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2.09 2.9 RACES&WALKS\Adirondack 15 Race to the Lakes-2-12-18 RESOLUTION AUTHORIZING ADIRONDACK RUNNERS TO CONDUCT ADIRONDACK 15K RACE TO THE LAKES RESOLUTION NO. ,2018 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 15k Race to the Lakes as follows: SPONSOR The Adirondack Runners Club EVENT Adirondack 15k Race DATE Saturday, June 30ffi, 2018 commencing at approximately 8:00 a.m. PLACE Beginning at SUNY Adirondack and ending at Battlefield Park in Lake George—course partially within the Town of Queensbury (Letter and maps depicting course attached); 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 15k Race partially within the Town of Queensbury as set forth in the preambles of this Resolution, 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 12ffi day of February, 2018,by the following vote: AYES NOES ABSENT: Town ofQueensbuty Thomas R.VanNess Highway4fa_ Highway Superintendent Department 742 Bay Road—Queensbury,NY 12804 David Duell Phone: (518)761-8211 cDeputy Highway Superintendent Fax:(518) 745-4466 TO: QUEENSBURY TOWN BOARD FROM: THOMAS VAN NESS DATE: JANUARY 11, 2018 RE: June 30, 2018 Adirondack 15K to the Lakes Race I have reviewed the request of the Adirondack Runners Club's for the Adirondack 15k Race to the Lakes, being held on Saturday June 30, 2018 at 8am. I hereby grant my approval for the race to be held on the following roadways that are under my jurisdiction: Mannis, Fitzgerald and Birdsall Roads. All other roads that are not under my jurisdiction my need further approval from the County. Sincerely, &awl iei* ifki4. Thomas R. Van Ness Highway Superintendent • Suzanne Nealon 21 Bay Street Apt 205 Glens Falls, NY 12801 518-331-8864 suzy.nealon@gmail.com November 17, 2017 Ms. Pamela Hunsinger Legal Assistant Town of Queensbury Town Counsel's Office 742 Bay Road Queensbury, NY 12804 Ms. Hunsinger: I am the race director for the Adirondack Runners Club's Adirondack 15k Race to the Lakes, scheduled for Saturday, June 30, 2018 at 8am. Our running club is requesting permission from the Town of Queensbury, New York to use the town roads for the purpose of running a foot race. The number of runners will be capped at 300. There will be 4 water stops along the route, 3 on the bike path and one at the intersection of Mannes and Fitzgerald Roads. As requested, the route and logistics of our race is as follows: Packet Pick Up at SUNY Adirondack College: 6-7:45am on June 30, 2018. Race Start behind the Student Center, 8am sharp. Start: SUNY Adirondack College, rear parking lot, Sam. Proceed to Haviland Road, and take a left. Cross over Bay Road and continue on Blind Rock Road to the 4 way STOP sign. Turn Right on Mannes, continue up Fitzgerald, and return to Blind Rock Road. Take a right on Blind Rock Road and continue to Birdsall Road. Take a right on Birdsall Road, up the hill and onto the Warren County Bike Trail. Follow the Warren County Bike Trail to the end, on Beach Road in Lake George. Take a left on Beach Road. Finish is on the Battlefield at the intersection of Beach Road and West Brook Road. We are in the process of completing the Certificate of Insurance required by the town, which I will forward to your attention within the next two weeks. Please advise me of any additional information you need, and I thank you very much for your help. Best regards, Sue Nealon The Adirondack 15k Race to the Lakes Saturday, June 30, 2018 Route Packet Pick Up at ACC: 6-7:45am Race Start behind the Student Center, 8am Start: Adirondack Community College, rear parking lot, 8am. Proceed to Haviland Road, and take a left. Cross over Bay Road and continue on Blind Rock Road to the 4 way STOP sign. Turn Right on Mannes, continue up Fitzgerald, and return to Blind Rock Road. (Water Stop 1). Take a right on Blind Rock Road and continue to Birdsall Road. Take a right on Birdsall Road, up the hill and onto the Warren County Bike Trail. Follow the Warren County Bike Trail to the end, on Beach Road in Lake George. Take a left on Beach Road. Finish is on the Battlefield at the intersection of Beach Road and West Brook Road. RX DatelTime 02101/2018 11:51 5188244683 P.002 02/01/2018 12:33 5188244683 HIGH SCHOOL GUIDANCE PAGE 02/05 A G DATE(MM/DD/YYYY) L......----- CERTIFICATE OF LIABILITY INSURANCE 1/25/2018 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(les)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 N^AQAC littXgaret Mayers STAR Insurance — Port Wayne Office _t'C�O a Exq: (260)467-5689 I(NC Re):(260)467-.56A1_ • 2130 East Dupont Road nn Rees:roaxgarot.mayera@atar£inancial.com INSURER(S)AFFORDING COVERAGE NAIC 0 Fort Wayne IN 46825 -. NSU RANational Casualty Company. . :11991 - IN8URE0 INSURER 0:Nation__wide Life Insurance,Co. _ 66869 Road Runners Club of America/2018 and Its INSURP,RC: Member Clubs INSURER D:_.. , ,___-_, .... .,_-„ -- 1502 1501 Lee Highway, Suite 140 INSURERS: _____-_,.._. ,,,-___ Arlin on VA 22209 INSURER P: COVERAGES CERTIFICATE NUMBER:2018 $121 A.1. 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. •_ILTRJ _ TYPE OF INSURANCE IN DD I WVD I POLICY NUMBER I tM6t i°EFvl�rMMnio l iI UNITS X I COMMERCIAL GENERAL IJABILITY 1 • I I L EACH OCCURRENCE 15 1,000,000 A, CLAIMS•MADE I OCCUR I I I PRAF(u1M B,ESI(Enoorc_w :ace) s 500,000 X I Legal Liability to _ I KR0000007170900 12/31/2017 12/31/2018:MEuexp(Any one peraon) I r 5,000 I Participant $1,000,000 I 12:01 AM 12:01 AM PERSONAL&ADV INJURY $ 1,000,000 GENT.AGGREGATE LIMIT APPLIES PER: ,GENERAL AGGREGATE $ Unlimited X I POLICY I j pY . .(.00 • Abuse 6 Molestation I PRODUCTS-COMP/OP AGO $ 1,000,000 i OTHER; Aggregate 05,000,000 Abuse S M MNna alba $ 500,000 AUTOMOBILE LIABILnY I COMBINED 8INGLE LIMIT I$ 1,000,000 __ ANY AUTO I e00ILY INJ•URY(Per person) r$ _ - ALL OWNED • SCHEDULED I)iR0000007170900 t 12/31/2017.12/31/2018 BODILY INJURY(Par nooldenl)I$ ,AUTOS AUTOS �_.... .. X HIRED AUTOS X:AUTOSWNED 12:01 )IN 12:01 AM For Ree tl�(� G� I$ I i I , $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS VAS I CLAIMS-MASE .AGGREGATE - _ $ _ ,, _ DUD RETENTIONS $ WORKERS COMPENSATION I I I 137ATUTE I 100 „__,,,, AND EMPLOYERS'LIABILITY Y_/N _-- ANY PROPRIETOR/PARTNER/EXECUTIVE - N/A _E.1...EACH ACCIDENT_ S OFFICER/MEMOER EXCLUDED? ( l -. ' —- (Mandntory In NH) E,L.DISEASE•EA EMPLOYE- $ If es describe under • -- ' • 0 $dRIP r 0 OF OPERATIONS En•vi E.L.DISEASE-POLICY LIMiT $ B Excess Medical & Accident SPX0000029554500 12/31/2027;12/33./20181 ExeeMEMndlcal $10,000 ($250 Deductible/Claim) 12:01 AM , 12:01 AM I AD A SDscIOC lata $2,500 1 I I DESCRIPTION OP OPERATIONS I LOCATIONS I VEHICLES(ACORD lot,Additional Remarks Schedule,may ba attached II mono apace IS required) The Town of Queensbury IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS TO THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED, DATE OF EVENT(S): 03/25/18 Shamrock Shuffle 5 Mile Road Race s The Leprechaun Leap 7/8 Mile Kids Run and 06/30/18 The Adirondack 15K Race to the Lakes INSURED RRCA CLUB/EVENT MEMBER: The Adirondack Runners, Attn: William Verner; PO Box 2245, Glen Falls, NY 12801 (Effective 01/29/18. This voids and replaces previously issued certificate.) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 03/25/18 The Town of Queensbury THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Attached: PCNO148 - CG2404 & KRG1L79 ACCORDANCE WITH THE POLiCY PROVISIONS. 742 Bay Road Queensbury, NY 12804 AUTHORIZED REPRESENTATIVE Terry Diller/LKR ---371..b74 V=2- F ,..d,O...e.I pc.c.,J 0 1988.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INSO2S(201401) `RX DatelTime 02/01/2018 11:51 5188244683 P.003 02/01/2018 12:33 5188244683 HIGH SCHOOL GUIDANCE PAGE 03/05 Policy Change GU 269 Number _ 014.8 (11.2B) THE ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. IL 12 01 11 85 POLICY CHANGES POLICY NO. POLICY CHANGES COMPANY EFFECTIVE NATIONAL CASUALTY COMPANY KR00000007170900 03/25/18 NAMED INSURED AUTHORIZED REPRESENTATIVE ROAD RUNNERS CLUB OF AMERICA AND ITS K&K INSURANCE AGENCY, INC. COVERAGE PARTS AFFECTED PAGE 01 OF 01 Commercial General Liability CHANGES Form Number: CG2404 "Waiver, of Transfer of Rights of Recovery Against Others To Us" • (X) Add Form To Include Additional. Insured: THE TOWN OF QUEENSBURY Club: The Adirondack Runners Events/Dates: Shamrock Shuffle S Mile Road. Race & The Leprechaun Leap 7/8 Mile Kids Run-03/2S/18 The Adirondack 15K Race to the Lakes-06/30/18 No Premium Change • NLS 01/31/18r� - ; . Authorized Representative Signature Copyright Insurance Services Office,Inc.,1983 Copyright,ISO Commercial Risk Services,Inc.1983 13X Date/Time 0210112018 11:51 5188244683 P.004 02/01/2018 12:33 5188244683 HIGH SCHOOL GUIDANCE PAGE 04/05 • POLICY NUMBER:KR00000007170900 COMMERCIAL GENERAL LIABILITY CG 24 04 05 09 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. 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: THE TOWN OF QUEENSBURY Club:The Arlrondack Runners Events/Dates: Shamrock Shuffle a Mlle Road Race&The Leprechaun Leap 7/8 Mile Kids Run-03/25/18 The Adirondack 15K Race to the Lakes-06/80/18 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. CG 24 04 05 09 r lnaurence Services Office,Inc.,2008 Page 1 at 1 `RX Date/11me 02101/2018 11:51 5188244683 P.005 02/01/2018 12:33 5188244683 HIGH SCHOOL GUIDANCE PAGE 05/05 ENDORSEMENT National Casualty Company NO. moo . ATTACHED TO nNo ENDO PsSNeNT EFFEcnvE DATE NAMED INM RE° AGENT No. FORMING h hAR7 Of 020)1 A.M.9TANDAAo Tom POLICY NUMBER �-. KR00000007170'000 t.2/31/1 7 ROAD RUNNERS CLUB OF AMERICA AND ITS . • THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. POLICY CONDITIONS This endorsement modifies insurance provided under the following: cOMMERCIAL GENERAL LIABILITY COVERAGE PART The Other Insurance condition of this Coverage Part is replaced by the provision marked below with an "X"in the box: Other Insurance 1 1 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 in excess of the insurance afforded by this Coverage Part. the insurance afforded by this Coverage Part .shall be in 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 Aai_[EOIl..I EC(]YCON;j:RAC:T FOIA O NEFaSL OSOBS 0Ef RINISU ONLY.__,,.,_ . 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: LXf Cancellation The following is added: It Is a condition of vie Policy by this Endorsement that the Policy will not be can- celled without 3.0_—. — days'prior written notice to: X',uaLig,OyV__..._, __ _ _ and further, that the person(s) named above are not liable for the payment of any premiums or assessments on this Policy. . "ANY NTt ON PILE WITIA TI`iECOMPANY THAT REWIRES PRIOR_NOTICE TI,i,(lOUG1-1 Wtijrc-RCOIITRACT. PERMIT Oil AGE,3E_E._ME_„L"f. —_._..---_ - -" AUTHORIZED REPRESENTATIVE DATE KR-GL-79(4-07) Page 1 of 1