3.05 3.5
RACES&WALKS\Rotary 5k for 2023—2-27-2023
RESOLUTION AUTHORIZING ROTARY CLUB OF GLENS FALLS'
ANNUAL COMMUNITY WELLNESS 5K ROAD RACE/WALK
RESOLUTION NO. ,2023
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, the Rotary Club of Glens Falls has requested authorization from the Queensbury
Town Board to conduct its annual Community Wellness 5k Road Race/Walk as follows:
SPONSOR The Rotary Club of Glens Falls
EVENT 5k Road Race/Walk
DATE Saturday, April 22nd, 2023
TIME Approximately 9:30 a.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 the Rotary Club of Glens Falls to conduct a 5k Road Race/Walk within the
Town of Queensbury on Saturday, April 22nd, 2023, and
BE IT FURTHER,
RESOLVED, that the Town Board hereby approves this event subject to the Town 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 27t'day of February, 2023,by the following vote:
AYES
NOES
ABSENT:
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Town of Queensbury Highway Dept February 15 2023
Attn: Mark D
742 Bay Road
Queensbury, NY 12904
Dear Mark,
Glens Falls Rotary Club's annual Community Wellness 5K Run/Wafk is coming up on April 22, 2023, at 9.3Oam.
We are requesting ,permission to use the roads adjacent SUNY Adirondack.
Attached is:
Certificate of Insurance - Naming the Town
Map of Course
This year our event has three great beneficiaries :
• Adirondack Vets House, Inc. works with homeless and at-risk veterans in Northern Saratoga, Warren,
Hamilton, and Washington Counties and provides a safe, stable, and supportive longer-term living environment
that prepares them for an independent and productive life;
• Tri-County Literacy improves lives by fostering literacy skills among members of Warren, Washington, and
Saratoga counties through practical, learner-centered education that provides opportunities for independence
and economic mobility;
0 The Charles R. Wood Theater is a venue that promotes cultural and artistic endeavors, thereby fostering the
economic development and improving the quality of life within the greater Glens Falls area.
Sincerely, 7
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A. Lee Pollock Ir is cell r .i
Safety Committee Chairman /
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TO: TOWN BOARD
FROM : DAVID DUELL
DATE: FEBRUARY 16, 2023
RE: GLENS FALLS ROTARY CLUB, SK RUN
I have reviewed the request by the Glens Falls Rotary Club, which will hold their 5k Run run/walk
event on Saturday, April 22, 2023 at 9:30am at SUNY Adirondack Student Center to benefit
Adirondack Vets House, Inc, , Tri-County Literacy, The Charles R. Wood Theater.
Weather permitting, I hereby grant my approval for this event to be-held on the following roadway
that is under my jurisdiction : Meadowbrook Road . The remaining roadways are not in my
jurisdiction and may require additional authorization .
David Dupe-lll
Highway Superintendent
Town of Queensbury
ROTARY FIVE COURSE
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REGISTRATION = �
Mallard Dr
tier.
4
Willowbrook Rd
CERTIFICATE OF INSURANCE PRINT DATE: 211512023
CERTIFICATE NUMBER: 2023021 59 59 827
AGENCY:
Edgewood Partners Insurance Center THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION S909 Peachtree Dunwoody Road, Suite 800 CONFERS NO RIGHTSONLY AND
UPON THE CERTIFICATE HOLDER. THIS CERTIFICAT
Atlanta, GA 30328 NOT AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P E DOES
OLICIES
678-324-3300 (Phone). 678-324-3303 (Fax) BELOW.
NAMED INSURED: INSURERS AFFORDING COVERAGE:
USA Trnnk R Fiald, Inn, Clsnc Foils Rotary Club
130 East Washington Street, Suite a00 INSURER A; Accredited Surety and Casualty Cam ps ny, Inc, NAI CO 26379
Indianapolis IN 4E204 INSURER B: Allied World Nationai Assurance Company NAIC91 19489
EVENT INFORMATION:
G lenS Falls Rotary 5k Ru nlWa lk (4/22/2023 - 4122f2O23)
POUCYfCOVERAGE INFORMATION:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERJOO INDICATED. NOTWITr1STANDING 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 POLICI
LIMITS SHOWN MAY HAVE BEEN RE0UCEO BY PAID CLAIMS. ES_ AGGREGATE
INS TYPE OF INSURANCE: POLICY NUMBER(S): EFFECTIVE: EXPIRES: LIMITS:
A GENERAL LIABILITY
X Occurrence 1 -TRE-IN-17-01338542-00 t1/112022 11/112023
12:01 AM 12:01 AM GENERAL AGGREGATE (Applies Per Event) $4,000.000
X Participant Legal Liability EACH OCCURRENCE
$2,0004000
DAMAGE TO RENTED PREMISES (Each Occ.) $2,000.000
MEDICAL EXPENSE (Any are person) EXCLUDED
PERSONAL & ADV INJURY $2,000,DO0
PROOIUCTS-GOMFYOP AGG $2.000.000
A UMBRELLAIEXCESS LIABILITY
X Occurrence 1 -TRE-W-17-013385z3-P0 1111I2022 11/112023 EACH OCCURRENCE 12:01 AM 12:01 AM $3.000,000
R OTHER AGGREGATE S3.000,000
X EXCESS LIABILITY 0313-1301 11/112022 11/1/2023 EACH OCCURRENCE
12:01 AM 12:01 AMA $7,000.000
AGGREGATE S7.000.000
DESCRIPTION OF OPERATION SILOCATIONSiVEHICLESIEXCLU.SIGNS ADDEO BY ENOORSEMENTISPECIAL PROVISIONS:
Coverage applies to USA Track & Field sanctioned events and registered practices, including any directly related aclivities, such as event set-u partcipant check-in and award ceremonies. F and tear-down.
The certificate iiotder is an additional insured per flle following endorsement: Blanket Additional tnSured (RSCG D3 031
The General Liability Policy is primary and non-contributory with respect to the negilgence of the Named Insureds (Farm CG 2D 01 )
The Generat Liability policy contains a blanket Waiver of Subrogalior as required by contract per Waiver of Transfer of Rights of Remove Against Other- {Farm CG
24 04)_
Excess policy follows form of underlying General Liability,
CERTIFICATE HOLDER: NOTICE OF CANCELLATION:
Town of Cluecnsoury Should any of the above described PdliGos be concolled before the expiration date thereof.
742 Bay Road notice will t1e delivered in accordance oath kite policy proviSionS.
Queensbury NY 12804
AUTHORIZED REPRESENTATIVE: