HomeMy WebLinkAboutYakima River Canyon Marathon Special Event ApplicationKittitas County Office Of The Treasurer
Brett Wachsmith, Treasurer
205 W 5th Avenue, Suite 102
Ellensburg, Wa 98926
Phone (509) 962-7535 Fax (509) 933-8212
Cash Receipts
Receipt Number: 2018-1060 Date: 02/16/2018
Received From: JULIE K -DEBBIE
Check Amount:
$200.00
Cash Amount:
$0.00
Other Amount:
$0.00
Total Amount:
$200.00
Deputy: JENN
Receipt Type: CHK
Template:
Comments:
2018-806
SPECIAL EVENT APPLICATION
FEE - YAKIMA RIVER CANYON MARATHON
FundCode G1Code Description Amount
001 1632171 SPECIAL EVENTS FEE $200.00
Total Amount: $200.00
Kittitas County Treasurer's Office
Submitted By: JENNIFER COLLINS
(c) 2002 Cashtax All Rights Reserved www.balancedaction.com
February 13, 2018
Mandy Buchholz, Clerk
Kittitas County Commissioners FEB 16
205 W. 5t` Ave., Room 108
Ellensburg, WA 98926
Dear Mandy,
Enclosed are the Special Event Application and a check for $200.00 to cover the permit fee for our 2018
Yakima River Canyon Marathon and Half Marathon. Additional insurance to include Kittitas County
has been requested and will be sent to you soon.
The eighteenth annual Yakima River Canyon Marathon is scheduled for Saturday, April 7, 2018, with a
starting time of 8:00 a.m. on Canyon Road, a short distance south of the Flying J Truck Stop. The
wheelchair participants will start at 7:55 a.m. All participants will go north on Canyon Road, turn right
onto Berry Road, go east to Tjossem Road, and then .2 mile on Canyon Road. Next will be the
Woodhouse Loop Road from north to south, and back to Canyon Road for the remainder of the 26.2
miles. The finish line is located at the "truck turnaround" just north of the Sundown M Ranch in
Yakima County. All Half Marathon runners will be bused to their 9:30 a.m. start at the 13.1 mile mark
of the full marathon. They'll use the last half of the course of the full marathon.
The following are answers to the questionnaire:
1. Fire Safety and Protection - This is an outdoor event, and no temporary structure will be erected in
Kittitas County for the event. Per a phone conversation with Fire Marshal Brenda Larson in 2012, a
permit is not necessary.
2. Public Health./Environmental Health — (a) During a phone call in 2012 with Melissa Schumaier, I
explained to her that the ten aid stations in Kitittas County provide water and sports drinks, and two
of them have pretzels, gummy bears etc. for the participants (all purchased items) ...... as we've done
in the past. She assured me then and now that a permit is not necessary to do this. (b) There will be
indoor bathroom: facilities and porta potties available at the Conference Building of the Days Inn,
gathering place on race morning. In addition, there will be porta potties at the starting line on
Canyon Road and one or more at each aid station.
3. Law EnforcermentlSecuri (Emergency Medical Services — (a) Security, EMS and Traffic
Control.....The Yakima River Canyon Marathon committee is working with the sheriff's
departments of Kittitas and Yakima counties, the Ellensburg and Yakima Police Departments and
the Washington State Department of Transportation to provide a safe race for all participants.
Chaplain Bill Hunt of the Kittitas County Sheriffs office is the coordinator for the deputies who will
assist us on race day. They will work with ham radio operators of Yakima and Kittitas counties who
will be at all aid stations on the course and at the finish area in rural Selah. A medical tent at the
finish area will be staffed with a doctor and some nurses, and an ambulance will be available there as
well. (b) Music .... There may be music on the course near the end of the race, nothing excessively
loud and not after 3:00 p.m. (c) Off-site parking.....The only parking that is needed is a small
amount at the starting line, so the "off-road" parking there is adequate. None is needed on the course
for participants, and there are no spectators allowed. (d) Shuttle buses.....A & A Motor Coaches
bring marathon runners from the Selah Civic Center at 6:00 a.m. via I-82 to the Conference Building
at the Days Inn in Ellensburg.....and the half marathon runners at 8:00 a.m. to the start in the
Canyon. (e) Alcohol — None will be served.
4. Public Roads — Only local area residents, fishermen, volunteers and course officials will be
permitted on State Highway 821 from 7:00 a.m. until 3:00 p.m. Passes will be available for those
who need access to the road during the race. The Department of Transportation is working with us
to notify trucks and other traffic of the closure. Spectators will be allowed to watch at the start,
Thrall Road "T" junction and at the finish area. Bicycles (other than media and aid support) will not
be allowed on the course. Signs regarding the closure will be posted at both ends of the canyon, per
the request of the D.O.T.
Garbe a ciin— One of the goals of the Yakima River Canyon Marathon committee is to
"leave the Canyon cleaner than we found it on race day." For our past seventeen, successful races
this has been accomplished, and the same steps will be taken again this year to make sure that this
will happen. All garbage will be removed and taken to the finish area in Yakima County for
recycling and/or disposal.
6. Insurance — A copy of our insurance coverage will be sent soon.
7. Penal Bond --- Bond of lndemni —Because of the insurance coverage that we have, please ask the
Board of County Commissioners to waive the 5.20.100 Penal Bond — Bond of Indemnity
requirement.
8. County Filing and Registration — This race is sponsored by the Yakima Hard Core Runners Club
and the registration fee for participants is $80.00 by February 28, 2018, and $95.00 from March 1,
2018, until April 6, 2018.....collected by on-line registrations and late ones to the registrar the day
before the race at Selah.
Nothing else has changed from the past years when we've met all of the requirements of Kittitas County.
In the past, we've had as many as 535 participants who have come from many different states, Canada
and from various other parts of the world. We hope to have 400 (more or less) participants this year.
We're planning another great event on an awesome course and ask for your support for the eighteenth
annual Yakima River Canyon Marathon and third Half Marathon.
Sincerely,
Lenore and Bob Dolphin, Co -Directors
Yakima River Canyon Marathon and Half Marathon
310 South 50th Avenue
Yakima, WA 98908
(509)966-0188
dolphinmteam@earthlink.net
4
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If the application is made on belhalf of a partrtmbip, please submit#ull names with their
residence and post office address for a period of sic mond-ts prior to the date of
application ixmgether with the location of principal office or place of business of such
corporation_
Emergency ccntactname(s) and phone m mober(s) that can be contacted dig the
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Name I Phone Number
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WRITTEN PERMISSION TO ENTER EVENT SPPE
I/We hereby pemUtlaw'eoforcementand/or County offidals to enter the site for which
the Event Application has been granted at the time of the evert and up to five days
prior to the event for the purposes of inspecting and enforcement of County Code and
other applicable laws, and pursuant to may agreement and represe>ataik ms made m
connection with this Event Application.
SWORN STATEMENT OF CONDI I.IANCE
I/We hereby acknowledge tfiatI/We have road Ki.Hrtas county Code, have
familiar� znYself with County its_ I/We agree that eithermydesignated
agent or I/we shah be on site at all times and shall be responsible for the operation of
the event and for compliance with all legal requirements iia connection with -am event
I/ We prudersbnd that failure to, comply with the rales, regulations and conditions set
forth m Code may be deemed a gross misdemeanor and that drug or narcotics
violations are times under-RCW.
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Appliemt Na6e (Print)
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Applicant Name (Prifit)
Applicant Signature
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ACCIPRff CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DDNYYY)
2/15/2018
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: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS 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
AME! T Margaret Mayers
STAR Insurance - Fort Wayne Office
PHOT Eft (260) 467-5689 FRt< N (260)467-5691
2130 East Dupont Road
AOMM!margaret.mayers@starfinancial.com
INSURERS AFFORDING COVERAGE NAIC #
MED EXP (Any oneperson) $ 51000
INWRERAMativnal Casualty Company 11991
Fort Wayne IN 46825
INSURERB:Nationwide Life Insurance Co. 66869
INSURED
Road Runners Club of America/2018 and Its
INSURER C:
Member (Tubs
INSURER D:
1501 Lee Highway, Suite 140
INSURER E:
Arlington VA 22209
INSURER F:
COVERAGES CERTIFICATE NUMBER:2018 $2M A. I. RFVI.Rinm NIIMRFR•
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 THE POLICIES DESCRIBED HERESN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
1NSRTYPE OF INSURANCE •SUER{ POLICY EFF POLICY EXp
LTR I POLICY NUMBER MM/DD/YYYY MMfOD LIMITS
A
X COMMERCIAL GENERAL LIABILITY
� CLAIMS -MADE Ex OCCUR
EACH OCCURRENCE $ 2,000,000
pR�t EBo"WratlC $ 500,000
MED EXP (Any oneperson) $ 51000
* Legal Liability to
KR00000007171000
12/31/2017
12/31/2018
. Participant $2,000,000
PERSONAL &ADV INJURY $ 2,000,000
12:01 AM
12:01 AM
_GENT AGGREGATE LIMIT APPLIES PER:
POLICY PRO- LOC
I JECT
GENERAL AGGREGATE $ Unlimited
Abuse & Molestation
PRODUCTS-COMP/OPAGG $ 2,000,000
Abuse and Molestation $ 500,000
OTHER
Aggregate $5,000,000
AUTOMOBILE
LIABILITY
EaaCNdeflt I L $ 2,000,000
BODILY INJURY (Per person) $
A
�.,
ANY AUTO
ALL OWNED v SCHEDULED
AUTOS _ AUTOS
KR00000007171000
12/31/2017
12/31/2018
BODILY INJURY Per accident $
( )
XX
NON -OWNED
HIRED AUTOS AUTOS
12 : O1 AM
12 : Ol AM
RTS` DA7JIAGE
Per ides $
$
UMBRELLA LIAB
F1
OCCUR
EACH OCCURRENCE $
EXCESS LIAB
CLAIMS -MADE
AGGREGATE $
DED I RETENTION $
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBEREXCLUDED? F---1NIA
_7777T
CrT H_
UTE FR
E L EACH ACCIDENT $
E L DISEASE - EA EMPLOYE $
(Mandatory in NH)
If yes, describe under
If ns, describe
NOF OPERATIONS below
E L DISEASE - POLICY LIMIT $
B Excess Medical & Accident
SPX0000028554500
12/31/201172/31/2018
Excess Medical $10,000
($250 Deductible/Claim)
12:01 AM12.01
AM AD&Specific Loss $2,500
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
CERTIFICATE HOLDER IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE
NAMED INSURED. DATE OF EVENT(S): 04/07/18 Yakima River Canyon Marathon and Half Marathon - a 26.2 Mile
and 13.1 Mile Road Race INSURED RRCA CLUB/EVENT MEMBER: Hard Core Running Club, Attln: Lenore
Dolphin, PO Box 1511, Yakima, WA 98907 Effective 02/15/18 this voids and replaces any previously
received certificates
VGr%I IrlLm 1 G Fj%j$..li F_ ;
04/07/18 Kittitas County
Attached: PCN0099-KRGL56 & KRGL79
205 W. 5th, Room 108
Ellensburg, WA 98926
ACORD 25 (2014/01)
INS025 (201401)
LH[YLCLt_A I IUN
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
Terry Diller/MMA
U 1988-2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Policy Change
Number -- 0099
GU 269
(11-85)
THE ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
IL 12 01 11 85
POLICY CHANGES
Authorized Representative Signature
Copyright Insurance Services Office, Inc., 1983
Copyright, ISO Commercial Risk Services, Inc. 1983
ENDORSEMENT
National Casualty Company No. _ 0099
ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE
FORMING A PART OF (DOR A.M.9TANDARD TIME) NAMED INSURED AGENT NO.
POLICY NUMBER
KR00000007171000 04/07/18 ROAD RUNNERS CLUB OF AMERICA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSUREDS OWNERS AND/OR LESSORS OF PREMISES,
SPONSORS OR CO -PROMOTERS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The policy is amended to include as an additional Insured
any person or organization of the types indicated by an "X"
in any boxes shown below, but only with respect to liability
arising out of your operations:
❑X Owners and/or lessors of the premises leased,
rented, or loaned to you, subject to the following
additional exclusions:
a. This insurance applies only to an 'occurrence"
which takes place while you are a tenant in
the premises;
b. This insurance does not apply to "bodily
injury" or "property damage" resulting from
structural alterations, new construction or
demolition operations performed by or on
behalf of the owner and/or lessor of the
premises;
c, This insurance does not apply to liability of the
owners and/or lessors for "bodily injury" or
"property damage" arising out of any design
defect or structural maintenance of the prem-
ises or loss caused by a premises defect.
With respect to any additional insured included
under this policy, this insurance does not apply to
any negligence of such additional insured.
1 Sponsors
I. Co -Promoters
❑X Any individual person(s) or organization(s) listed
below:
KITTITAS COUNTY
Club: Hard Core Running Club
Event: Yakima River Canyon Marathon and
Half Marathon -26.2 Mile Road
Race and 13.1 Mile Road Race
Date: 04/07/18
AUTHORIZED REPRESENTATIVE
KR -GL -56 (4-07) Page 1 of 1
DATE
National Casualty Company
ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE
FORMING A PART OF (11:01 A.M. STANDARD TIME)
POLICY NUMBER
NAMED INSURED
ROAD RUNNERS CLUB OF AMERICA AND ITS
ENDORSEMENT
NO. _oaoo
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
POLICY CONDITIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
AGENT NO.
The Other Insurance condition of this Coverage Part is replaced by the provision marked below with an "X" in the
box:
Other insurance
❑X If other valid and collectible insurance with any other insurer including any formal self-insured retvntfon
programs is available to you covering a loss also covered by this Coverage Part, other than insurance Ihat
is in excess of the insurance afforded by this Coverage Part, the insurance afforded by this Coverage Part
shall be in excess of and shall not contribute with such other Insurance. Noticing herein shall be construed
to make this insurance subject to the terms, conditions and limitations of other insurance.
[] Coverage afforded under this Coverage Part is primary insurance and Other Insurance shall not apply as
respects
6SREQUIRE BY CONTRA . FOR OWNERSILE$SORS OF PREM,= .__..-
as additional insureds.
The Cancellation condition of this Coverage Part is amended by the addition of the following if an "X" is in the
box:
FRI Cancellation
The following is added: It is a condition of the Policy by this Endorsement that the Policy will not be can-
celled without 30 days' prior written notice to:
K'BEE and further,
that the person(s) named above are not liable for the payment of any premiums or assessments on this
Policy.
•A Y T 1 1L WIME90Mp6NyTHAT REQUIRES PRI08NLOLTICE
--
AUTHORIZED REPRESENTATIVE DATE
KR -GL -79 (4-07) Page 1 of 1