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3.1 RACES&WALKS\Adirondack 15 Race to the Lakes-2-24-20 RESOLUTION AUTHORIZING ADIRONDACK RUNNERS TO CONDUCT ADIRONDACK 15K RACE TO THE LAKES RESOLUTION NO. ,2020 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, the Adirondack Runners Club has requested authorization from the Queensbury Town Board to conduct its Adirondack 15k Race to the Lakes as follows: SPONSOR : The Adirondack Runners Club EVENT : Adirondack 15k Race to the Lakes DATE : Saturday, June 20th, 2020 commencing at approximately 8:00 a.m. PLACE : Beginning at SUNY Adirondack and ending at Battlefield Park in Lake George—course partially within the Town of Queensbury (letter regarding race course presented at this meeting) NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby acknowledges receipt of proper proof of insurance from the Adirondack Runners Club to conduct its Adirondack 15k Race to the Lakes partially within the Town of Queensbury as set forth in the preambles of this Resolution,and BE IT FURTHER, RESOLVED, that the Town Board hereby approves this event subject to approval by the Town Highway Superintendent, which may be revoked due to concern for road conditions at any time up to the date and time of the event. Duly adopted this 24th day of February, 2020, by the following vote: AYES : NOES : ABSENT: Town of Queensbury / David Duell Highway Highway Superintendent DepartmentA 1 (518) 761-8212 74,2 Bay Road—Oueensbury,NY 12804 Mark Benware Phone: (518) 761-8211 Deputy Highway Superintendent Fax: (518) 745-4466 (518) 761-8210 TO: Queensbury Town Board FROM: Dave Duell DATE: January 13, 2020 RE: June 20, 2020 Adirondack 15K to the Lakes Race I have reviewed the request of the Adirondack Runners Club's for the Adirondack 15k Race to the Lakes, being held on Saturday June 20, 2020 at 8am. I hereby grant my approval for the race to be held on the following roadways that are under my jurisdiction: Mannis, Fitzgerald and Birdsall Roads. All other roads that are not under my jurisdiction my need further approval from the County. Sincerely, Dave Duell Highway Superintendent Suzanne Nealon 21 Bay Street Apt 205 Glens Falls, NY 12801 518-331-8864 suzy.nealon@gmail.com January 12, 2020 Ms. Pamela Hunsinger Legal Assistant Town of Queensbury Town Counsel's Office 742 Bay Road Queensbury, NY 12804 Ms. Hunsinger: I am the race director for the Adirondack Runners Club's Adirondack 15k Race to the Lakes, scheduled for Saturday, June 20, 2020 at 8am. Our running club is requesting permission from the Town of Queensbury, New York to use the town roads for the purpose of running a foot race. The number of runners will be capped at 300. There will be 4 water stops along the route, 3 on the bike path and one at the intersection of Mannis and Fitzgerald Roads. As requested, the route and logistics of our race are as follows: Start: SUNY Adirondack College, rear parking lot, 8am. Proceed to Haviland Road, and take a left. Cross over Bay Road and continue on Blind Rock Road to the 4 way STOP sign. Turn Right on Mannis, continue up Fitzgerald, and return to Blind Rock Road. Take a right on Blind Rock Road and continue to Birdsall Road. Take a right on Birdsall Road, up the hill and onto the Warren County Bike Trail. Follow the Warren County Bike Trail to the end, on Beach Road in Lake George. Take a left on Beach Road. Finish is on the Battlefield at the intersection of Beach Road and West Brook Road. We will be processing the Certificate of Insurance required by the town, which I will forward to your attention. Please advise me of any additional information you need, or any changes on the insurance requirements. Best regards, Suzanne Nealon Race Director ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) L..i' 02/10/2020 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 have ADDITIONAL INSURED provisions or 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 NAME:CONTACT Margaret Mayers Insurance Management Group PHONE (260)338-2434 FAX (765)664-0761 (A/C,No,Est): (A/C,No): 12730 Coldwater Rd Ste 103 EMAIL mmayers@insmgt.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Fort Wayne IN 46845 INSURER A: National Casualty Company 11991 INSURED INSURER B: Nationwide Life Insurance Company 66869 Road Runners Club of America/2020 and Its Member Clubs INSURER C: 1501 Lee Highway INSURER D: Suite 140 INSURER E: Arlington VA 22209 INSURER F: COVERAGES CERTIFICATE NUMBER: 2020$1 M A.I. REVISION NUMBER: 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 HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADUL SUMH POLICY EFF POLICY EXP LJR TYPE OF INSURANCE INSD WVD_ POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE n OCCUR PREMISES(EaENTED occurrence) $ 500,000 X Legal Liability to 5,000 MED EXP(Any one person) $ A Participant$1,000,000 KR00000008194100 12/31/2019 12/31/2020 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY PRO1,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ X OTHER: Per Event Basis Abuse and Molestation s 500,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED KR00000008194100 12/31/2019 12/31/2020 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED �/ NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _ AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE I I NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Excess Medical&Accident Excess Medical $10,000 B ($250 Deductible/Claim) BAX0000031001200 12/31/2019 12/31/2020 AD&Specific Loss $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/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): 06/20/20 Adirondack 15k Race to the Lakes INSURED RRCA CLUB/EVENT MEMBER: The Adirondack Runners, Att'n: William Venner,PO Box 2245,Glens Falls,NY 12801 Attached: PCN 0157-CG2404&KRGL79 Processed by MMM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 06/20/20 Town of Queensbury ACCORDANCE WITH THE POLICY PROVISIONS. 742 Bay Road AUTHORIZED REPRESENTATIVE Queensbury NY 12804 .1.01114, '. 1M 0-411 i r ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: KRO 81941-00 COMMERCIAL GENERAL LIABILITY CG24040509 WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Name Of Person Or Organization: Town of Queensbury Club: The Adirondack Runners Event Date and Name: 06/20/20 Adirondack 15k Race to the Lakes PCN 0157 Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec- tion IV—Conditions: We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or 'your work'done under a contract with that person or organization and included in the"products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 04 06 09 ©Insurance Services Office, Inc., 2008 Page 1 of 1 0 1 ENDORSEMENT National Casualty Company NO. ATTACHED TO AND R ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (1 A.M.STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER KRO 81941-00 12/31/19 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: COMMERCIAL GENERAL LIABILITY COVERAGE PART The Other Insurance condition of this Coverage Part is replaced by the provision marked below with an "X" in the box: Other Insurance n If other 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- itations of other insurance. X Coverage afforded under this Coverage Part is primary insurance and Other Insurance shall not apply as respects AS REQUESTED As additional insured. The Cancellation condition of this Coverage Part is amended by the addition of the following if an"X" is in the box: X Cancellation The following is added: It is a condition of the Policy by this Endorsement that the Policy will not be cancelled without 30 days' prior written 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. AUTHORIZED REPRESENTATIVE DATE KR-GL-79(4-07) Page 1 of 1