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4.02 4.2 RACES&WALKS\Reindeer Run at SUNY Adirondack-Camp Comfort—11-6-17 RESOLUTION AUTHORIZING ADIRONDACK RUNNERS' 4 MILE REINDEER RUN AND JR. REINDEER RUN RESOLUTION NO. ,2017 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, the Adirondack Runners has requested authorization from the Queensbury Town Board to conduct its annual 4 Mile Reindeer Run and Jr. Reindeer Run to benefit Cindy's Camp Comfort and the Adirondack Runners Scholarship Fund as follows: SPONSOR Adirondack Runners EVENT 4 Mile Reindeer Run and Jr. Reindeer Run DATE Sunday, December 3rd, 2017 TIME 9:10 a.m./9:30 a.m. PLACE SUNY Adirondack—640 Bay Road, Queensbury NOW, THEREFORE, BE IT RESOLVED, that the Queensbury Town Board hereby acknowledges receipt of proof of insurance from the Adirondack Runners Club and therefore approves and authorizes the 4 Mile Reindeer Run and Jr. Reindeer Run within the Town of Queensbury to benefit Cindy's Camp Comfort and the Adirondack Runners Scholarship Fund on Sunday, December 3rd, 2017, 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 6ffi day of November, 2017,by the following vote: AYES NOES ABSENT: Town of Queensbury Thomas R. VanNess Highway Superintendent Highway '. 1 (513) 761-8212 Department " David Duel] 742 Bay Road—Queensbu y,NY 12804 Deputy Highway Superintendent Phone: (518) 761-8211 (518) 761-8210 Fax: (518) 745-4466 TO: TOWN BOARD FROM: THOMAS VAN NESS DATE: OCTOBER 12, 2017 RE: ADIRONDACK RUNNERS'4 MILE REINDEER RUN I have reviewed the request by the Adirondack Runners, which will hold their 4 Mile Reindeer Run run/walk event on Sunday, December 3rd to benefit Cindy's Comfort Camp and Adirondack Runners. Weather permitting, I hereby grant my approval for this event to be held on the following roadways that are under my jurisdiction: Meadowbrook Road and Cronin Road. The remaining roadways are not in my jurisdiction and may require additional authorization. Thomas Van Ness Highway Superintendent Town of Queensbury N t 4 Mile Reindeer Run "re = Jr. Ri ndeer Ron c�. Sunday,December 3rd,2017 �T iso- 9:30 a.m. II ,1Plr, VN SUNY Adirondack,640 Bay Road, Queensbury,NY REGISTRATION: Online at Active.com(ends 12:00pm 12/2) Race Day Registration&Packet Pick-up 8:15-9:15 in Student Center ENTRANCE FEES: $22.00-Pre-Registration(Adirondack runners$18.00) $25.00-Race Day Registration T-SHIRTS: Souvenir Long sleeve T's first 150 Entrants—sizes not guaranteed INFORMATION: Race Directors: Lance Decker&Paul Stevens Email: reindeerrun@adirondacicrunners.org adirondackrunners.org Website: www.adirondackrunners.org TO BENEFIT: Cindy's Comfort Camp and Adirondack Runners Scholarship Fund AWARDS: Over All: 1st-3rd Male&Female AGE GROUPS: Male& Female as follows: 14 and under, 15-19,20-24, 25-29, 30-34,35-39,40-44,45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-99 Reindeer Run Jr: 9:10 am prior to the 4 mile run Kids Run $5.00—1 mile Children's fun run for ages 12 and under ', �Roadlltl' g z+'skik.In». Finish Medal to all finishers.(NO shirts) Reindeer Run2017 SHIRT SIZE LAST NAME FIRST SM M LG XL ADDRESS PHONE CITY STATE/PROVINCE ZIP/POSTAL CODE EMAIL Date of Birth AGE(Race Day) SEX(M/F) 4 Mile Run Kids Run 1 Mie Jr Run donation suggested$5. In consideration of the opportunity to participate in this race I hereby release and forever discharge the sponsoring agents,their members&any other persons staffing this race in any claims,costs&demands as a result of participating in this event. I also certify that I am in good physical shape for the event. Further,I here by grant full permission to any and all the foregoing to use any photographs,video tapes,motion pictures,recordings,or any other record of this event for any legitimate purposes. I realize there are dangers associated with running,including but limited to street conditions,weather and traffic. I hereby for myself,heirs,executors,or assigns waive&release any and all claims I may have against Road Runners,the sponsors,SUNY Adirondack,Town of Queensbury, Warren County,Adirondack Runners,its officers and any race official for any injury,illness or property loss which might occur to me while competing in,traveling to,or returning from the events on December,3`d 2017. ENTRY SIGNATURE DATE ADDITIONAL DONATION $ SIGNATURE OF PARENT(if under 18) AMOUNT ENCLOSED $ Make Checks Payable To:THE ADIRONDACK RUNNERS Mail Entries To: Reindeer Run2017 Adirondack Runners/Lance Decker, 1 Castle Road,South Glens Falls, NY 12803 q Mile Reindeer Thin . Course Map )...).,-..,...•_,,.. .. ....; :_ .......,,.. .....___,..._,.,...., .. . ......, . . f .! .',3,:-..7,--, ..... . -_,...-r.: 1 1.:,::- -'-:--a- - '=": '-•' ;--' •.''" - i. ... ; I.:-":1:-;?.- ,.-:; ';.::::-..,,'',...:- ' :-:• -, -, , . . 1 ;,-;:. • ::.,: , -. :' ': " "•,4'. -,..-; . .. IV":-.'•:. 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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 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 Margaret Mayers STAR Insurance - Fort Wayne Office lac N.Egi: (260)467-5689 (ac,Nol:(260)467-5691 2130 East Dupont Road pjDRESS:margaret.mayers@starfinancial.com INSURER(S)AFFORDING COVERAGE NAIC# Fort Wayne IN 46825 INsURERANational Casualty Company 11991 INSURED INSURER B:Nationwide Life Insurance Co. 66869 Road Runners Club of America/2017 and Its INSURERC: Member Clubs INSURER D: 1501 Lee Highway, Suite 140 INSURERE: Arlington VA 22209 INSURER F: COVERAGES CERTIFICATE NUMBER:2017 $1M 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. INSRLTYPE OF INSURANCE INSDDWD POLICY NUMBER BR POLICY EFF POLICY EXP LIMITS (MMlDD1YYYY) {MM1DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE X OCCUR DAMAGE(O RENTED 500,000 _ PREMISES(Ea occurrence) 5 X Legal Liability to KR00000006655200 12/31/2016 12/31/2017 MED EXP(Any one person) $ 5,000 Participant $1,000,000 12:01 AM 12:01 AM PERSONAL&ADV INJURY S 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S Unlimited PRO X POLICY JECT LOC Abuse 6 Molestation PRODUCTS-COMP/OPAGG S 1,000,000 OTHER: Aggregate $5,000,000 Abuse and Molestation S 500,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) A ANY AUTO BODILY INJURY(Per person)ALL S ATOS OWNED SCHEDAUTOS ULED 1Oto0000006655200 12/31/2016 12/31/2017 BODILY INJURY(Per accident) S X HIRED AUTOS X NON-OWNED 12:01 AM 12:01 AM PROPERTY DAMAGE S ATOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTIONS _ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S B Excess Medical & Accident SPX0000027889600 12/31/2016 12/31/2017 Excess Medical $10,000 ($250 Deductible/Claim) 12:01 AM 12:01 AM 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 TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. DATE OF EVENT(S) : 12/03/17 4 Mile Reindeer Run & Jr. Reindeer Run INSURED RRCA CLUB/EVENT MEMBER: The Adirondack Runners, Att'n: William Venner, PO Box 2245, Glens Falls, NY 12801 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 12/03/17 The Town of Queensbury THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 742 Bay Road ACCORDANCE WITH THE POLICY PROVISIONS. Queensbury, NY 12804 AUTHORIZED REPRESENTATIVE Terry Diller/MMA 0..:32.0...21 u ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(7014011