2014/05/21 Council Agenda Packet

DATE: 3/31/2014 • CERTIFICATE OF INSURANCE _._�_� .. .......... �. CERTIFICATE NUMBER: 2014011324936 AGENCY: ESIX Entertainment&Sports Insurance experts THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND 5660 New Northside Drive,Suite 640 CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES Atlanta,GA 30328NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES • ' Phone:(678)324-3300 Fax:(678)324-3303 BELOW. • NAMED INSURED: .INSURERS AFFORDING COVERAGE: , USA Track&Field,Inc. Snohomish Running Company ' INSURER A: Philadelphia Indemnity Ins.Co. . 132 East Washington Street,Suite 800 Indianapolis IN 46204 EVENT INFORMATION: .Snohomish RiVer Run(10/26/2014-10/27/2014) '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: A !GENERAL LIABILITY X COMMERCIAL GENERAL PHPK1092686 11/1/2013 ;11/1/2014 . GENERAL AGGREGATE(Applies Per Event) $3,000,000 • LIABILITY .12:01 AM :12:01 AM • — EACH OCCURRENCE $1,000,000 X Occurrence • I . DAMAGE TO RENTED PREMISES(Each Occ.) $1,000,000 • MEDICAL EXPENSE(Any one person) EXCLUDED ' PERSONAL&ADV INJURY $1,000,000 ' PRODUCTS-COMP/OP AGG $3,000;000 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS: • Coverage applies to USA Track&Field sanctioned events and registered practices, including any directly related activities,such as event set-up and tear-down, • participant check-in and award ceremonies. • The certificate holder is additional insured but only for the liability arising out of the negligence of the named insured,per the following endorsement Additional Insured -Certificate Holders(Form PI-AM-002). • • • • CERTIFICATE HOLDER: :NOTICE OF CANCELLATION: The City of Everett,its officers,employees or agents • Should any of the above described policies be cancelled before the expiration date thereof, 802 E.Mukilteo Blvd. . notice will be delivered in accordance with the policy provisions. Everett WA 98203 !AUTHORIZED REPRESENTATIVE: ' • • „7:76/6("., , • • • 69