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4.01 4.1 RACES&WALKS\SHAMROCK SHUFFLE 2022-2-14-2022 RESOLUTION AUTHORIZING ADIRONDACK RUNNERS TO CONDUCT 34T11 ANNUAL SHAMROCK SHUFFLE 5-MILE ROAD RACE AND LEPRECHAUN LEAP CHILDREN'S FUN RUN RESOLUTION NO. ,2022 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 5-Mile 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 340'Annual Shamrock Shuffle Road Race DATE Sunday, March 270',2022 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 presented at this meeting); 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 30 Annual Shamrock Shuffle 5-Mile 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 14'h day of February,2022,by the following vote: AYES NOES ABSENT: n David Duell Highway Supel-iumrucic•nt Department ,42 l"M Road—Queensbin-t•. \r}' '�� ,'`� ,` v1ar1: De iicrs 1 l S0.1• Phone: (5 1 5) 7(;1-82 1 1 Fax: MY� ca Super'intendcni TO: Town of Queensbury Board FROM: David Duell DATE: December 15, 2021 RE: 2022 Shamrock shuffle I have reviewed the request for the Adirondack Runners to hold their 34"1 Annual Adirondack Runners Shamrock Shuffle 5-mile Road Race and Leprechaun Leap Children's Fun Run on Sunday, March 271h, 2022. I hereby grant my approval for the race to be held on the following roadways: Sherman Avenue, Upper Sherman Avenue, Heresford Lane, Wintergreen Road, Peggy Ann Road, 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 S-MILE ROAD RACE. NND LEPRECHAUN LEAP CHILDREN'S FUN RUN THE ADIRONDACK RUNNERS-P.O.BOX 2245 GLENS FALLS,NY 12801 December 15,2021 Superintendent of Public Works Town of Queensbury Bay and Haviland Roads - Queensbury,NY 12804 - - Dear Superintendent: We have finalized plans for our annual benefit road race, The 34th Annual Adirondack Runners Shamrock Shuffle 5-Mile Road Race aAd, Leprechaun Leap Children's Fun Run,held each year since 1987 (except for year'20 and'21 due to the COVID-19 Pandemic) for the benefit of Warren-Washington Counties(Area 37)Special Olympics. This year's event is scheduled for Sunday. March 27, 2022, 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 ShamrockShuff?e starts at 11:00 a.m. We have requested 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 1st. 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. Since ely rs, Kevin S ivan,Race Director 13 Lawton venue Glens Falls,NY 12801 (H) 798-9593;(W)824-4619;(C) 518/804-3796;or, ksullivan@queetasbuiyscliool.nrg School Counselor Cross Country Coach Queensbury High School �i 1 r~ 1 THE ADIRONDACK RUNNERS 34 th ANNUAL SUNDAY- MARCH 27, 2022 - 11:00 A.M. - GLENS FALLS HIGH SCHOOL (&j isors: warren Tire:GF.Glahal Research Glens Falls Na[innal Bank:Rase&Ifiernari i►ist •trance;Carriaae Traders} BENE7I7:- WARREN-WASHINGTONNYS SPECIAL OLYMPICS _ INCA ` Underdag'Race Special Olyinpicn Timing ' 'Ve.I-A LOCATION: Glens Falls High School—10 Quade Street,Glens Falls,NY, 12801 'WWAnDS" CHECK IN: 8:30am—1013Oam race day at the Glens Falls High School Gyawashin (NO Duplicates) COURSE: 5 Miles-Basically flat&fast loop course—vrw+v.AmericlsRuupjp9$4Ut•S Cant] (MALE a FEMALE) PRE- REGISTRATION: BQULVQd_bv Tees,March22ud-$25.V(=a'Adirondack Runners) •c v .FZAi.I• RACE-DAY REGISTRATION: $30.0 All Race-Day Entrants(closes 10:30 am sharp!) (ist,2nd c:3rd) RESULTS: Chip-Timing&Results by UndeLdogRace Timing(wmv.underdogtiming.com) •AC1E(2B_0UP5_ ❑Y R_ T-SHIRTS: High Quality.Custom T-Shirts(First 3U Shamrock Shuffle Entrants) (ist,2nd F.3rd) DONATIONS: Proceeds benefit 1Yar nJYashington Counties NYS SparriaLOlvmpias2hagLaM •rriAS7FR5(40+i FACILITIES: Glens Falls High School-Restrooms Open-Masks Must lie Worn Inside of Schooll (ist,2nd r 3rd) INFORMATION: Kevin S Lill Iva n. RaqQ it..tor-(518)798-9593;ksullivan@queensburyschool.org; 'WHEEI&HAIR shamrockshuffle@roadrunner.com;or,www.adirondackrunners.org (tsl,and&3rd) The Leprechaun Leyp c--7 CHILDREN'S (12 & Under) FUN RUN -'/, Mile Run —Donation: �3.1 Reaistration: 8:30am -9:45am -Start @ 10:00 a.m. — Custom Medals For ALL Finishers!!!! -------------------------------------------------------------------------C,:�,..•r:------------------------ -------------------------------------------------- SHIRT SIZE LAST NAME FIRST MIDDLE INITIAL SM MED LG XL ADDRESS PHONE Sex(MIF) Wheolcmir ❑ ❑ CITY STATEIPROVINCE ZIP/POSTAL CODE Age Raco Day DOB mmlddlyy I / /- I know that participating in The Adirondack Runners uvunts Is a potentially hazardous activity.I agree not to enter and participate unless 1 am medically able and properly trained.I agruu to abldo by any decision of an event official relative to my ability to safely complete the event.I am voluntarily entering and assume all risks associated with participating in the event,including,but not limited to,falls,contact with other participants,spectators or others,the effect of the weather,including,snow.sleet and rain traffic and the conditions of the courso,all such risks being known arid appreciated by me. I grant to the Adirondack Runners access to my nmdical records and physicians,as well as other information,relating to medical care that may be adminislured to me as a result of my participation In this event. Having read this Waiver arid knowing these facts,and In consldoration of your acceptance of this application.I,for myself and anyone entitled to act on my holialf,waivo and release The Adirondack Runnors,Road Runners Club of America,the City of Glens Falls,Town of Quoonsbury,the Glons Falls City School District,and their agoncian and departments,and all sponsors, and their representatives and successors,from presort and future claims and liabilities of any kind,known or unknown.arising out of my participation in this event or related activitios,evori though such claim or liability may arise out of negligence or fault on lhu part of any of the foregoing persons or utilities.I grant permission to the foregoing person::and entities to use or authorize others to use any photographs,motion pictures,recordings,or any other record of my participation in this event or related activities for any legitimate purpose without remuneration. As It applies to my participation in this race.I agree to abide by the Center for Disease Control(CDCi's recommendations for the prevention of the spread of COVID•19 and atlosl to having read the CDC's guldarice at:hllti:::Iiwww,cdc.gov.I also agree to abide by any COVID-19 distancing,masking and other%ifuly guidelines issued by the stale,the community,the Gluns Falls School District,or by this race organization for my participation in this race. SIGNai'URE: DiYI'E 'EMAIL ADDRESS: Entry Fee SIGNATURE OF PARENT(if under 18): Matte Checics Payable To: ADiRONDACK RUNNERS Add'I Donaton$ MAIL ENTRIES:SHAMROCK SNUFFLE, 13 Lawton Ave., GLENS FALLS,N.Y. 12801 Resister online today!!! httDJ/alensfallsshamt—ackshuffie.itsvourrace.cord/everii.ast)x?id=8516 Amount Enc. $ DN _ X ' Q ry O O �, �'` ' Vim)' /" � •L' -.t 1 ����� � 7 � � � "•� �5 �� � �t a t .into t.`, , ,, ,t -0 ' �� `���Sri{�•C�.H2O� .,� G. Cd',a `� +. 'fin '7��t r S� �� q �:Lv'd '� .;�, , ✓� RY.••� .:�' � .r sy c-t 60 ` ��Jto .- 07 0 ��N.. 6 4 ,., r \Jf a �O��S' �� .�� • ~'•� :'� f'= ' •° ono ��S�6 'q'c JC ro` .ir`' has �G. °'�'3G• `_; pTo Old er o Ra 4 °r to`�att�a Miii c �°�� O .n-rt P,d'u � , 9F h` ��rry yob s°r sfrOy�a�oS a, A �•N Z. � ��� G 5r1r �`�r � � � � �`Sr Q O .c ,. c-' •'""� C�<u k y vi \ S �hS w 1 o oo� O a Ct 9 -o as•�f 4 `'A J -1 3 6 a ,s > o S ,�' � tON d `` �c, � Q on < � s e s D •oi .:?� `��" ap- � Q. ;o Gee N J r bh c Sl i, rvEN ..Cad �� ��a�63 ��S a is°^ 3a r .ar r.�?o•s`a,.o �*� X, 41 � `+ 'r ° 'Oi'o� n 3r °.� �r ` R�uNO ,ifgese - oit' r . p U �y r�Aa"r �` a o y'�' c,� or S Sj rra S� ej e G i �,� °ems She ' es� �j cn c« c �t S �m ��tc aura sr �` .,' ie� a sn a ya �09 s, T� r s ? �$c avmAv U o�nw5 ��d ? .pyi Harrison o` v 9� t �,f '1L 7 r • P7 � Y.\ , TUE LEPRECHAUN LEAP �?asr S` , RACE COURSE DIRECTIONS: 4 L °° •: ��G `ail yoc -ji��� bvCn u �, Rd K nsingron �° � Gott` OdL ell, Cr �rP P''� -START: QUADS STREET . L N -- > � �. � �.5 fie' � oa�l (� t • -SOUTH ON QUADE TO SHERMAN. Rd Q d "qC O `p shin Cd -1 -WEST(R1(;RT) ON SHERMAN TO NAG N 4"6 � ell CLAYTON. u, p •�� CO Ljt Cy °(\ . h^/ -NORTTi(RICIIT) DA CLAYTOit TO GRANT. �� %► N aGf �.0� J�� , a'Dc\ 4� t�` p Sr �eS� 'S' ... -EAST(RIGHT) ON GRANT TO QUADE. -SOUTH(RIGHT) ON QDADE TO SNIPPY. e �dg b •' p c c -EAST(LEFT) ON SIIIPPY TO EMPIRE.. ` O°\ of _ -SODTH(RIGHT) ON EXPIRE To G a� CL NOTRE DAME. n -7 -WEST(RIGHT) ON NITRE DAME TO e UN L N 7 QUADE: S r r� Was �' -o P o -NORTH(RIGHT) ON QOADE TO FINISH. (,d �' "� J' o �' f cow -FINISH: RUN TO FINISH; CROSS FINISII Shefman G tp d \\e �` a�� s�o� `fir 0 U � LINE; RUN/WALK THROUGH CHUTE L Naf f is d o p f J nt is .lr 0 P` M° s pn -RIBBONS WILL BE PRESENTED TO EACH N� 5 atr <d S o ��°/ FINISHER AT THE END OF CHUTE? ^ �� �� St o r► � � -I �LJQ r *ENJOY THE RUN! y p r co f SL^ 7 St a f co v e m)o 4. 1 1st °) v► a C, t °a �1- __NS. FALLS 5 �\c_ 2�d St �' wo. SPOSAL 4- �- , cebe �� St Kai FINISH START THE ADIRONDACK RUNNERS SHAMROCK SHUFFLE ROAD RACE P.O. BOX 2245 GLENS FALLS, NEW YORK 12801 To: Town of Queensbury From: Kevin M. Sullivan, Race DirectorCA 'f RE: ADIRONDACK RUNNERS 34TH ANNUAL SHAMROCK SHUFFLE ROAD RACE DATE: January 20, 2022 Enclosed please find your"Certificate of Liability Insurance" for the upcoming Shamrock Shuffle set for Sunday, March 27, 2022. Thank you once again for your continued support for this long-standing traditional community endeavor! We are hoping to hold the race this year as scheduled, since in 2020 and 2021, the race had to be canceled due to the COVID-19 Pandemic. As usual, the proceeds from this race will benefit our local NYS Special Olympics Programs. If you have any questions, please feel free to contact me at the following: • (H) 518/798-9593; (C) 518/804-3796 • (W) 518/824-4619 (Queensbury High School, Counseling Center) • ksull!van anqueensburyschool.org ,ace CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD)YYYY) I66� 1 01/19/2022 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(ies)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)338-2925 FAX (765)664-0761 AJC No Est): A/C N.: 12730 Coldwater Road,Suite 103 E L mmayers@insmgt.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC k Fort Wayne IN 46845 INSURERA: National Casualty Company 11991 INSURED INSURER B: Nationwide Life Insurance Company 66869 Road Runners Club ofAmerica/2022 and Its Member Clubs INSURERC: INSURER D 1501 Langston Boulevard,Suite 140 INSURER E: Arlington VA 22209 INSURERF: COVERAGES CERTIFICATE NUMBER: 2022$1MA.1. REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. INS AWL bUt3K POLICYFFF_ LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD MMIDD POUCYEXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 ATE 500,000 CLAIMS-MADE OCCUR PREMISES Ea occunenee $ X Legal Liability to MED EXP(Any one person) $ 5.000 A Participant$1,000,000 KR000000D8971200 12/31/2021 12/31/2022 PERSONAL BADVINJURY $ 1,000,000 GEMLAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 5,000,000 POLICY❑PRO ❑ 1,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ X OTHER: Per Event Basis Abuse and Molestation S 500.000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1.000,000 Ea accident ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED KR00000008971200 12/31/2021 12/31/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? El (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Excess Medical&Accident Excess Medical $10,000 B ($250 Deductible/Claim) BAX0000031850400 12/31/2021 12/31/2022 AD&Specific Loss $2,500 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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):03/27/22 Shamrock Shuffle/5 Mile Road Race/Leprechaun Leap Kids Run INSURED RRCA CLUB/EVENT MEMBER:The Adirondack Runners,Attn: William Venner,PO Box 2245,Glens Falls,NY 12801 Attached: PCN 0054-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 03/27/22 Town of Queensbury ACCORDANCE WITH THE POLICY PROVISIONS. 742 Bay Road AUTHORIZED REPRESENTATIVE Queensbury NY 12804 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD POLICY NUMBER: KR00000008971200 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 DATE AND NAME OF EVENT: 03/27/22 Shamrock Shuffle/5 Mile Road Race/Leprechaun Leap Kids Run PCN 0054 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 13 ENDORSEMENT National Casualty Company NO. ATTACHED TO AND ENDORSEMENT EFFECTIVE DATE FORMING A PART OF (�2Ot A M.STANDARD TIME) NAMED INSURED AGENT NO. POLICY NUMBER KRO 89712-00 12/31/21 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 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. X 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 90 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