSURER C: <br />Road Runners Club of America/2018 and Its <br />. INSURER D: <br />Member Clubs <br />1501 Lee Highway, Suite 140 <br />INSURER E: <br />Arlington VA 22209 <br />INSURER F: <br />COVERAGES CERTIFICATE NUMBER:2018 $2M A.I I. 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 />IN R- A -0D L SIJ R PtlI.ICY EFF ppLlCYE][P <br />LTR TYPE OF INSURANCE POLICY NUMBER MAVDDrYYYY MM70D1YYYY LIMITS <br />X COMMERCIAL GENERAL LIABILITY <br />EACH OCCURRENCE $ 2,000,000 <br />A <br />CLAIMS -MADE � OCCUR <br />PR I $ 500,000 <br />MED EXP fAny one person) $ 5,000 <br />X Legal Liability to <br />KR00000007171000 <br />12/31/2017 <br />12/31/2018 <br />Partici ant 22,000,000 <br />PERSONAL &ADV INJURY $ 2,000,000 <br />12:01 AM <br />12:01 AM <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE $ Unlimited <br />X POLICY E]F-1 LOC <br />Abuse & Molestation <br />PRODUCTS - COMPIOPAGG $ 2,000,000 <br />Abuse and Molestation $ 500,000 <br />OTHER: <br />Aggregate $5,000,000 <br />AUTOMOBILE <br />LIABILITY <br />. <br />COMBINEDt $ 2,000,000 <br />(119 M00 <br />A <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS _ AUTOS <br />KR00000007171000 <br />12/31/2017.12/31/2018 <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />PR ERTY A AGE $ <br />eraccid <br />XX <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />12:01 AM <br />12:01 AM <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION$ <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY Y / N <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />PER- <br />STATUTE I ER <br />E.L EACHACCIDENT $ <br />OFFICER/MEMBER EXCLUDED? <br />N/A <br />E.L DISEASE - EA EMPLOYE $ <br />(Mandatory in NH) <br />If yes, describe under <br />J]ESCRIPTION OF OPERATIONS below <br />E.L DISEASE -POLICY LIMIT $ <br />B <br />Excess Medical & Accident <br />SPX0000028554500 <br />12/31/2017 <br />12/31/2018 <br />Excess Medical $10,000 <br />($250 Deductible/Claim) <br />12:01 AM <br />12:01 AM <br />AD&Specific Loss $2,500 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / 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, Att'n: Lenore <br />Dolphin, PO Box 1511, Yakima, WA 98907 Effective 02/15/18 this voids and replaces any previously <br />received certificates <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 />OY-111: 019M WG\lua 1:1 <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 />Diller/MMA <br />©1988-2014 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />