Yakima River Marathon Application Event

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COVERAGES CERTIFICATE OF LIABILITY INSURANCE CERTTFTCATENUMBER: 2022$2MA.t.REVISION NIJMBER: DATE (MM/DD/YYYN 02t22t2022 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 lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS 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 lnsurance Management Group 12730 Coldwater Road, Suite 103 Fort Wayne lN 46845 Margaret Mayers (260) 338-2925 (765) 664-0761 mmayers@insmgt.com INSURER(S) AFFORDING COVERAGE NAIC # tNsuRERA: National Casualty Company 11991 INSURED Road Runners Club of America/2022 and lts Member Clubs 1501 Langston Boulevard, Suite 140 Adington vA 22209 lNsuRER B . Nationwide Life lnsurance Company 66869 INSURER C: INSURER D: INSURER E: INSURER F : 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 TFIE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE tNch POLICY NUMBER POLIGY EFF(MMIDD/YYYY}POLICY EXP .MM/DD/YYYYI LIMITS A COMMERCIAL GENERAL LIABILITY .LATMS-MADE lX o""r* Legal Liability to Participant $2,000,000 AGGREGATE LIMIT APPLIES PER: "o,,"" J-l iF& l-1,-o" Per Event Basis KRO0000008971 600 1213112021 12t31t2022 EACH OCCURRENCE $ 2,000,000 PRFMISFS /Fe occ"nencr)$ 500,000 MED EXP (Anv one oerson)$ 5,000 PERSONAL & ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 PRODUCTS - COI\,IP/OP AGG $ 2,000,000 Abuse and Molestation $ 500,000 A AUTOMOBILE LIABILITY ANYAUTO OWNED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON-OWNED AUTOS ONLY KRO0000008971 600 12t31t2021 1213112022 $ 2,000,000 BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-IUADE EACH OCCURRENCE $ AGGREGATE $ DFD RETENTION $$ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORUPARTNER/EXECUTIVF OFFICERYMEMBER EXCLUDED? (Mandatory in I'lH) lf yes, describe under DESCRIPTION OF OPERATIONS below Y/N N'A PEK STATI ITF otH- ER E L EACHACCIDFNT $ FI DISFASF-FAFMPIOYFF $ F I DTSFASF - por tCY r tMtr $ B Excess Medical & Accident ($250 Deductible/Claim)8AX0000031 850400 12t31t2021 12t31t2022 Excess Medical AD & Specific Loss $10,000 $2,500 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD '101, Additional Remarks Sshedule, may be attached if more epace is required) KittitAs County is NAMED AS AN ADDITIONAL INSURED AS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. DATE OF EVENT(S): 04102122 Yakima River Canyon Marathon INSURED RRCA CLUB/EVENT MEMBER: Hard Core Running Club ATTN: Frank Purdy, PO. Box 1 511, Yakima WA 98907 ATTACHED: PCN 01 60-KRGL56 & KRGL7g Processed by RMV CANCELLATION @ 1988-2015 ACORD CORPORATION. All rights reserved. The AGORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESGRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WLL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. wA 98926Ellensburg 04lo2l22 Kittitas County 205 West Fifth Room 208 lr,yR /M& AUTHORIZED REPRESENTATIVE ACORD 2s (2016/03)