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HI-90 Grindy
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2025-03-18 10:00 AM - Commissioners' Agenda
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HI-90 Grindy
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Last modified
3/13/2025 12:08:02 PM
Creation date
3/13/2025 12:07:42 PM
Metadata
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Template:
Meeting
Date
3/18/2025
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Supporting documentation
Supplemental fields
Item
Request to Approve a Special Event Application from Jake Maedke to Host the HI90-Grindy on June 7, 2025
Order
2
Placement
Consent Agenda
Row ID
128957
Type
Special Event Application
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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYN <br />0210712025 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 CERTIFIGATE HOLDER. <br />IMPORTANT lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such ondorsement(s). <br />PRODUCER <br />McKay lnsurance Agency, lnc. <br />106 East Main Street <br />P O Box 151 <br />Knoxville tA 50138 <br />#P\1"*" (M1)u2-2',t35 (641) 828-2013 <br />sports@mckayinsagency.com <br />INSURERISI AFFORDING COVERAGE NAICf <br />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 />;NSTJRER B: Gerber Life lnsurance Company 70939 <br />INSURER C <br />INSURER D: <br />INSURER E: <br />ITISURER F: <br />CERTTFTCATENUMBER: cL252766704 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 />EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />UMITSINSR <br />TTR TYPE OF INSURANCE lNsn urr|POLICY NUMBER <br />rqltur Etr <br />{MI'IDD/YYYY) <br />EACH OCCURRENCE $ 1,000,000 <br />PRFMISFS rFa mdrran.nl $ 300,000 <br />MED EXP {Anv one DeBon}, Excluded <br />PERSONAL & ADV INJI.-'RY s 1,000,000 <br />GENERALAGGREGATE $ 2,000,000 <br />PRODUCTS. COMP/OPAGG $ 2,000,000 <br />N 3607AH010099.7 06t07t2025 06/08/2025 <br />$ <br />A <br />COMMERCIAL GENERAL LIABILITYE <br />Participants <br />POLICY <br />OCCUR <br />lncludes Athletic <br />CLAIMS-MADE <br />$ <br />$BODILY INJURY (Per pereon) <br />BODILY INJURY (Per accident)$ <br />$ <br />$ <br />SCHEDULED <br />AUTOS <br />NON-OWNED <br />AUTOS ONLY <br />AUTOS <br />HIRED <br />AUTOS <br />AUTOMOBILE LIABIUTY <br />ONLY <br />ONLY <br />ANYAUTO <br />OWNED <br />FACH OCCIIRRFNCF sOCCUR <br />CI AIMS.MADF AGGREGATE $ <br />UMBRELLALIAB <br />EXCESS LIAB <br />sDEDRETENTION S <br />I PbRI srarl rrF olH- <br />ER <br />F L EACH ACCIDENT s <br />E.L. DISEASE . EA EMPLOYEE $ <br />E-L. DISEASE - POLICY LIMIT $ <br />WORKERS COMPENSAIION <br />AND EMPLOYERS'UABIUTY <br />ANY PROPRIETOR/PARTNERI/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory ln NH) <br />lf yes, descrlbe und€r <br />DESCRIPTION OF OPERATIONS below <br />Y'N <br />N/A <br />B <br />Accident Medical <br />15-07094+24 06107t2025 o6to8t2025 Deductible $250 <br />Excess $2s,ooo <br />DESCRIPTION OF OPERATIONS / LOCATIONS , VEHICLES (ACORD t0'1, Additional Romarks Schedule, may bs aftachsd it more spaco ls required) <br />Hl90 Grindy Bicycle Ride: JuneT ,2025. Kittitas County its ofiicers, agents and employees are an additional insured but only with respect to liability arising <br />out of the operations of the above named insured. 'This policy is issued, pursuant to lowa Code section 515.'147, by a nonadmifted company in lowa and as <br />such is not covered by the lowa lnsurance Guaranty Associalion." <br />CERTIFICATE H <br />@ 1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registerod marks of AGORD <br />SHOULD ANY OF THE ABOVE DESGRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRANON DATE THEREOF, NOIICE WILL BE DELIVERED IN <br />ACCORDANCE W]TH THE POLICY PROVISIONS. <br />AUT}IORIZED REPRESENTATIVE <br />wA 98926Ellensburg <br />Kittitas County <br />205 W sthAve <br />ACORD 25 (2016/03)
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