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CERTIFICATE OF INSURANCE AGENCY: Integro USA Inc. d/b/a Integro Insurance Brokers 2727 Paces Ferry Road, Building Two, Suite 1500 Atlanta, GA 30339 678-324-3300 (Phone), 678-324-3303 (Fax) PRINT DATE: 1128/2019 CERTIFICATE NUMBER: 20190128683133 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW NAMED INSURED: INSURERS AFFORDING COVERAGE: USA Triathlon of Colorado DEANNA MULLER INSURER A: Philadelphia Indemnity Ins. Co, NAIC #: 18058 Delm Springico ngs CO 80919-2401 Drive Colorado Springs INSURER B: Philadelphia Indemnity Ins, Co. NAIC #: 18058 Colo EVENT INFORMATION: Ellensburg Multisport (Olympic/Sprint Tri and Sprint Du) (7/12/2019 - 7/13/2019) POLICY/COVERAGE INFORMATION: T 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INS TYPE OF INSURANCE: POLICY NUMBER(S): EFFECTIVE: EXPIRES: !LIMITS: A GENERAL LABILITY – – X Occurrence PHPK1910062 12/1/2018 12:01 AM X Partcctpant Legal Liability B UMBRELLA/EXCESS LIABILITY 12/1/2019 GENERAL AGGREGATE (Applies Per Event) 12:01EACH OCCURRENCE I DAMAGE TO RENTED PREMISES (Each Occ.) MEDICAL EXPENSE (Any one person) PERSONAL & ADV INJURY PRODUCTS-COMP/OP AGG $2,000,000 $1,000,000 51,000.000 EXCLUDED $1,000,000• $2,000.000 I X Occurrence PHUB655496 12/1/2018 ] 12/1/2019 ` EACH OCCURRENCE $10,000,000 I - - 12:01 AM 12:01 AM AGGREGATE $10,000,000 l I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS; The certificate holder is an additional insured, where required by written contract or written agreement, but only with respect to the operations of the named insured, and subject to the provisions and limitations of form CG2026 - Additional Insured - Designated Person or Organization, but only with respect to the USAT sanctioned or approved event specified on this certificate, The General Liability policy is primary as per Form CG0001 (04/13). The General Liability policy contains Form CG2404 (05/09): Waiver of Transfer of Rights of Recovery Against Others to US, but only as required by written contract or agreement executed by the named insured prior to an occurrence resulting in a loss or a claim, ,CERTIFICATE HOLDER: — NOTICE OF CANCELLATION: Kitittas County, It's Officers, Officials, Employees Should any of the above described policies be cancelled before the expiration date thereof, 205 W 5th Ave notice will be delivered in accordance with the policy provisions Ellensburg WA 98926 AUTHORIZED REPRESENTATIVE*.