2.03 2.3
RACES&WALKSTake George Triathlon—7-6-15
RESOLUTION AUTHORIZING LAKE GEORGE TRIATHLON
RESOLUTION NO. ,2015
INTRODUCED BY:
WHO MOVED ITS ADOPTION
SECONDED BY:
WHEREAS, the Adirondack Triathlon Club/Adirondack Race Management, a not-for-profit
organization, has requested authorization from the Queensbury Town Board to conduct its I Oh annual
Lake George Triathlon to benefit local organizations as follows:
SPONSOR Adirondack Triathlon Club/Adirondack Race Management
EVENT Lake George Triathlon
DATE Saturday, September 5h, 2015
TIME Approximately 7:00 a.m. — 10:30 a.m. (Bike Leg Portion)
PLACE Warren County Bike Trail and then Birdsall, Round Pond,
Blind Rock, Haviland, Rockwell, Sunnyside, Jenkinsville and
Ridge Roads
(Letter and map delineating course attached);
NOW, THEREFORE, BE IT
RESOLVED, that the Queensbury Town Board hereby acknowledges receipt of proof of
insurance from the Adirondack Triathlon Club/Adirondack Race Management to conduct the Lake
George Triathlon partially within the Town of Queensbury on Saturday, September 5t', 2015, 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 6h day of July, 2015, by the following vote:
AYES
NOES
ABSENT:
From: Randy rath <randyrath @gmail.com>
Sent Thursday,June 11, 2015 11:17 PM
To: Pamela Hunsinger
Subject: , Resolution
Attachments: Town of Queensbury Certpdf;LGTri-bikecourse2013logo jpg
Pam -thanks for getting back to me so quickly. I would like to formally request the resolution to use the roads
in Queensbury for our 10th annual Lake George Triathlon taking place on September 5th, 2015. The triathlon
will consist of a swim, bike and run. The bike course will travel on the following roads in the town of
Queensbury-the Warren County Bike Trail, Birdsall, Round Pond,Blind Rock, Haviland,Rockwell,
Sunnyside,Jenkinsville and Ridge Roads. The bikes will begin the course just after lam and should be off of
the roads in Queensbury by 10:30am. A course map with a cue sheet is attached. I have also attached a
certificate of Insurance for the Town as well. Please let me know if you need any other information.
Thank you,
randy rath
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DATE:f1/7/2015 �J~
CERTIFICATE OF INSURANCE CERTIFICATE NUMBER: 20150106307062
AGENCY:
ESIX 3 LLC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
d/b/a Entertainment&Sports Insurance eXperts(ESIX) CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES
d/b/a Entertainment and Sports Insurance Agency(California) i NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.
2727 Paces Ferry Road,Building Two,Suite 1500 (
Atlanta,GA 30339
678-324-3300(Telephone)
678-324-3303(Facsimile)
NAMED INSURED: ;INSURERS AFFORDING COVERAGE:
USA Triathlon of Colorado Adirondack Race Management INSURER A: Everest National Insurance Company
5825 Delmonico Drive
Colorado Springs CO 80919-2401 INSURER B: Everest National Insurance Company
EVENT INFORMATION:
Lake George Triathlon Festival(9/5/2015-9/6/2015)
POLICY/COVERAGE INFORMATION:
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.AGGREGATE
LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INS TYPE OF INSURANCE: POLICY NUMBER(S): EFFECTIVE: EXPIRES: LIMITS:
t °
A IGENERALLIABILITY
X Occurrence SI8ML00212-141 12/1/2014 1211/2015 GENERAL AGGREGATE
12:01 AM 12:01 AM (Applies Per Event) $2,000,000
X Participant Legal Liability EACH OCCURRENCE $1,000,000
— �— DAMAGE TO RENTED PREMISES(Each Occ.) $1,000,000
MEDICAL EXPENSE(Any one person) EXCLUDED
PERSONAL&ADV INJURY $1,000,000
i -
I PRODUCTS-COMP/OPAGG $2,000,000
B ;UMBRELLA/EXCESS LIABILITY
X Occurrence SI8EX00179-141 12/1/2014 —12/1/2015 AGGREGATE $10,000,000
12:01 AM 12:01 AM
EACH OCCURRENCE $10,000,000
.1
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS:
Coverage applies to the USA Triathlon sanctioned or approved event specified on this certificate.
The certificate holder is an additional insured,where required by written contract or written agreement, but only with respect to the operations of the named insured,
and subject to the provisions and limitations of form CG2026-Additional Insured-Designated Person or Organization,but only with respect to the USAT sanctioned or
approved event specified on this certificate.
( The General Liability policy is primary as per CG0001.
The General Liability policy contains a Waiver of Subrogation provision as required by written agreement per Form ECG24522.
CERTIFICATE HOLDER: NOTICE OF CANCELLATION:
Town of Queensbury Should any of the above described policies be cancelled before the expiration date thereof,
742 Bay Road notice will be delivered in accordance with the policy provisions.
Queensbury NY 12804 AUTHORIZED REPRESENTATIVE: l
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