HomeMy WebLinkAboutTUP2023-12-02CERTIFICATE OF INSURANCE
PRINT DATE:11/3/2023
CERTIFICATE NUMBER:202311031013842
AGENCY:
Edgewood Partners Insurance Center
5909 Peachtree Dunwoody Road,Suite 800
Atlanta,GA 30328
678-324-3300 (Phone),678-324-3303 (Fax)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES
NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW.
NAMED INSURED:INSURERS AFFORDING COVERAGE:
USA Track &Field,Inc.
130 East Washington Street,Suite 800
Indianapolis IN 46204
WRATH Racing INSURER A:Accredited Surety and Casualty Company,Inc.NAIC#26379
INSURER B:Allied World National Assurance Company NAIC#19489
EVENT INFORMATION:
Perpetual Motion 6/12/24 2023 (12/2/2023 -12/3/2023)
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 Occurrence
X Participant Legal Liability
1-TRE-IN-17-01338542-01 11/1/2023
12:01 AM
11/1/2024
12:01 AM GENERAL AGGREGATE (Per Event)$4,000,000
EACH OCCURRENCE $2,000,000
DAMAGE TO RENTED PREMISES (Each Occ.)$2,000,000
MEDICAL EXPENSE (Any one person)EXCLUDED
PERSONAL &ADV INJURY $2,000,000
PRODUCTS-COMP/OP AGG $2,000,000
A UMBRELLA/EXCESS LIABILITY
X Occurrence 1-TRE-IN-17-01338543-01 11/1/2023
12:01 AM
11/1/2024
12:01 AM EACH OCCURRENCE $3,000,000
AGGREGATE $3,000,000
B OTHER
X EXCESS LIABILITY 0313-1301 11/1/2023
12:01 AM
11/1/2024
12:01 AM EACH OCCURRENCE $7,000,000
AGGREGATE $7,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/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 an additional insured per the following endorsement:Blanket Additional Insured (RSCG 03 03)
The General Liability policy is primary and non-contributory with respect to the negligence of the Named Insureds (Form CG 20 01)
The General Liability policy contains a blanket Waiver of Subrogation as required by contract per Waiver of Transfer of Rights of Recovery Against Others (Form CG
24 04).
Excess policy follows form of underlying General Liability.
CERTIFICATE HOLDER:NOTICE OF CANCELLATION:
City of Grapevine,Texas
200 S.Main Street
Grapevine TX 76051
Should any of the above described policies be cancelled before the expiration date thereof,
notice will be delivered in accordance with the policy provisions.
AUTHORIZED REPRESENTATIVE: