HomeMy WebLinkAboutCertificate_20160331410255kittitasCERTIFICATE OF INSURANCE
DATE:3/31/2016
CERTIFICATE NUMBER:20160331410255
AGENCY:
ESIX 3 LLC
d/b/a Entertainment &Sports Insurance eXperts (ESIX)
d/b/a Entertainment and Sports Insurance Agency (California)
2727 Paces Ferry Road,Building Two,Suite 1500
Atlanta,GA 30339
678-324-3300 (Telephone)
678-324-3303 (Facsimile)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY 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 Track &Field,Inc.
132 East Washington Street,Suite 800
Indianapolis IN 46204
Meridian Geographics,LLC INSURER A:Philadelphia Indemnity Ins.Co.
INSURER B:Philadelphia Indemnity Ins.Co.
EVENT INFORMATION:
Coal Mines Trail Run (5/7/2016 -5/8/2016)
POLICY/COVERAGE INFORMATION:
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 LIABILITY
X Occurrence
X Participant Legal Liability
PHPK1403938 11/1/2015
12:01 AM
11/1/2016
12:01 AM GENERAL AGGREGATE (Applies Per Event)$3,000,000
EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED PREMISES (Each Occ.)$1,000,000
MEDICAL EXPENSE (Any one person)EXCLUDED
PERSONAL &ADV INJURY $1,000,000
PRODUCTS-COMP/OP AGG $3,000,000
B UMBRELLA/EXCESS LIABILITY
X Occurrence PHUB517449 11/1/2015
12:01 AM
11/1/2016
12:01 AM EACH OCCURRENCE $10,000,000
AGGREGATE (Applies Per Event)$10,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS:
Coverage applies to USA Track &Field sanctioned events and registered practices,including any directly related activities,such as event set-up and tear-down,
participant check-in and award ceremonies.
The certificate holder is an additional insured as required by written contract or written agreement,but only for liability arising out of the negligence of the Named
Insureds per the following endorsement:Additional Insured -Certificate Holders (Form PI-AM-002)
The General Liability policy is primary and non-contributory with respect to the negligence of the Named Insureds (Form CG 00 01).
The General Liability policy contains a blanket Waiver of Subrogation as required by contract per Waiver of Transfer of Rights of Recovery Against Others (Form CG
24 04).
Excess policy follows form of underlying General Liability.
CERTIFICATE HOLDER:NOTICE OF CANCELLATION:
Kittitas County it's officials,employees,agents and volunteers
205 West Fifth Street
Suite 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: