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COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />CERTTFICATENUMBER: cL24226472s REVISION NUMBER: <br />DATE {MM/DD/YYYN <br />42r02t2024 <br />THIS CERTI FICATE ts lssuED AS A MATTER OF NFORMATIO N ONLY AND CONFERS NO RIGHTS UPON TH E CERTIFICATE HOLDER.THISCERTIFICATEDOESNOTAFFIRMATIVELYORNEGATIVELYAMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY TH E POLICIES <br />BELOW.THIS c ERTIFICATE OF INSU RANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING rNsuRER(S),AUTHORIZED <br />REPRESENTATIVE OR PRODUC ER,AND THE CERTIFICATE HOLDER. <br />holder ls an the must or betfSUBROGATIONtsWAIVED,subject to the terms and conditions of the policy,certain pol lctes may require an endorsement.A statement onthiscertificatedoesnotconfertothecertificateholdertnlieuofsuch <br />PRODUCER <br />McKay lnsurance Agency, lnc. <br />106 East Main Street <br />P O Box 151 <br />Knoxville <br />Megan <br />(641)U2-2,t35 (641) 828-2013 <br />meg@mckayinsagency.com <br />COVERAGE #tA 50138 TNSURERA: Evanston lnsurance Company 35378 <br />INSURED <br />Silent Sports Association- NBTS SE <br />Vicious Cycle Events, lnc. <br />139 E. Street SW <br />Ephrata wA 98823 <br />tNsuRER B . Gerber Life lnsurance Company 70939 <br />INSI,JRER C : <br />INSURER D <br />INSURER E <br />INSURER F: <br />REQUIREMENT, <br />tsTHIS CERTIFYTO THAT THE ESPOLICI INSURANCEOF LISTED BELOW BEENHAVE TOISSUED THE INSURED ABOVENAMED THEFOR PERIODPOLICY <br />NGNOTWITHSTANDI ANYNDICATED.ORTERM OFCONDITION CONTRACTANY OTHEROR WTHDOCUMENT TORESPECT WHICH THIS <br />FICATECERTI BEMAY ORISSUED MAY PERTAIN,INSURANCETHE BYAFFORDED POLtCtESTHE HEREINDESCRIBED SUBJts TOECT THEALL TERMS,ANDEXCLUSIONS OFCONDITIONS SUCH POLICIES.SHOWNLIMITS HAVEMAY BEEN REDUCED PAIDBY CLAIMS. <br />TYPE OF INSURANCE POLICY NUMBER UMITS <br />EACH OCCURRENCE 1,000,000 <br />300,000 <br />MED EXP Excluded <br />&ADV INJURY 1,000,000 <br />GENERAL 2,000,000 <br />. COMP/OPAGG <br />A <br />COMMERCIAL GENERAL LIABILITY <br />.LA'M.-MADE lX o."r* <br />lncludes Athletic Participants <br />6.r"r*. Event <br />LIMITAPPLIES PER: <br />PRO.JECT | | LOC <br />N 3607AH010099,6 06to8t2024 06t09t2024 <br />c <br />$ <br />BODILY INJURY (Per psEon)$ <br />BODILY INJURY (Per accident)$ <br />$ <br />SCHEDULED <br />AUTOS <br />AUTOMOBILE LIABIUTY <br />NON.OWNED <br />AUTOS ONLY <br />ANYAUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />$ <br />UMBRELLALIAB <br />EXCESS LIAB <br />OCCUR <br />RETENTION <br />E.L. EACH ACCIDENT <br />EMPLOYEE <br />WORKERS COMPENSATION <br />Y/N <br />EXCLUDED? <br />underdescribe <br />OF <br />EMPLOYERS' LIABILITY <br />NTA <br />E.L. DISEASE LIMIT <br />B <br />Accident Medical <br />15-07094+23 06t08t2024 06t09t2024 <br />Excess <br />Deductible $250 <br />/ LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedulo, may be attached if mors space i6 roqulr€d) <br />Hi90 Grindy Bicycle Ride: June 8, 2024. Certificate holder is an additional insured but only with respect to liability arising out of the operations of the abovenamed insured. 'This policy is issued, pursuant to lowa Code section 515.147, by a nonaimitted company in lowa and as such is noi covered by the lowalnsurance Guaranty Association." <br />DESCRIPTION OF OPERATIONS <br />SHOULDANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />Ellensburg wA 98926 <br />Kittitas County <br />205 W Sth Ave <br />AUTHORIZED REPRESENTATIVE <br />@ 1988.2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of AGORDACORD 25 (2016t031