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4.13 4.13 RACES&WALKS\SHAMROCK SHUFFLE 2020- 1-13-20 RESOLUTION AUTHORIZING ADIRONDACK RUNNERS TO CONDUCT 34TH ANNUAL SHAMROCK SHUFFLE ROAD RACE AND LEPRECHAUN LEAP CHILDREN'S FUN RUN RESOLUTION NO. ,2020 INTRODUCED BY: WHO MOVED ITS ADOPTION SECONDED BY: WHEREAS, the Adirondack Runners Club has requested authorization from the Queensbury Town Board to conduct its 341h Annual Shamrock Shuffle Road Race and Leprechaun Leap Children's Fun Run to benefit the Warren-Washington Counties (Area 37) Special Olympics as follows: SPONSOR The Adirondack Runners Club EVENT 341h Annual Shamrock Shuffle Road Race DATE Sunday, March 29`h,2020 commencing at 10:00 a.m. PLACE Beginning and ending at Glens Falls High School-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 34th Annual Shamrock Shuffle Road Race and Leprechaun Leap Children's Fun Run 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 13t" day of January, 2020, by the following vote: AYES NOES ABSENT: ` TOwiz of Queensbury David Duell Highway Ilighw-ay Superintendent Department 742 Bay Road —Queensbury, NY Mark Benware 1_LJ 8U+ Deputy Iligh«�ay Phone: (518) ;6 1-132 1 t ' Superintendent Fax: (518) 745-1-1-66 TO: Town of Queensbury Board FROM: David Duell DATE: December 16, 2019 RE: 2020 Shamrock shuffle I have reviewed the request for the Adirondack Runners to hold their 3411 Annual Adirondack Runners Shamrock Shuffle 5-mile Road Race and Leprechaun Leap Children's Fun Run on Sunday, March 29st, 2020. I hereby grant my approval for the race to be held on the following roadways: Sherman, Upper Sherman Avenue, Heresford Lane, Wintergreen Road, Peggy Ann, Old Forge Road and Dixon Road. Any additional roadways are not within my jurisdiction and may need further approval. This approval is also contingent upon the receipt of a certificate of insurance. Sincerely, David Duell Highway Superintendent 34TH ANNUAL ADIRONDACK RUNNERS SHAMROCK SHUFFLE 5-MILE ROAD RACE AND LEPRECHAUN LEAP CHILDREN'S FUN RUN (II THE ADIRONDACK RUNNERS-P.O.BOX 2245 t GLENS FALLS,NY 12801 November 25,2019 Mr.John Strough,Supervisor Town of Queensbury Bay and Haviland Roads Queensbury,NY 12804 Dear Mr.Strough(John): We have finalized plans for our annual benefit road race, The 34th Annual Adirondack Runners Shamrock Shuffle 5-Mile Road Race and Leprechaun Leap Children's Fun Run, held each year since 1987 for the benefit of Warren-Washington Counties (Area 37) Special Olympics. This year's event is scheduled for Sunday.March 29.2020,beginning and ending at the Glens Falls High School on Quade Street, passing at points through the City of Glens Falls and Town of Queensbury. The Leprechaun Leap begins at 10:00 a.m. and the Shamrock Shuffle starts at 11:00 a.m. We request permission from the Town of Queensbury to once again conduct this race,and are arranging for the necessary liability insurance. A "Certificate of Insurance" will be delivered to your office by March 15th. As in the past,we will appreciate the support and participation of the Warren County Sheriff's Department for"escort and traffic control",as well as the Department of Public Works in the event that the weather is adverse for "snow plowing and sanding". I have attached a copy of the race application and course map for your review. Please contact me with any questions or concerns via my personal information as listed below. I look forward once again to your favorable response to our request. Sin er y you n M. Race Director 13 Lawton Avenue Glens Falls,NY 12801 (H) 798-9593 or(W)824-4619 ksullivan@queensburyschool.org School Counselor Cross Country Coach Queensbury High School CIL THE ADIRONDACK RUNNERS 34th ANNUAL MARCH 29, 2020 - 11:00 A.M. - GLENS FALLS HIGH SCHOOL onsor ;Warren 7Yre;GE Global Research;Glens Falls National Bank Rose&Kiernan Insurance;Carriage Tradersl BENEFIT WARREN-WASHINGTONpNpYS SPECIAL OLYMPICS PAEq,�� o� °Nod, t> /I/►� 111e dr�j aCeNow GO p H atrap+cs GN Nti� Y & N�- t��padauOlyarprca LOCATION: Glens Falls High School—10 Quade Street,Glens Falls,NY,12801 "AWARE) CHECK IN: AM=—10:30am race day at the Glens Falls High School Gymnasium (NO Duplicates) COURSE: !ilk-Basically flat&fast loop course—www.AmedcasRunnin(iRoutes.com (MALE&FEMALE) PRE-REGISTRATION:Received by Tues.March 2415-J&�($10.0 Adirondack Runners) `OVERALL RACE-DAY REGISTRATION: I&INAN Race-Day Entrants(closes 10:30 am sharol) (tst.2nd$era) RESULTS: Chip-Taring&Results by Underdog Race Timing(www.undeal4ming.com) 'AGE GROUPS 110 YR.l T SHIRTS: High Quality,Custom T-Shirts(First 300 Shamrock Shuffle Entrants) (Ist,2M s srd) DONATIONS: Proceeds benefit Warren-Washington Counties NYS Special Olympics Programs -MASTERS(40+1 FACILITIES: Glens Falls High School-Stowers&Restrooms available (1 st,2nd&3rd) INFORMATION: Kevin Sullivan.Race Director-(518)798-9593;ksulOvan@queensburysdmol.org; *WHEE CHAR shamrockshuffie@roadrunnercom;or,www.adirondackmnners.org (1st,2nd&3M) The Leprechaun Leap JS CHILDREN'S(12&Under)FUN RUN-'/,Mile Run—Donation:ILA' Registration:8:30am-9:45am-Start 10:00 a.m.—Custom Medals For ALL Finishers!!!! SHIRT SIZE LAST NAME FIRST MIDDLE INITIAL SM MED LG XL ADDRESS PHONE WtieelchWr CITY STATE/PROVINCE ZIP/POSTAL CODE Ap Race Day Doe mmiddryy L1J I I I TTI —J—J 1 know that participating In The Adirondack Runners events is a potentially hazardous activity.I agree not to enter and perlfdpste unless 1 am medically able and property trained.I agree to abide by any decision of an event official mind"to my ability to safely complete On evert.I am vokumteiyr enterkrg and assume as risks associated with pwddpating in the event Indudk*. but not limited b.fans.Contact whh other psrdckm ts,spectators or others.the elfect of the weather.Including.arrowk Meet and rain tratfle and the Conditions of pie course,all such risks bekg known and appreciated by me. 1 grant to the Adirondack Runners its designee access to my medical records and physicians,as wan as other Information,relating to medical care that may be administered b me as a result of my parUdpatbn in this evert. Having read this Waiver and knowing time fads,and In consideration of your acceptance of Bls application,I. for myself and anyone entitled to ad on my behalf,wahro and release The Adirondack Runners,Road Runes Club of America,the City of Mens Fella.Town of tlueembksy,Glens Fags City School District, and their agencies and departments,and all sponsors, and their representatives and successors,from present and future claims and WIN"of anyktrd,known or unknown,arising out of my participation in Bls event or related activities,even though such chin or aabiay may arise out of negilgence or fault on the part of arty of the bmgokg persons or entities.I grant permission to the foregoing persons and entities to use or authorize others to use any photographs,motion pidurea.moodings,or any other record of my participation In this event or related activities for any legitlmete purpose without remuneration. SIGNATURE DATE 'EMAIL ADDRESS Entry Fee _-- SIGNATURE OF PARENT(if under 18) Make Checks I!WMhie 7h: ADIRONDACKRUNNERS Addl Donaton$ MAIL ENTRIES:SHAMROCK SHUFFLE,13 Lawton Ave.,GLENS FALLS,N.Y.12801 1111100 Resister online todWH hffg_//9ltqpgfal cahamrocksh tfne.itsyourrace.com/event_aspx?id=8516 Amount Enc. $ rITIP �U Q OQ ����GGG•. �'! '' ,� 'S 2 r '� 4 p2 tnY q n a a a ser y too 1S�`�J4 9 boo .W ) to as y`�!� O` � c� nt 0000, to 0 Pt Mµ1�a north40, •¢o' 1pp(`{ cir�► l ,�,T,,,� �6^ �,�.��. c^ gat°~ � ���;,�;���;n'"•�kt. C���U�y �td cm R ^ ,�GT °t �•:f`• fit° IDw arc, �a\e� Q " 5�s� r Sherta bd� ° '� '�4' J\p( , ' � J�P` 4�� � ° � �' ���d rr � ,a .•! '(�-`�nr �O '"' `j� NO V� 21 ,d ,4ti° Sy 301��o Q °� y<`� �' ���,C^� �S°4Z�•°'`� ��'1c� 70 �Ot^� St1� •� ' �C'h�str�, '�a� .�r � � �,�y, TTT..^"""� v s a Oaf 'flay` ` r t• yt; `��� �..� ,`_�,• 1t\ � glGj r' !J '►�h�.�+d�,' �0 p y jp 4/ �'� a�,�v� �� an p� •'"r� Ott •`� a'• .0 �° yr, ���t� !st o°r �a � � �� ��`�j �5` ��s 1 pk�v/st aco ,b�! P a4 .t •Kv151,�•-' ���•r� tc, otla��fo b r r �!9 a\C .�:C ,��v\�• ,.r-1. ton t s� ZG ��� �'i . a CA44 J� h �8 ExcVa '4¢` o`'I 5¢j1�, �d� ,o ��C (� p• Q' c qy e > H m to p o dO p �dg rj ��, ` s Willis o' br�kt ¢�r� .+pad �' _—}},, p��. tX" li < 5t os� +yv0 �kx St c`a� 1� `fQ 6Y` Henry utsi�f Sr % •• Canal Sc `"J �Rji�."r THE LEPRECHAUN LEAP �►t e.�, RACE C , a° . °; U d K nsingron o -START: QUADE STREET . 1 L Rd Q' ♦�G C LDS '� �; ���Opa'�` ` • -SOUTH ON QUADE TO SHERHAN. 0 cl, . 0 -HEST(RG1.AY?ONN sHERHAR To v+ � a�4' -NORTR(RICHT) ON CLAYTON TO 0 0;�o Gj 0 a� GRANT. )1 ^ ( SAi c�` ,ei c -EAST(RrGHT) ON GRANT TO QUADE. gr° da Q�GJ ` .�a V� °S'� � Vie'sr �du ti a � -SOUTH(RICHT) ON QUADE TO SNIPPY. e pv ��' S -EAST(LEFT) ON SHIPPY TO EMPIRE.. 1 �;o° 8afDe er 0 -SOUTH(RIGHT) ON E24'IRE To Grant (�------0►- �__ _ .p �2. ..._�C a NOTRE DAME. i �� c�ti , -HEST(RIGHT) ON NOTRE DARE TO .G -y to �, - 4. p °- QUADE. 0� 'n G O t0. Washburn..,v, ,o `'r n ° o `rr �; �,`� �r • -NORTH(RI68T) ON QUADS To FINISH. Etd a .P \ o �; �o �' sS�a -FINISH: kUN TO FINISH; CROSS FINISH Sherman G t 4. d J•�\\e r Ga Je, d J iIttEi RUN/WALK THROUGH L Harr �5 d� _ 4- de -RIBBONS WILL BE PRESENTED TO EACH (D L tr 3 0► N tP'A i� �' 'i� 5��� FINISHER AT THE END OF CHUTF7 SLy � �a .jt 'p r r' CQ ��• Y\V N *EICIOY THE RUN! 20 r• ;, St-' S t �.r �+ 9 s o- o �` ��'� New co p. J, e. M em o` mp�a ��i m G P� i °a �' St c INS. FALLS 7 ����c Ind wo. kp SPOSAL oa '- etc �� Si-' Nar FINISH START ,a OC RO® CERTIFICATE OF LIABILITY INSURANCE FDATE y2 DDN 019 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 pOilCy(les)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). PRODUCER CONTACT Margaret Mayers NAME: Insurance Management Group PHONE (260)338-2434 Fax (765)664-0761 Uo. A/C No 12730 Coldwater Rd Ste 103 E-MAIL s: mmayers@insmgt.com ADDRE INSUFort Wayne IN 46845 National Casualty Company COVERAGE 11991 INSURER A: nY Company R43URED Nationwide e Insurance Company INSURER B: Life I C Pa Y 66869 Road Runners Club of Amerlca/2020 and Its Member Clubs INSURER C: 1501 Lee Highway INSURER D: Suite 140 INSURER E Arington VA 22209 INSURER F COVERAGES CERTIFICATE NUMBER: 2020$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. ILTRR TYPE OF INSURANCE POIICY NUMBER MIMID In- POLICY EXP LIMITS COMMERCIAL GENERAL LIABLITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE ®OCCUR PREMISES ca oerence $ '� Legal Liability to MED EXP one ) f 5,000 A Participant$1,000,000 KR00000008194100 12/31/2019 12/31/2020 PERSONAL&ADV INJURY $ 1,000,000 GENT-AGGREGATE UMITAPPUES PER GENERAL AGGREGATE S 5,0001000 POLICY❑JPERCO- LOC PRODUCTS-COMP/OPAGG S 1,000,000 OTHER Per Event Basis Abuse and Molestation S 500,000 AUTOMOBILE LIABILITY 0MBsrsSINGLE LIMB $ 1,000,ODO ANYAUTO BODILY INJURY(Per parson) S A OWNED SCHEDULED KR00000008194100 12/31/2019 12/31/2020 ODDLY INJURY(Per acdderd) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE f AUTOS ONLY AUTOS ONLY Per accident) t UMBRELLA LIAR OCCUR EACH OCCURRENCE _ $ EXCESS LIAR HCLAIMS-MADE AGGREGATE f DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'L YIN UBILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ NIA E.L.EACH ACCIDENT S OFFICR/M EEMBER EXCLUDED? (Mendston'In NH) E.L.DISEASE-EA EMPLOYEE $ ■yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Excess Medical&Accident Excess Medical $10,000 B ($250 Deductibla/Claim) BAXD000031001200 12/31/2019 12/31/2020 AD&Specific Loss $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addidonal Remerks Schedule,may be seaobsd N more space Is required) Town of Queensbury IS NAMED AS AN ADDITIONAL INSURED AS RESPECTS THEIR INTEREST IN THE OPERATIONS OF THE NAMED INSURED. DATE OF EVENT(S): 03/29/20 Shamrock Shuffle 5 Mile Road Race INSURED RRCA CLUB/EVENT MEMBER: The Adirondack Runners,Att'n: Wiliam Venner,PO Box 2245,Glens Falls,NY 12801 Attached: PCN 0057-CG2404&KRGL79 Processed by MMM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 03/29/20 Town Of Queensbury ACCORDANCE WITH THE POLICY PROVISIONS. 742 Bay Road AUTHORIZED REPRESENTATIVE Queensbury NY 12801 01988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: KRO 81941-00 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 Queensbury Club: The Adirondack Runners Event Date and Name: 03/29/20 Shamrock Shuffle 5 Mile Road Race PCN 0057 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 ©Insurance Services Office, Inc.,2008 Page 1 of 1 ❑ ENDORSEMENT National Casualty Company NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DA TE ATE FORMING A PART OF (1R A.M.STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER KRO 81941-00 12/31/19 Road Runners Club of America and its Member Clubs 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 ❑ If other valid and collectible insurance with any other insurer including any formal self-insured re- tention 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 lim- itations of other insurance. XQ Coverage afforded under this Coverage Part is primary insurance and Other Insurance shall not apply as respects AS REQUESTED As additional insured. The Cancellation condition of this Coverage Part is amended by the addition of the following if an"X"is in the box: ❑X Cancellation The following is added: It is a condition of the Policy by this Endorsement that the Policy will not be cancelled without 30 days'prior written notice to: BLANKET 90 WRITTEN NOTICE OF CANCELLATION AS REQUIRED BY WRITTEN CONTRACT As additional insured. and further, that the person(s) named above are not liable for the payment of any premiums or assessments on this Policy. AUTHORIZED REPRESENTATIVE DATE KR-GL-79(4-07) Page 1 of 1