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HomeMy WebLinkAboutLONG VIEW MARATHON LLP - INSURANCE CERTIFICATE_— i 0 ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYYYY) 08/06/2019 HI CERTIFIC UED A A MATTER - I MATION AND CONFERSHT THE CERTIFICATE AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE OR PRODUCER, AND THE CERTIFICATE HOLDER. holder is an ADDI I l NAL INSURED, the policy ies must have ADDITIONAL INSURED provisions or be endorsed._ IMPORTANT: a certificate SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on tis certificate does not confer rights to the certificate holder in lieu of such enrsem ONTACT NAME Mass Merchandising Underwriting PRODUCER K&K Insurance Group, Inc. AI426-2889 ac No)* 260-459-5105 C No EXt 1712 Magnavox Way nfo s ortsinsurance kk.com ADDRESS: p Fort Wayne IN 46804 PRODUCIEK CUSTOMER ID: INSURER(S) AFFORDING COVERAGE NAIC Ill INSURER A: Nationwide Mutual Insurance Company 23787 INSURED Long View Marathon, LLP INSURER 8: INSURER C: 5001 Overbill Dr. Fort Collins. CO 80526 INSURER D: A Member of the Sports. Leisure & Entertainment RPG INSURER E: INSURER F: 1.1� ,�, REVISION NUMBER: COVERAGES C=m r rrr .w r c n. .... THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. ISSUED OR MAYNG PERTAIN, NRHE INSUENT, TERM OR RANCE AFFORDED NBYTION OF HE POLICES DESCRIBED HEREIN IS SUBJECT TOCT OR OTHER DOCUMENT ITH ALLRESPECT TO WHICH THIS CERTIFICATE MAY BE THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR A TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY CLAJMS- MADE X OCCUR INSD X WVD POLICY NUMBER 6BRPG0000006993700 POLICY 10/05/2019 12:01 AM EDT —POLICY IXP MM/DD 10/06/2019 12:01 AM LIMITS EACH OCCURRENCE $1,000,000 PREMISES Ea Occurrence $1,000,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $5,000,000 PRODUCTS—COMP/OP AGG $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PROFESSIONAL LIABILITY POLICY PRO- JECT LOC OTHER: LEGAL LIAB TO PARTICIPANTS $1,000,000 SINGLECOMBINED AUTOMOBILE LIABILITY Ea accident BODILY INJURY (Per person) ANY AUTO BODILY INJURY (Per accident) OWNED AUTOS B SCHEDULED ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY peraccgT7 AGE NOT PROVIDED WHILE IN HAWAII UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAR CLAIMS -MADE DED RETENTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/ YIN EXECUTIVE OFFICER/MEMBER NIA STATUTE OTHER El EACH ACCIDENT EL DISEASE —EA EMPLOYEE EXCLUDED? (Mandatory In NH) ❑ If yes, describe under DESCRIPTION E.L. DISEASE— POLICY UMIT OF OPERATIONS below A I MEDICAL PAYMENTS FOR PARTICIPANTS 6BRPG0000006993700 10/05/2019 12:01 AM EDT 10/06/2019 12:01 AM PRIMARY MEDICAL EXCESS MEDICAL $25,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) Legal Liability to Participants (LLP) limit is a per occurrence limit. Event Name: Long View Marathon Type of Event: Walk and Run Distance: 1/2 Marathon Event Date (including ancillary events and set-up/tear-down): 10/5/2019 to 10/5/2019 Number of Participants: 1000 Event Location: Loveland CO. , P.O. Box 374. Loveland The certificate holder is added as an additional insured, but only for liability caused, in whole or in part, by the acts or omissions of the named insured. 215 Mason Fort Collins, CO 80525 (Owner/Lessor of Premises) THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AUTHORIZED Coverage is only extended to U.S. events and activities. NOTICE TO TEXAS INSUREDS: The Insurer for the purchasing group may not be subject to all the insurance laws and regulafi of the State of Texas ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD