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Insurance Certificates 2018/19 World Triathlon Corporation DBA IronmanClient#: 18607 WORLDEND A 1 " ATE IMM16DYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE IY10112/2018 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 policyjies) 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 any rights to the certificato holder In lieu of such endorsement{sl. PRODUCER C HTACT N E: Bouchard Insurance HONE T27 44T-6481 No 727 449-1267 AFC Na 101 N Starcrest Dr. n d#�Ss c[certs@bouchardinsurance.com Clearwater, FL 33765 W INSURER(S) AFFORDING COVERAGE NAIC# 727 447-6481 INSURER A: Philadelphia Indemnity Ins Co 18058 INSURED INSURER B : Continental Casualty Company 20443 World Endurance Holdings, Inc.; World INSURER C Triathlon Corporation; dba Ironman INSURER D 3407 W Dr MILK Jr Blvd, Suite 100 INSURER E Tampa, FIL 33607 INSURER F COVERAGES CERTIFICATE NUMBER: 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 CONTRACTOR 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 ADDESUBR POLICY EFF POLICY E P LTi - TYPE OF INSURANCE N POLICY NUMBER MM)DD nn (MMMDMMI LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y PHPK1798847 34/0112018 12/31/201 EACHGGO��C77CU_RRENCE $1,000,000 CLAIMS -MADE � OCCUR �fSES R4a Frencel $1.000.000 MED EXP (Any oneperson) s 5.000 PERSONAL d ADV INJURY $1 .000.000 GEN L AGGREGATE LIMIT APPLIES PER: - POLICY ! X1 JET 1.........-, LOC ffTHER: A AUTOMOBILE LIABILITY ]C ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X AUTOS ONLY X NON -OWNED AUTOS ONLY _Y1_ 1 PHPK1798847 A X UMBRELLA LIAB X OCCUR PHUB623423 EXCESS LIAB CLAIMS -MADE DED I X RETENTION 00 000 B WORKERS COMPENSATION . Y �6018545149 AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERI-XEPUTWE; y-] OFFICERIM1IF.MBER E%CLUOEO'i (. r r N/ A (Mandatory In NH) 12018112/31 /201 GENERAL AGGREGATE s3.000,000 PRODUCTS - COMPIOPAGG s3,000,000 Is BODILY INJURY (Per person) $ BODILY INJURY (Per accident) S PRCOGUY DAMAGE s tPor nccidenl S /2018112/3112011 EACH OCCURRENCE AGGREGATE 112018108131120 S F.L. EACH ACCIDENT S11,000,000 E.L DISEASE - EA EMPLOYE - $1,009,000 E-L DISEASE- POLICY LIMIT S1.000.000 I l l I I I DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Addlllonal Remarks Schedule, may be attached II'more space Is requlredl `* Workers Comp Information *` Other States Coverage - Policy# 6018545149 Blanket Waiver of Subrogation except for states of KY, NH, NJ, WI. (See Attached Descriptions) GEE I IF ILIA I L HULULK [GATVLtLUk 1 IQ City of La Quinta 78495 Calle Tampico La Quinta, CA 92253 0 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 9)1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2015/03) 1 of 2 The ACORD name and logo are registered marks of ACORD #S938546/M912020 BROVA DESCRIPTIONS (Continued from Page 1) California Workers Comp - B 6018545152 Effective Date: 08/3112018 Expiration Date: 0813112019 WC Each Accident Limit: $1,000,000 WC Policy Limit: $1,000,000 WC Each Employee Limit: $1,000,000 Certificate holder is additional insured as respects General Liability and Auto Liability only if required by written contract, and subject to the terms, conditions and limits as specified in the policy. Waiver of subrogation applies in favor of certificate holder as respects General Liability and Auto Liability only if required by written contract, and subject to the terms, conditions and limits as specified in the policy. Coverage is primary as respects to General Liability and non-contributory as subject to the terms, conditions and exclusions of your policy. SAGITTA 25.3 (2016103) 2 of 2 #5938546/M912020 POLICY NUMBER: World Endurance Holdings, Inc.; World COMMERCIAL GENERAL LIABILITY NAMED INSURED: PHPK1798847 CG 20 10 07 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - OWNERS, LESSEES OR CONTRACTORS - SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Or anlzation s : Locations Of Covered D erations Where required by Written Contract Where required by Written Contract Information req uired to com plete this Schedule, if not shown above, will be shown in the Declarations. A. Section 11 — Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury' caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your behalf; in the performance of your ongoing operations for the additional insured(s) at the location(s) desig- nated above. B. With respect to the insurance afforded to these additional insureds, the following additional exclu- sions apply: This insurance does not apply to "bodily injury' or "property damage" occurring after: 1. All work, including materials, parts or equip- ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or 2. That portion of "your work" out of which the injury or damage arises has been put to its in- tended use by any person or organization other than another contractor or subcontractor en- gaged in performing operations for a principal as a part of the same project. CG 2010 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 , 0 I NAMED INSURED: World Endurance Holdings, Inc.; World POLICY NUMBER: PHPK1798847 COMMERCIAL GENERALLIABILITY CG 202607 04 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Section 11 — Who Is An Insured is amended to in- clude as an additional insured the person(s) or organk nation(s) shown in the Schedule, but only with respect to liability for "bodily injury' "property damage" or "Personal and advertising injury` caused. in whole or in part, by your acts or omissions or the acts or omis- sions of those acting on your behalf: A. In the performance of your ongoing operations; or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 PI-MANU-1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY ADDITIONAL INSURED - PRIMARY COVERAGE THIS ENDORSEMENT MODIFIES INS[IRADTCE PROVIDED UNDER THE FOLLOWING: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE NAME OF PERSON OR ORGANIZATION: As required by written contract executed by the named insured prior to a loss WHO IS AN INSURED (SECTION II) IS AMENDED TO INCLUDE AS AN INSURED THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO THE LIABILITY ARISING OUT OF "YOUR WORK" FOR THAT INSURED BY OR FOR YbL'. FURTHERMORE, THE FOLLOWING IS ADDED TO SECTION IV COMMERCIAL GENERAL LIABILITY CONDITIONS PARAGRAPH 4 - OTHER INSURANCE 4. OTHER INSURANCE: d) THIS INSURANCE IS PRIMARY FOR THE PERSON OR ORGANIZATION SHOWN IN THE SCHEDULE, BUT ONLY WITH RESPECT TO LIABILITY ARISING OUT OF OUR WORK FOR THAT INSURED BY OR FOR YOU. OTHER INSURANCE AFFORDED TO THAT INSURED WILL APPI.,Y AS EXCESS AND NOT CONTRT:BUTE AS PRIMARY TO THE: INSURANCE AFFORDED BY THIS ENDORSEMENT. ALL OTHER TERMS AND CONDITIONS OF THIS POLICY REMAIN UNCHANGED. All other terms and conditions of this Policy remain unchanged. Page 1 of 1 NAMED INSURED: World Endurance Holdings, Inc.; World COMMERCIAL GENERAL LIABILITY POLICY NUMBER: PHPK1798847 CG 02 24 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. EARLIER NOTICE OF CANCELLATION PROVIDED BY US This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART LIQUOR LIABILITY COVERAGE PART POLLUTION LIABILITY COVERAGE PART PRODUCTSICOMPLE1-ED OPERATIONS LIABILITY COVERAGE PART SCHEDULE Number of Days' Notice 30 (If no entry appears above, .information required to complete this Schedule will be shown in the Declarations as applicable to this endorsement.) For any statutorily permitted reason other than nonpayment of premium, the number of days required for notice Of cancellation, as provided In paragraph 2. of either the CANCELLATION Common Policy Condition or as amended by an applicable state cancellation endorsement, is increased to the number of days shown in the Schedule above. CG 02 2410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0 NAMED INSURED: World Endurance Holdings, Inc.; World POLICY NUMBER: PHPK1798847 COMMERCIAL GENERAL LIABILITY CG 24 0410 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER. OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization where required by a written contract that was executed prior to the occurrence of a loss, (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV — COMMER- CIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following. 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 ❑peralions hazard". This waiver applies only to the person or organization shown in the Schedule above. CG 24 0410 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 0 CNA Workers Compensation And Employers Liability Insurance Policy Endorsement 'r' This endorsement changes the policy to which it is attach®d. It is agreed that Part One - Workers' Compensation Insurance G. Recovery From Others and Part Two - Employers' Liability Insurance H. Recovery From Others are amended by adding the following: We will not enforce our right to recover against persons or organizations. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) PREMIUM CHARGE - Refer to the Schedule of Operations The charge will be an amount to which you and we agree that is a percentage of the total standard premium for California exposure. The amount is 2%. All other terms and conditions of the policy remain unchanged. This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers,; takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below. Form No: G-19160-B (11-1997) Policy No: WC 6 18545152 Endorsement Effective Date: Endorsement Expiration Date: Policy Effective Date: 08/31 /2018 ! Endorsement No: 2; Page: 1 of 1 Policy Page: 30 of 44 Underwriting Company: Continental Casualty Company, 151 N Franklin St, Chicago, IL 60606 ° Copyright CNA All Rights Reserved.