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AG R ® DATE (MMIDDIYYYY) 4N-� CERTIFICATE OF LIABILITY INSURANCE 2/24/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NPOk4L Margaret Mayers Insurance Management Group PHONE (260)338-2925A LA/O.,N9.EA.). l JAIC, No). 959 E. 4th St. AODRESS:mmayers@insmgt.com P.O. BOX 1600 IN AFFORDING COVERAGE NAIC # Marion IN 46952 IINSURERA:National Casualt�r� Company 11991 INSURED INSURERB:Nationwide Life Insurance Co. 66869 Road Runners Club of America/2019 and Its Member INSURERC: Clubs INSURER D : 1501 Lee Highway, Suite 140 INSURER E: Arlington VA 22209 ]INSURER F. / ['nVFRAf,FS f.FRTIFIrATF NIIMRFFi-2019 S2M A.I. RFVISInN NJIMRPP- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSIR OL SVE[k' POLICY EFF P E P �.... .... LTR TYPE OF INSURANCE l I POLICY NUMBER MMIDD)YYY LIMITS j X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 l7AVAGMAEN`fE0 A CLAIMS -MADE r—xl OCCUR PRE��gL $ 500,000 $ 51000 X Legal liability to KR00000007654600 12/31/2018 12/31/2019 MED EXP (Any one person)_ $ 2,000,000 Participant $2,000,000 PERSONAL &ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE i $ Unlimited X POLICY j LOC PRODUCTS - COMP/OP AGG ' $ 2,000,000 OTHER Abuse and Molestation $ 500,000 AUTOMOBILE LIABILITY ! .COM I SINGLE LIMIT Ea�aANY $ 2,000,000 BODILY INJURY (Per person) AUTO $ A ALL OWNEDSCHEDULED AUTOS AUTOS X NON -OWNED X RR00000007654600 12/31/2018 12/31/2019 BODILY INJURY (Per accident) $ $ PROPERTY PAM HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS -MADE AGGREGATE $ DFD RETENTION $ WORKERS COMPENSATION PERAND EMPLOYERS' LIABILITYY / N . STATUTE ER E L EACH ACCIDENT S ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A E L DISEASE - EA EMPLOYEE $ (Mandatory in NH) If yes, describe under - DESCRIPTION OF OPERATIONS below E L DISEASE - POLICY LIMIT $ B Excess Medical & Accident SPX0000030282400 12/31/2018 12/31/2019 Excess Medical $10,000 ($250 deduction) AD&Specific Loss $2,500 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) Kattitas County IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. DATE OF EVENT(S): 03/30/19 Yakima River Canyon Marathon and Half Marathon INSURED RRCA CLUB/EVENT MEMBER: Hard Core Running Club, Att'n: Lenore Dolphin, PO Box 1511 Yakima, WA 98907 Attached: PCN0142 - KRGL56 & KRGL79 CERTIFICATE HOLDER CANCELLATION 03/30/19 Kattitas County 205 W. 5th Room 108 Ellensburg, WA 98926 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ry Diller/MARG `S ulS �S) J� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD INS025 (201401)