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4.06 4.6 RACES&WALKS\SUNY Adirondack Walk Out of Darkness 5k—3-21-2022 RESOLUTION AUTHORIZING SUNY ADIRONDACK TO CONDUCT ITS "WALK OUT OF DARKNESS" 5K ROAD RACE/WALK RESOLUTION NO. ,2022 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, SUNY Adirondack has requested authorization from the Queensbury Town Board to conduct its"Walk Out of Darkness"5k road race/walk as follows: SPONSOR SUNY Adirondack EVENT 5k Road Race/Walk DATE Saturday,April 30",2022 TIME Approximately 10:00 a.m.—2:00 p.m. PLACE Beginning and ending at SUNY Adirondack NOW, THEREFORE,BE IT RESOLVED, that the Queensbury Town Board hereby acknowledges receipt of proper proof of insurance and authorizes SUNY Adirondack to conduct its "Walk Out of Darkness" 5k road race/walk within the Town of Queensbury on Saturday, April 30"',2022, and BE IT FURTHER, RESOLVED, that the Town Board hereby approves this event subject to the Town r , Highway Superintendent's approval of the race, which approval may be revoked due to concern for road conditions at any time up to the date and time of the event. Duly adopted this 2 1"day of March,2022, by the following vote: AYES NOES ABSENT: l il:i'1t1 ju% !/( �lijtul'i' Z ''' `, 1);1% ]d D11('11 1)vI)-'Irt IIlt'l11 , t 11 I sll+lilt': . 1 ^i, ) }i r` t h i' i 11•, i11> ; Iliic•t1+1 t:i TO: Queensbury Town Board FROM: Dave Duell DATE: March 14, 2022 RE: April 30t", 2022 Out of the Darkness 5k SUNY Adk Campus Walk I have reviewed the request of the Out of the Darkness for the SUNY Adk 5k Walk, being held on Saturday April 30t", 2022 at 10am. I hereby grant my approval for the race to be held on the following roadways that are under my jurisdiction: Meadowbrook Road and Cronin Road. All other roads that are not under my jurisdiction may need further approval from Warren County. Sincerely, Dave Duell Highway Superintendent �y=' ;•t. � -'/� I�`I � w'�' " „y, per" '�. +fit �F dt MCI _, • �,� #. ^��p�11U � i r I tt % L t 1 + S (YIEI4TAL. YOU ARE fft nTTE ALONE. hr ,f f 7s CYiilit ,.r � F� Xr Q5' 7 sr� '+rt--a9i'x;'�.ainrt'S�r—?l.'R4^ti1�IM^iev[MY,'k�pffen+9r'eK+.N�..��gKYKf*'NT}Wt�r"v.!!ew4.R.e'�'�ih+ �sYp�r / k t �LUA ol� rjq)L CCr Cml f - ae=r E /�A s. "+��-'^-n-t sue.iai`4,r.: 4,.a+!rn.F}' twaz^r^°'ate ■ ■ ■ , ■ :1e`*s�'•f r`�?'d' Tfi ,�5 lei _ ���wi'. � T.� � n �grr. '�� 4 t, a, .y;;d .�^y�''.E:�Sv+7� � "��, %�'_�'J yp+3r• ��� �' AC" 03/14/CERTIFICATE OF LIABILITY INSURANCE DATE( /2022 Y) 022 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 CONTACT Diane Kimmey NAME: Upstate Agency,LLC PHONE (518)792-5841 FAX No: (518)793-3627 AIC No Et): 103 Main Street E-MAIL Diane.Kimmey@upstateagency.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# South Glens Falls NY 12803 INSURERA: Utica National Insurance Company of Ohio 13998 INSURED INSURER B: Republic-Franklin Insurance Cc 12475 SUNY Adirondack Adirondack Community College INSURER C: Attn:Lottie Jameson,MS,CPA Director of Compliance&Risk INSURER D: 640 Bay Road INSURER E: Queensbury NY 12804 INSURERF: COVERAGES CERTIFICATE NUMBER: 6/1/2021-22 Master 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. 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ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY EFF MM/DPOLIDY� LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE15_ CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 1,000,000 MED EXP(Any one person) $ 10,000 A Y Y CPP3745419 06/01/2021 06/01/2022 PERSONAL BADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY❑PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident X ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED Y BAC3745417 06/01/2021 06/01/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident P I PIP-Basic $ 50,000 X UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 15,000,000 B EXCESS LIAB CLAIMS-MADE CULP3745418 06/01/2021 06/01/2022 AGGREGATE $ 15,000,000 DED I X1 RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 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