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Insurance Certificates 2021/22 World Triathlon Corporation dba Ironmanr�1 Page 1 of 2 lib. I_ �t� CERTIFICATE OF LIABILITY INSURANCE DATE(MM 12/29/2021 ) /D021 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(les) 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 Willis Towers Watson Certificate Center Willis Towers Watson Northeast, Inc. PHONE 1-677-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd f N A'C Hu P.O. Box 305191 E-MAILppD�ESS; certilicate:s@willia.com Nashville, TN 372305191 USA INSURER(S) AFFORDING COVERAGE _NAIL it _ INSURERA: Philadelphia Indemnity Insurance Company 18058 INSURED INSURERB: AIU insurance Company 19399 World Triathlon Corporation - 3407 W. Dr. Martin Luther King Jr. Blvd INSURERC: HDI Global Specialty SE B0783 Suite 100 INSURERD: Endurance American Specialty Insurance Coml 41718 Tampa, FL 336076226 ---" INSURERE: Factory Mutual Insurance Company 1 21482 INSURER F : COVERAGES CERTIFICATE NUMBER- W23510767 RFAlicti id AflIKARFR- 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 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. IL7R TYPE OF INSURANCE ADDL SUER INS POLICYNUMBER POLICY EFF POLICY E7(P MM+DONYYYI 1dMIDD;YYYY LIMITS X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE X OCCUR DAMAWn IU R N P EEgtAF G,(ka omunAlea .i`. $ 1,000,000 A MEO EXP (Any one person) $ 5,000 Y Y PHPK2361172 12/31/2021 12/31/2022 PERSONAL & ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 l LK PRO- I� X POLICY JECT LOC PRODUCTS-COMP/OPAGG $ 3,000,000 $ OTHER: AUTOMOBILE — UABILITY COMB17iED S}NCLE LIMIT Ea ac�Jden!) $ 1,000,000 j( ANY AUTO BODILY INJURY (Per person) $ A OWNED SCHEDULED Y Y AUTOS ONLY AUTOS PRPX2361172 12/31/2021 12/31/2022 BODILY INJURY (Per accident) $ HIRED NON -OWNED PROPERTYDAMAGE J $ AUTOS ONLY AUTOS ONLY SPer_acciden� is A X UMBRELLA LIAB X OCCUR EACHOCCURRENCE $ 5,000,000 EXCESS CLAIMS -MADE PHUS797062 12/31/2021 12/31/2022 AGGREGATE $ 5,000,000 �LIAR DED x RETENTIONS 10,000 $ WORKERS COMPENSATION X STATUTE ER +i AND EMPLOYERS' LIABILITY Y / N EL. EACH ACCIDENT B ANYPROPRIETOR/PARTNER/EXECUTIVE Y I $ 1,000,000 OFFICEFUMEMBEREXCLUDED? NIA WC 065885995 01/01/2022 01/01/2023 E.L. DISEASE - EA EMPLOYE (Mandatary in NH) $ 1, 000, 000 11 as. describe under E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below C Excess Liability IBHX1654 12/31/2021 12/31/20221Each Occ/ Agg $10,00o,000 `Excess of $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) SEE ATTACKED 4tH I It-IUAI E HULL1E13 CANCELLATION City of La Quinta 78495 Calla Tampico La Quints, CA 92253 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 114 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD sR ID: 22015949 BATcu: 2353668 2 of 5 7430 AGENCY CUSTOMER ID: LOG #: ACaI?D' ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED World Triathlon Corporation Willis Towers Watson Northeast, Inc. 3407 W. Dr. Martin Luther King Jr. Blvd Suite 100 POLICY NUMBER See Page 1 Tampa, FL 336076226 CARRIER NAIC CODE EFFECTIVE DATE: See Page 1 See Page 1 See Page 1 ADDITIONAL REMAR THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance Certificate Holder is included as an Additional Insured as respects to General Liability and Auto Liability, General Liability policy shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured. Waiver of Subrogation applies in favor of Certificate Holder with respects to General Liability, Auto Liability and Workers Compensation as permitted by law. INSURER AFFORDING COVERAGE: Endurance American Specialty Insurance Company POLICY NUMBER: ELD30002742001 EFF DATE: 12/31/2021 EXP DATE: 12/31/2022 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Excess Liability Each Occ/ Agg $5,000,000 Excess of $15,000,000 INSURER AFFORDING COVERAGE: Factory Mutual Insurance Company POLICY NUMBER: 1084667 EFF DATE: 07/01/2021 EXP DATE: 07/01/2022 TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT: Rented / Leased Equipment Limit: $ 1,750,000 Replacement Cost, Special Form NAIC#: 41718 NAIC#: 21482 ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD SR ID: 22015949 BATCH: 2353668 CERT: W23510767 POLICY NUMBER: PHPK2361172 COMMERCIAL GENERAL LIABILITY 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 Organizations : Location(s) Of Covered Operations Where required by Written Contract Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — 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 pan`., 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 engaged in performing operations for a princi- pal as a part of the same project. CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1 ❑ 3 of 5 7430 POLICY NUMBER: PHPK2361172 COMMERCIAL GENERAL LIABILITY CG 20 26 07 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 Name Of Additional Insured Persons Or Organization(s) Where required by Written Contract Information required to complete this Schedule,_if not shown above, will be shown in the Declarations. Section II — Who Is An Insured is amended to in- clude as an additional insured the person(s) or or- ganizations) shown in the Schedule, but only with respect to liability for "bodily injury", "property dam- age" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf: A. in the performance of your ongoing operaiions, or B. In connection with your premises owned by or rented to you. CG 20 26 07 04 0 ISO Properties, Inc., 2004 Page 1 of 1 0 POLICY NUMBER: PHPK2361172 COMMERCIAL GENERAL LIABILITY CG 24 04 10 93 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVER' 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 world' 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 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 ❑ 4 of 5 7430 POLICY NUMBER: PHPK2361172 COMMERCIAL AUTO CA04441013 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION) This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Named Insured: World Endurance Holdings, Inc. Endorsement Effective Date: 12/31/2021 SCHEDULE Name(s) Of Person(s) Or Organ izati on(s): As required by written contract executed by the Named Insured prior to an occurrence resulting in a loss or claim Information required to complete this Schedule, if not shown above, will be shown in the Declarations. The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the 'loss" under a contract with that person or organization. CA 04 44 10 13 ©Insurance Services Office, Inc., 2011 Page 1 of 1 PI-CANXAICH-002 (05/11) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR CERTIFICATE HOLDER This endorsement modifies insurance provided under the following. COMMERCIAL GENERAL LIABILITY COVERAGE PART PROFESSIONAL LIABILITY COVERAGE PART COMMERCIAL CRIME COVERAGE PART COMMERCIAL AUTOMOBILE COVERAGE PART SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS Al or CH Additional Insured or Certificate Holder Address AI As required by written contract executed by the named insured prior to an occurrence resulting in a loss or claim The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part: A. In the event we cancel the policy in accordance with the policy's terms and conditions, we will endeavor to mail written notice of cancellation to Additional Insureds or Certificate Holders, shown in the above SCHEDULE within the time frame listed below. However, failure to mail such notice shall impose no obligation of any kind upon us, our agents or representatives. 1. 30 days before the effective date of cancellation if we cancel for any reason other than for non - payment of premium, As respects Additional Insureds, the above cancellation provision applies only when the A .J.J:+; n., ..l �., ..��r...l .-.I+.+,.,.. +L... ..1., , cruenl II a ;a aA. 0A+.. +6- --Ii— 1— 1 Vl Ill Vl.al I..sul 6u OIIVvv,n in II IG aVVVG VV��VVV VV 10 aWM W LV — 1. W—y Wy a JG �GI aLSi additional insured endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED OR CERTIFICATE HOLDER does not provide additional insured coverage. Page 1 of 2 BLANKET WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT This endorsement changes the policy to which it is attached effective on the inception date of the policy unless a different date is indicated below. (The following "attaching clause" need be completed only when this endorsement is issued subsequent to preparation of the policy). This endorsement, effective 12:01 AM 1/1/2022 Issued to ADVANCE PUBLICATIONS, INC. By A I U INSURANCE COMPANY forms a part of Policy No. WC 065885995 We have a right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against any person or organization with whom you have a written contract that requires you to obtain this agreement from us, as regards any work you perform for such person or organization. The additional premium for this endorsement shall be 2.00 % of the total estimated workers compensation premium for this policy. 1 WC 04 03 61 Countersigned by _ _ _ _ _ _ _ _ _ _ _ _ (Ed. 11190) Authorized Representative 5 of 5 7430 PI-MANU-1 (01/00) THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY All other terms and conditions of this Policy remain unchanged. ￿ Policy Number: PHPK2361172 COMMERCIAL AUTO CA 20 01 10 13 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. CA 20 01 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 2 LESSOR – ADDITIONAL INSURED AND LOSS PAYEE This endorsement modifies insurance provided under the following: AUTO DEALERS COVERAGE FORM BUSINESS AUTO COVERAGE FORM MOTOR CARRIER COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. SCHEDULE Insurance Company: Named Insured: Address: Additional Insured (Lessor): Address: Designation Or Description Of "Leased Autos": ￿￿￿ ￿￿￿ ￿￿￿￿￿￿￿￿￿ POLICY NUMBER: PHPK2361172 Endorsement Effective Date: 12/31/2021 Named Insured: ￿￿￿ 12/31/2021 Effective Date: 12312022 Expiration Date: PHPK2361172 Policy Number: Page 2 of 2 © Insurance Services Office, Inc., 2011 CA 20 01 10 13 Coverages Limit Of Insurance Covered Autos Liability $ Each "Accident" Comprehensive Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Collision Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Specified Causes Of Loss Actual Cash Value Or Cost Of Repair, Whichever Is Less, Minus $ Deductible For Each Covered "Leased Auto" Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Coverage 1. Any "leased auto" designated or described in the Schedule will be considered a covered "auto" you own and not a covered "auto" you hire or borrow. 2. For a "leased auto" designated or described in the Schedule, the Who Is An Insured provision under Covered Autos Liability Coverage is changed to include as an "insured" the lessor named in the Schedule. However, the lessor is an "insured" only for "bodily injury" or "property damage" resulting from the acts or omissions by: a. You; b. Any of your "employees" or agents; or c. Any person, except the lessor or any "employee" or agent of the lessor, operating a "leased auto" with the permission of any of the above. 3. The coverages provided under this endorsement apply to any "leased auto" described in the Schedule until the expiration date shown in the Schedule, or when the lessor or his or her agent takes possession of the "leased auto", whichever occurs first. B. Loss Payable Clause 1. We will pay, as interest may appear, you and the lessor named in this endorsement for "loss" to a "leased auto". 2. The insurance covers the interest of the lessor unless the "loss" results from fraudulent acts or omissions on your part. 3. If we make any payment to the lessor, we will obtain his or her rights against any other party. C. Cancellation 1. If we cancel the policy, we will mail notice to the lessor in accordance with the Cancellation Common Policy Condition. 2. If you cancel the policy, we will mail notice to the lessor. 3. Cancellation ends this agreement. D. The lessor is not liable for payment of your premiums. E. Additional Definition As used in this endorsement: "Leased auto" means an "auto" leased or rented to you, including any substitute, replacement or extra "auto" needed to meet seasonal or other needs, under a leasing or rental agreement that requires you to provide direct primary insurance for the lessor.