3.08 3.8
RACES&WALKS\Adirondack Runners 2024 Race to the Lakes-6-3-2024
RESOLUTION AUTHORIZING ADIRONDACK RUNNERS TO CONDUCT
ADIRONDACK RACE TO THE LAKES
RESOLUTION NO. ,2024
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 7 Mile Race to the Lakes on Saturday, June
22nd, 2024 commencing at approximately 8:00 a.m. at the intersection of College Drive and
Haviland Road next to SUNY Adirondack, continuing onto Blind Road Road, picking up at the
Warren County Bikeway, and ending at Battlefield Park in the Town of Lake George (race course
partially within the Town of Queensbury,
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 7 Mile Race to the
Lakes partially within the Town of Queensbury and 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 3rd day of June, 2024,by the following vote:
AYES
NOES
ABSENT:
I
Town of(Queensbury David Duell
Highway Superintendent
Highway (518) 761-8212
Department
742 Bay Road — Queensbury, NY 12804 Marls De Mers
Phone: (518) 761 --82 1 1 Deputy Highway* Superintendent
Fax: (518) 745-4466 (518) 76 1 -82 10
TO: Queensbury Town Board
FROM : Dave Duell
DATE: May 24, 2024
RE: June 22, 2024, Adirondack Race to the Lake
I have reviewed the request of the Adirondack Runners Club's for the
Adirondack 7 Mile Race to the lake, to take place on Saturday June 22,
2024 at SUNY ACC at 8:00am.
I hereby grant my approval for the race to take place on the following
roadway that is under my jurisdiction : Birdsall Road . All other roads that
are not under my jurisdiction may need further approval from Warren
County.
Sincerely,
Dave Duell
Highway Superintendent
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CERTIFICATE OF LIABILITY INSURANCE DATE 125/20 /
04251204
24
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 AMENDS 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(➢es) 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).
I CONTACT Tabitha Messersmith
PRODUCER NAME: (785} 684-07Bi
Insurance Management Group PHONE o E (800) 272-8573 A1C No ,
959 East 4th St ADORESS: tmessersmi(h�insmgt.com
IN SURER(Sp AFFORDING COVERAGE NAIC A
Marion IN 46952 INSURERA ; Granite State Insurance Company 23809
INSURED INSURER e , National Union Fire Insurance Company Of Pittsburgh. PA 19445
Road Runners Club of Americaf2024 and Its Member Clubs INSURERC :
INSURER O .
1501 Langston Boulevard, Suite 140 INSURER E :
Arlington VA 22209 INSURER F -
COVERAGES CERTIFICATE NUMBER' 2024 $2M A-I. Liability 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAYBE 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
LTR ITYPE OF INSURANCE IN SD POLICYNUMBER MMIDDrfYYY) fMM1DofYvYYl1 I OMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 2,000.000
.000
CWMS-MADE ® OCCUR PREMISE Ea ccu�rrenc► 560
.... ._......_.
Legal Liability to MED EXp A ens arsanl S 5.000
A Pardeipants $2,000,IY00 AIL0003450335200 IZJ3112023 1W31/2024 PERSONAL EADVINJURY
i 2,pouaDoa
GENL AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE S 5.000,QO0
POLICY a jEGT F1 LOC PROOUCTS - COMPtOPAGG i 21000,000
,OTHER: Per Event Basis Abuse and Molestation $ 500,000
aINEO SIN L LIMIT S 2,000.000
AUTOMOBILE LIABILITY Ea ac0dam er .....__..
BODILY INJURY{P parwn) S
ANYAUTO
A OWNED SCHEDULED AIL0003450335200 1213112023 12/31/2024 BODILY INJURY (Per aodden1) i.
AUTOS ONLY AUTOS PROPE TY DAMAGE
HIRED NON-OYYNEO raacfda f
AUTOS ONLY AUTOS ONLY
S
UMBRELLAVAB OCCUR. EACHOCCURRENCE a
Excess UAB CLAIMS-MADE AGGREGATE 5
S
DED 1 1 RETENTION S I PR
WORKERS COMPENSATION ST TUTE ERH
AND EMIPLOVERS LIABILITY Y I N
ANY PROPRI ETOR/PARTNERIEXECUT VE NIA E.L. EACH ACCIDENT f
OFFICERAMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEE 5
(Mandatary In NH)
If yese Under E.L. DISEASE - POLICY LIMIT
6 E$6daaciDRIPTION OF OPERATIONS DakrW
Excess Medical $10,000
Excess Medical & Accident AID0003450335800 12/3112023 12131/2024 AD & Specific Loss $2,500
B ($250 DeductiblelClaim)
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD iei, Addttlonal Ra arks Scbedula, may bs attached Ir mass apace is regtArsdl
Town of Queensbury 1S NAMED ASAN ADDITIONAL INSUREDAS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED
INSURED. DATE OF EVENT($): 08f22124 Adirondack 7Miie Race to the Lakes/7 Road/Bike Path Roos INSURED RRCACLUBIEVENT MEMBER: The
Adirondack Runners ATTN: William Venner, PO Box 2245, Glens Falls NY 12801 Attached: PCN273 CG2404 & KRGL79
Processed by RMV
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
06/22/24 Town of Queensbury
742 Bay Rd AUT14DRIZED REPRESENTATIVE
Queensbury NY 12SO4 ftzj ►`.. l
® 1988.201S ACORD CORPORATION. All rights reserved.
ACORD 25 (201W03) The ACORD name and Toga are registered marks of ACORD
DATE (MMIDD(YYYYI
ActoR►o►� CERTIFICATE OF LIABILITY INSURANCE 0425f2024
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYANO CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, 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(les) must have ADDITIONAL INSURED provislans or be endorsed_
if SUBROGATION IS WAIVED, 9uls)act to the terms and condltlons of the policy, csrtatn policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsernent(II).
PRODUCER NONE;CONTACT Tabitha Messersmith
Insurance Management Group PHONE (800) 272.8673 � No : (785) 664A761
A o E
959 East 4th St ADREEoMAWLss. lmessersmithainsmgLoom
IN SU RERIS)AFFORDING COVERAGE NAIC A
Marion IN 46$52 INSURER A ; Granite State Insurance Company 23809
INSURED INSURER B ; National Union Fire Insurance Company of Pittsburgh, PA 19445
Road Runners Club ofAmerica12024 and Its Member Clubs IN SURER C
INSURER O
1501 Langston Boulevard, Suite 140 INSURER E :
Arlington VA 22209 INSURER F
COVERAGES CERTIFICATE NUMBER. 2024 $2M A,I, Liability 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 CONTRACTOR 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.
I AOULTYPE OF INSURANCE INSO POLtCYNUMBER MMIODfrYYY MMIDDIYYYY SUNK LIMITS
LTR
COMMERCIAL.GENERAL tJASELITY EACH OCCURRENCE s 2,000,000
CLAIMS-MADE ® OCCUR PREMMES fee suv„rra„twat... s 5,000
Legal Liability to MED EXP + one so+ n i .._........
A Participants ;2,000,000 AILOOD3450335200 12/31/2023 1213112024 PERSONAL&ARV INJURY S 2,000,000
GENERALAGGREGATE S 5,000,0170
GENL AGGREGATE LIMIT APPLIES PER: 2,000.000
PROOUCTS-COMP/OP AGG s
POLICY � E LOC Abuse and Molestation i 5004000
OTHER: Per Event Basis
Foa�alitl SINGLE OMIT s 2,000,000
AUTOMOBILE LIABILITY
aooiLY INJURY(Paw Person) s
ANYAUTO
A OWNED SCHEDULED AIL0003450335200 12/31/2023 12/31f2024 BODILY I NJURY(Per acciosnl} s
AUTOS ONLY AUTOS PROPERTY E
HIRED MON-CNAVNED Per aneideM
AUTOS ONLY AUTOS ONLY
UMBRELIa4 UAB aCCUR EACH OCCURRENCE S
EXCESS UAB CLAIMS-MADE AGGREGATE s
I
DEO RETENTION b PER OTH-
WORKERS COMPENSATION STAI LiE,,,_ ER ,
A14D EMPLOYERS' LIABILITY ... ...—.-......
Y J N E.L. EACH ACCIDENT '&
ANY PR/JPR MS RIPARTNER/6XECUTIVE FNIA
.....—_.......
[Mandatory
In N ER EXCLUDED? E.L. DISEASE - EA EMPLOYEE s
tM andaWry' In NN}
If yes, desrrba wd E-L. DISEASE - POLICY OMIT s
DESCRIPTION OF OPERATIONS belwr
Excess Medical $10,000
B Excess Medical & Accident AID0003450335800 17331/2023 12/3112024 AD & Specific Loss $2,500
($250 DeductibielCiaim)
DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES (ACORD let,Additional Remarks Schs"o. may be altached If more space Is mqul`edl
Town of Queensbury IS NAMEDAS AN ADDITIONAL INSUREDAS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED
INSURED. DATE OF EVENT(S): 08d22124 Adirondack 7Mile Race to the Lakestl RoacUBike Path Race INSURED RRCACLUBIEVENT MEMBER: The
Adirondack Runners ATTN: Wiliam Venner, PO Box 2245. Glens Falls NY 12801 Attached: PCN273 CG2404 & KRGL79
Processed by RMV
CERTIFICATE HOLDER CANCELLATION
SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE VALL BE DELIVERED IN
ACCORDANCE WITH THE. POLICY PROVISIONS.
D6122124 Town ofQueensbury
742 Bay Rd AUTHORIZED REPRESENTATIVE
Queensbury NY 12804
4D 1988,2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement, effective 12:01A.M. 12131123
Forms a part of Policy No.: AIL0003450335200
POLICY CONDITIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
Paragraph 4. Other Insurance of SECTION IV — COMMERCIAL GENERAL LAIBILITY CONDITIONS is
replaced by the provision marked below with an "X" in the box:
Otherinsurance
If other valid and collectible insurance with any other insurer including any formal self-insured
retention programs is available to you covering a loss also covered by this Coverage Part,
other than insurance that is excess of the insurance afforded by this Coverage Part, the
insurance afforded by this Coverage Part shall be 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 limitations of other insurance.
Coverage afforded under this Coverage Part is primary insurance and Other Insurance shall
not apply as respects the following as additional insureds.
The Cancellation condition of this Coverage Part is amended by the addition of the following if an °X" is
in the box:
0 Cancellation
The following is added: It is a condition of the policy by this endorsement that the policy will
not be cancelled without g0 days' prior written notice to:
BLANKET gQ WRITTEN NOTICE OF CANCELLATION AS REQUIRED BY WRITTEN CONTRACT.
and further, that the person(s) named above are not liable for the payment of any premiums
or assessments on this policy.
All other terms and conditions of the policy remain the same.
+ `
Authorized Repre! .ntative
141694 (11121 ) includes copyrighted material of Insurance Services Office, Inc., Page 1 of 1
with its permission.
POLICY NUMBER: AIL0003450335200 COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
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 4ueensbury
CLUB Name: The Adirondack Runners
EVENT Date and Title: 06/22/2024 Adirondack 7Mile Race to the Lakes/7 Road/Bike Path Race
PC N: 273
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.
CO 24 04 05 09 Q Insurance Services Office, Inc., 2008 Page 1 of 1 Cl