HomeMy WebLinkAboutInsurance for Yakima River Canyon MarathonCOVERAGES
CERTIFICATE OF LIABILITY INSURANCE
CERTTFTCATE NUMBER: 2023 $2M A.l.REVISION NUMBER:
CANC
@ 1988-20'15 ACORD CORPORATTON. Ail rights reserved.
The ACORD name and logo are registered marks of ACORD
FICATE HOLDER
DATE (M['IDD/YYYY}
02116t2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
lMPoRTANTlfthecertificateholderisanADDlTloNALlNsURED;
lf SUBROGATION lS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu ofsuch en dorsement(s).
PRODUCER
lnsurance Management Group
12730 Coldwater Road, Suite 103
Fort Wayne lN 46845
frXfiH"' Margaret Mayers
fjl!.t$.. u-u, Q6o) 338-2e25 (765) 664-0761
i-JHh"", mmayers@insmgt.com
INSURER(S} AFFOROING COVERAGE NAIC #
tNsuRER A : National Casualty Company 11 991
INSURED
Road Runners Club of America/2023 and lts Member Clubs
1501 Langston Boulevard
Suite 103
Arlington 22209
|NSTJRER B: Nationwide Life lnsurance Company 66869
INSURER C
INSURER D
INSURER E :
INSURER F :
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 DOCUIVIENT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAJMS.
INSR
LTR TYPE OF INSURANCE wvD POLICY NUMBER
PULIUY EFF POLIGY EXP(MM/DD/YYYY)LIMITS
COMMERCIAL GENERAL LIABILIrY
cLArvs-MADE lXl o""r*
Legal Liability to
Participants $2,000,000
GEN'LAGGREGATE LIMITAPPLIES PER:
PRO-JEcr Ll LocPOLICY
oTHER: Per Event Basis
KRO0000009333000 1213112022 1213112023
EACH OCCURRENCE $ 2,000,000
UAMAUE IUKENItsU
PREMISES fEa occurrence)$ 500,000
[4ED EXP (Anv one person)$ 5,000
PERSONAL & ADV INJURY $ 2,000,000
GENERAL AGGREGATF $ 5,000,000
PRODLJCIS - COMP/OP AGG $ 2,000,000
Abuse and Molestation $ 500,000
AUTOMOBILE LIAAILITY
ANYAUTO
OWNED
AUTOS ONLY
HIRED
AUTOS ONLY
SCHEDULED
AUTOS
NON.OWNED
AUTOS ONLY
KRO0000009333000 1213112022 1213112023
COMBINED SINGLE LIMIT
lEa eftidenll $ 2,000,000
BODILY INJURY (Per person)$
BODILY INJURY (Per accideni)$
$
$
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-MADE
EACH OCCURRENCE $
AGGREGATE $
DED RETENTION $$
WORKERS COIVI PENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORYPARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
lfyes, describe under
DESCRIPTION OF OPERATIONS below
N/A
I PERI srarl rrF urH-
E,L, EACH ACCIDENT $
E,L. DISEASE. EA EIUPLOYEE
E,L, DISEASE - POLICY LIMIT $
B
Exces Medical & Accident
$250 Deductible/Claim)8AX000003'1 991 400 12t31t2022 12131t2023
Excess Medical
AD & Specific Loss
$10,000
$2,500
DESGRIPTIONOFoPERATIoNS/LOCATIONSTVEHICLES (ACORDlOl,AdditionalRemarkssohedute,maybeattachedifmorespaceisEquired)
KittitAs COUNTY IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED
DATE OF EVENT(S): 04101123 Yakima River Canyon Marathon and Half-Marathon INSURED RRCA CLUB/EVENT MEMBER: Hard Core Runners Ctub
ATTN: Frank Purdy, 100 N. 50th Ave., Yakima WA 9890S ATTACHED: pCN 0156-KRGL56 & KRGL7g
Processed by RMV
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
wA 98926Ellensburg
O4lO1 123 Kittitas County
205 West Fifth Street
!-,1R Nl/,
AUTHORIZED REPRESENTATIVE
ACORD 25 (20',t6t03)
ENDORSEMENT
National Casualty Company NO.
ATTACHED TO AND
FORTIilGA PARTOF
FOLICY NUIIBER
ENDORSETENT EFFECNVE DATE
112101 Ail. STANDARD TU,EI NAMEO II,ISUREO AGENTNO.
KRO 9333G00 12t31t22 Road Runners Club of America and its Member Clubs
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
POLICY CONDITIONS
This endorsement modifies insurance provided under the following:
COMiIERCIAL GENERAL LIABILITY COVERAGE PART
The Other lnsurance condition of this Coverage Part is replaced by the provision marked below with an.X'in the box:
Other lnsurance
I lt otner valid and collectible insurance with any other insurer including any formal self-insured re-
tention programs is available to you covering a loss also covered by this Coverage Part, other than
insurance that 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.
Nothing herein shall be construed to make this insurance subject to the terms, conditions and lim-
itrations of other insurance.
X Coverage afforded under this Coverage Part is primary insurance and Other lnsurance shall not
apply as respects
AS REQUESTED.
As additional insured.
The Gancellation condition of this Coverage Part is amended by the addition of the following if an 'X' is in
the box:
Gancellation
The following is added: lt is a condition of the Policy by this Endorsement that the Policy will not be
cancelled without 90 days'priorwritten notice to:
BLANKET 90 WRITTEN NOTICE OF CANCELLATION AS REQUIRED BY WRITTEN CONTRACT
As additional insured.
and further, that the person(s) named above are not liable for the payment of any premiums or
assessments on this Policy.
'tr*W /A^/J
^UTHORTZED
REPRESENTATTVE
Fage 1 of 1
X
KR-GL-7S (4-07)
DATE
ENDORSEMENT
National Casualty Company NO.
ATTACHEO TO AND
FORMING A PART OF
POLICY NUMBER
ENDORSEMENT EFFECTIVE DATE
(12:01 A.M. STANOARD TIME)NAMFD INSUREO AGENT NO.
KRO000009333000 12R1t22 Road Runners Club of America and lts Member Clubs
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSUREDS OWNERS AND/OR LESSORS OF PREMISES,
SPONSORS OR CO.PROMOTERS
This insurance modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
A. SECTION ll-WHO lS AN INSURED is amended to include as an additional insured any per-
son(s) or organization(s) of the types indicated by an "x" in any boxes shown below, but only
with respect to liability for "bodily injury," "property damage" or "personal and advertising injury"
caused, in whole, by your acts or omissions or the acts or omissions of those acting on your
behalf.
1. ln the performance of your ongoing operations, or
2. ln connection with your premises owned by or rented to you.
However.
1. The insurance afforded to such additional insured only applies to the extent permitted by
law; and
2. lf coverage provided to the additional insured is required by a contract or agreement, the
insurance afforded to such additional insured will not be broader than that which you are
required by the contract or agreement to provide for such additional insured.
With respect to an additional insured owner and/or lessor of premises, this insurance does
not apply to:
a. An "occurrence" or offense which takes place while you are not a tenant in possession
of the subject premises
b. "Bodily injury" or "property damage" arising out of:
(1) Structural alterations, new construction or demolition operations performed by or
on behalf of the owner and/or lessor of premises;
(2) Any desrgn defect or structural maintenance of the premises; or
(3) Any premises defect.
B. With respect to the insurance afforded to these additional insureds, the following is added to
SECTION III_LIMITS OF INSURANCE:
lf coverage provided to the additional insured is required by a contract or agreement, the most
we will pay on behalf of the additional insured is the amount of insurance.
1. Required by the contract or agreement; or
2. Available under the applicable Llmits of lnsurance shown in the Declarations; whichever is
less.
KR-GL-56 (7-18)Page 1 of2
This endorsement shall not increase the applicable Limits of lnsurance shown in the Declarations.
Schedule of Additional lnsureds :
Owners and/or Lessors of the premises leased, rented or loaned to you
Sponsors
Go-Promoters
Any individual person(s) or organization(s) listed below:
Kittitas County
CLUB: Hard Core Runners Club
EVENT DATE AND NAME. A4lO1D3 Yakima River Canyon Marathon and Hatf Marathon
PCN 0156
X
x
X
x
KR-GL-56 (7-18)Page 2 of 2
DATEAUTHOR IZE D REPRESE NTATIVE