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COVERAGES <br />CERTIFICATE OF LIABILITY INSURANCE <br />CERTTFTCATE NUMBER: 2023 $2M A.l.REVISION NUMBER: <br />CANC <br />@ 1988-20'15 ACORD CORPORATTON. Ail rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />FICATE HOLDER <br />DATE (M['IDD/YYYY} <br />02116t2023 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />lMPoRTANTlfthecertificateholderisanADDlTloNALlNsURED; <br />lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu ofsuch en dorsement(s). <br />PRODUCER <br />lnsurance Management Group <br />12730 Coldwater Road, Suite 103 <br />Fort Wayne lN 46845 <br />frXfiH"' Margaret Mayers <br />fjl!.t$.. u-u, Q6o) 338-2e25 (765) 664-0761 <br />i-JHh"", mmayers@insmgt.com <br />INSURER(S} AFFOROING COVERAGE NAIC # <br />tNsuRER A : National Casualty Company 11 991 <br />INSURED <br />Road Runners Club of America/2023 and lts Member Clubs <br />1501 Langston Boulevard <br />Suite 103 <br />Arlington 22209 <br />|NSTJRER B: Nationwide Life lnsurance Company 66869 <br />INSURER C <br />INSURER D <br />INSURER E : <br />INSURER F : <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 DOCUIVIENT 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 />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS. <br />INSR <br />LTR TYPE OF INSURANCE wvD POLICY NUMBER <br />PULIUY EFF POLIGY EXP(MM/DD/YYYY)LIMITS <br />COMMERCIAL GENERAL LIABILIrY <br />cLArvs-MADE lXl o""r* <br />Legal Liability to <br />Participants $2,000,000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />PRO-JEcr Ll LocPOLICY <br />oTHER: Per Event Basis <br />KRO0000009333000 1213112022 1213112023 <br />EACH OCCURRENCE $ 2,000,000 <br />UAMAUE IUKENItsU <br />PREMISES fEa occurrence)$ 500,000 <br />[4ED EXP (Anv one person)$ 5,000 <br />PERSONAL & ADV INJURY $ 2,000,000 <br />GENERAL AGGREGATF $ 5,000,000 <br />PRODLJCIS - COMP/OP AGG $ 2,000,000 <br />Abuse and Molestation $ 500,000 <br />AUTOMOBILE LIAAILITY <br />ANYAUTO <br />OWNED <br />AUTOS ONLY <br />HIRED <br />AUTOS ONLY <br />SCHEDULED <br />AUTOS <br />NON.OWNED <br />AUTOS ONLY <br />KRO0000009333000 1213112022 1213112023 <br />COMBINED SINGLE LIMIT <br />lEa eftidenll $ 2,000,000 <br />BODILY INJURY (Per person)$ <br />BODILY INJURY (Per accideni)$ <br />$ <br />$ <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS-MADE <br />EACH OCCURRENCE $ <br />AGGREGATE $ <br />DED RETENTION $$ <br />WORKERS COIVI PENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETORYPARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />(Mandatory in NH) <br />lfyes, describe under <br />DESCRIPTION OF OPERATIONS below <br />N/A <br />I PERI srarl rrF urH- <br />E,L, EACH ACCIDENT $ <br />E,L. DISEASE. EA EIUPLOYEE <br />E,L, DISEASE - POLICY LIMIT $ <br />B <br />Exces Medical & Accident <br />$250 Deductible/Claim)8AX000003'1 991 400 12t31t2022 12131t2023 <br />Excess Medical <br />AD & Specific Loss <br />$10,000 <br />$2,500 <br />DESGRIPTIONOFoPERATIoNS/LOCATIONSTVEHICLES (ACORDlOl,AdditionalRemarkssohedute,maybeattachedifmorespaceisEquired) <br />KittitAs COUNTY IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED <br />DATE OF EVENT(S): 04101123 Yakima River Canyon Marathon and Half-Marathon INSURED RRCA CLUB/EVENT MEMBER: Hard Core Runners Ctub <br />ATTN: Frank Purdy, 100 N. 50th Ave., Yakima WA 9890S ATTACHED: pCN 0156-KRGL56 & KRGL7g <br />Processed by RMV <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />wA 98926Ellensburg <br />O4lO1 123 Kittitas County <br />205 West Fifth Street <br />!-,1R Nl/, <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (20',t6t03)