Public Safety & Welfare Committee
Regular MeetingVerona, WI · April 8, 2019
Minutes
CITY OF VERONA
PUBLIC SAFETY AND WELFARE COMMITTEE
April 8, 2019
VERONA CITY HALL
MINUTES
1. Call to order: Heather Reekie called the meeting to order at 5:48 p.m.
2. Roll Call: Heather Reekie and Katie Kohl were present. Also present: Police Chief Bernie
Coughlin, Sergeant Jesse Christensen, and City Clerk Ellen Clark.
3. Approval of Minutes: Motion by Kohl, seconded by Reekie, to approve the minutes from
the March 18, 2019 Public Safety and Welfare Committee meeting. Motion carried 2-0.
4. Discussion and Possible Action Re: A Special Event Permit application from Joffre Pedretti
for the Wildcat Track & Field Community Fun Run on Saturday, April 13, 2019. This is the
third year for this fundraiser for the VAHS track & field team. It also serves as a community
service project for the team members. The course begins and ends at the high school track.
The event is not a race and will require no road closures, no parking signs, or any city staff.
Participants will follow the rules of the road. A speaker will be used for event
announcements. The event will run from 10 a.m. – Noon. Motion by Reekie, seconded by
Kohl, to approve a Special Event Permit for the Wildcat Track & Field Community Fun Run
on Saturday, April 13, 2019. Motion carried 2-0.
5. Discussion and Possible Action Re: A Special Event Permit application from Lauren Birkel,
Glacier Edge Elementary PTO, for the Glacier Edge Color Run on Wednesday, May 1, 2019.
This is the third year for this event which is a fundraiser for the Glacier Edge Elementary
School. The event will run from 5 p.m. – 7 p.m. The one-mile route begins and ends at the
Glacier Edge playground. There will be color stations along the course at Tower Park and
Tollefson Park. The run will take place on the sidewalks. Approval of this event will be
contingent upon submittal of a Certificate of Liability Insurance naming the City of Verona
as the Certificate Holder and approval by the Parks, Recreation & Forestry Commission.
Motion by Reekie, seconded by Kohl, to approve a Special Event Permit application for the
Glacier Edge Color Run on Wednesday, May 1, 2019, contingent upon submittal of a
Certificate of Insurance naming the City of Verona as the Certificate Holder and approval by
the Parks, Recreation & Forestry Commission. Motion carried 2-0.
6. Discussion and Possible Action Re: A Special Event Permit application from Stacey Burkart,
Verona Area Public Library Director, for the Word on the Street 5K Run/Walk and Kids’ Run
on Saturday, May 4, 2019. This is the fourth year for this event. This fundraising event for
the Verona Public Library will run from 8 a.m. – 10 a.m. The route begins and ends at the
library. Participants will cross E. Verona Avenue at Franklin Street. An officer will be staffed
at that location. Sidewalk chalk will be used for pavement markings. Two to three hundred
runners are expected to participate. A water station will be set up at the fire station. The
event will run from 8 a.m. – 10 a.m. Motion by Reekie, seconded by Kohl, to approve a
Special Event Permit for the Word on the Street 5K Run/Walk and Kids’ Run on Saturday,
May 4, 2019. Motion carried 2-0.
7. Discussion and Possible Action Re: A Special Event Permit application from Patti Ullsperger,
Fisher King Winery, for the Fisher King Winery 5K Fun Run/Walk on Saturday, June 22, 2019.
This is the second year for this event. Fisher King Winery is sponsoring a 5K Fun Run/Walk,
with proceeds going to the Dane County Humane Society. The event route begins on Liberty
Street near the winery, and follows CTH PB and the Ice Age Trail. Route crossing at CTH M
and Liberty Street will be facilitated by a Verona Police Officer, the cost of which will be
reimbursed by the applicant. A post-race celebration will be held inside the winery.
Approval of this event will be contingent upon submittal of a Certificate of Liability
Insurance naming the City of Verona as the Certificate Holder. Motion by Reekie, seconded
by Kohl, to approve a Special Event Permit for the Fisher King Winery 5K Fun Run/Walk on
Saturday, June 22, 2019, contingent upon the submittal of a Certificate of Insurance naming
the City of Verona as the Certificate Holder. Motion carried 2-0.
6:04 p.m. – Evan Touchett now present.
8. Discussion and Possible Action Re: A Special Event Permit application from Jessica
Laufenberg, Rocket Bicycle Studio, for The Loop Pursuit Triathlon on Sunday,
August 4, 2019. This is the first year for The Loop Pursuit Triathlon. It was formally approved
by the Public Safety Committee in 2018, but the applicant decided to not hold the event
until 2019. Rocket Bicycle Studio is organizing this event. The event begins and ends at
Fireman’s Park, and includes a 50-mile route which consists of a .8 mile swim in the
Fireman’s Park quarry; 39.2 miles of biking through the Verona, Cross Plains, Mt. Horeb, and
Mt. Veron areas; and a 10-mile run on the Military Ridge Trail. Bruce Street will be closed
from just east of 507 Bruce Street to Paoli Street. The remaining intersections impacted will
be monitored/controlled by seven Verona Police Officers, the cost of which will be
reimbursed by the applicant. Required barricades will be provided by the applicant. The
event will end around 2:30 p.m., but public access to Fireman’s Park will start by 12:00 p.m.
Traffic will have access to Bruce St. from the east. The Carnes parking lot will be used for
additional parking for the event. The applicant will be requesting a temporary premises
description amendment at a later date for n+1 Coffee and Beer Bar to allow them to serve
beer outside after the event. Motion by Reekie, seconded by Kohl, to approve a Special
Event Permit for The Loop Pursuit Triathlon on Sunday, August 4, 2019. Motion carried 3-0.
9. Discussion and Possible Action Re: A Special Event Permit application from Alex Ogden,
FourOneFour Events, for the Wisconsin Beer Run 5 K & .05K on October 19, 2019.
This is the third year for this event in Verona. The event will run from 9 a.m. – 1 p.m. The
Wisconsin Beer Run is a chip-timed 5K. FourOneFour will be partnering with Hop Haus
Brewing Company, which is designated as the end of the event route. Residents will be
notified of the date and time of the street closures on Railroad Street. Railroad Street will
be closed between S. Main St. and Franklin St from 8:00 a.m. – 1:00 p.m. The other
intersections impacted by the race will be staffed by Verona Police Officers, the cost of
which will be reimbursed by the event applicants. Approximately 750 people are expected
to participate in the event. Approval of this event will be contingent upon submittal of a
Certificate of Insurance naming the City of Verona as the Certificate Holder. Motion by
Reekie, seconded by Kohl, to approve a Special Event Permit for the Wisconsin Beer Run 5K
and .05K on Saturday, October 19, 2019, contingent upon the submittal of a Certificate of
Insurance naming the City of Verona as the Certificate Holder. Motion carried 3-0.
10. Discussion and Possible Action Re: A Special Event Permit application from Le Jordan,
Verona Area Chamber of Commerce, for the Spring Eggstravaganza on Saturday,
April 20, 2019. This is the first year for the Spring Eggstravaganza. The event will take place
at Harriet Park, and will run from 9 a.m. – Noon. Requested permit time is 7:30 a.m. –
1:30 p.m. to allow for set up and tear down time. Breakfast with the Bunny will consist of
pancakes and juice. Brats, chips and soda will also be sold, along with flavored alcoholic
seltzers. The area encompassing the shelter will be fenced where alcohol is consumed.
Those purchasing and consuming alcohol will be identified and wristbanded. One Verona
Police Officer will be present for the event, the cost of which will be reimbursed by the
applicant. Treat-filled plastic eggs will be given away. There will also be several make-and-
take crafts for the kids, including potted flowers and construction paper bunny ears. A
Temporary Class “B”Retailer’s License is required for the sale of alcoholic beverages at this
event. Motion by Reekie, seconded by Kohl, to recommend to the Common Council to
approve a Special Event Permit for the Verona Area Chamber of Commerce Spring
Eggstravaganza on Saturday, April 20, 2019. Motion carried 3-0.
11. Discussion and Possible Action Re: An application for a Temporary Class “B” and “Class B”
Retailer’s License from the Verona Area Chamber of Commerce for the Spring
Eggstravaganza event on Saturday, April 20, 2019 at Harriet Park, 414 Mary Lou Street,
Verona, WI 53593, Le Jordan, Agent. This Temporary Class “B” and “Class B” Retailer’s
License allows the Verona Area Chamber of Commerce to sell alcoholic beverages at the
Spring Eggstravaganza event. Motion by Reekie, seconded by Kohl, to approve a Temporary
Class “B” and “Class B” Retailer’s License application from the Verona Area Chamber of
Commerce for the Spring Eggstravaganza event on Saturday, April 20, 2019 at Harriet Park,
414 Mary Lou Street, Verona, WI 53593, Le Jordan, Agent. Motion carried 3-0.
12. Adjournment: Motion by Touchett, seconded by Kohl, to adjourn at 6:33 p.m. Motion
carried 3-0.
Ellen Clark, City Clerk
Agenda
City Of Verona
PUBLIC SAFETY AND WELFARE COMMITTEE
MONDAY, APRIL 8, 2019 AT 5:45 P.M.
COUNCIL CHAMBERS
VERONA CITY CENTER
111 LINCOLN STREET, VERONA, WI 53593
AGENDA
1. Call to order
2. Roll Call
3. Approval of Minutes from the March 18, 2019 Public Safety and Welfare Committee
meeting
4. Discussion and Possible Action Re: A Special Event Permit application from Joffre
Pedretti for the Wildcat Track & Field Community Fun Run on Saturday, April 13, 2019
5. Discussion and Possible Action Re: A Special Event Permit application from Lauren
Birkel, Glacier Edge Elementary PTO, for the Glacier Edge Color Run on Wednesday,
May 1, 2019
6. Discussion and Possible Action Re: A Special Event Permit application from Stacey
Burkart, Verona Area Public Library Director, for the Word on the Street 5K Run/Walk
and Kids’ Run on Saturday, May 4, 2019
7. Discussion and Possible Action Re: A Special Event Permit application from Patti
Ullsperger, Fisher King Winery, for the Fisher King Winery 5K Fun Run/Walk on Saturday,
June 22, 2019
8. Discussion and Possible Action Re: A Special Event Permit application from Jessica
Laufenberg, Rocket Bicycle Studio, for The Loop Pursuit Triathlon on Sunday,
August 4, 2019
9. Discussion and Possible Action Re: A Special Event Permit application from Alex Ogden,
FourOne Four Events, for the Wisconsin Beer Run 5 K & .05K on October 19, 2019
10. Discussion and Possible Action Re: A Special Event Permit application from Le Jordan,
Verona Area Chamber of Commerce, for the Spring Eggstravaganza on Saturday, April
20, 2019
11. Discussion and Possible Action Re: An application for a Temporary Class “B” and “Class
B” Retailer’s License from the Verona Area Chamber of Commerce for the Spring
Eggstravaganza event on Saturday, April 20, 2019 at Harriet Park, 414 Mary Lou Street,
Verona, WI 53593, Le Jordan, Agent
12. Adjournment
Heather Reekie, Chairperson
POSTED: Verona City Hall
Verona Public Library
Miller & Sons Market
City Web Page at: www.ci.verona.wi.us
IF YOU NEED AN INTERPRETER, MATERIALS IN ALTERNATIVE FORMATS OR OTHER
ACCOMODATION TO ACCESS THE MEETING, PLEASE CONTACT THE CITY CLERK AT 608-845-6495
AT LEAST 48 HOURS PRECEDING THE MEETING. EVERY REASONABLE EFFORT WILL BE MADE TO
ACCOMMODATE YOUR REQUEST.
PUBLIC SAFETY & WELFARE COMMITTEE - 2019-04-08
1. A Special Event Permit application from Joffre Pedretti for the Wildcat Track & Field
Community Fun Run on Saturday, April 13, 2019
This is the third year for this fundraiser for the VAHS track & field team. It also serves as a
community service project for the team members. The course begins and ends at the high
school track. The event is not a race, and will require no city staff. Participants will follow the
rules of the road. The event will run from 10 a.m. – Noon.
Motion: To approve a Special Event Permit for the Wildcat Track & Field Community Fun Run on
Saturday, April 13, 2019.
2. A Special Event Permit application from Lauren Birkel, Glacier Edge Elementary PTO, for the
Glacier Edge Color Run on Wednesday, May 1, 2019
This is the third year for this event, which is a fundraiser for the Glacier Edge Elementary
School. The event will run from 5 p.m. – 7 p.m. The one-mile route begins and ends at the
Glacier Edge playground. There will be color stations along the course at Tower Park and
Tollefson Park. The run will take place on the sidewalks. Approval of this event will be
contingent upon submittal of a Certificate of Liability Insurance naming the City of Verona as
the Certificate Holder.
Motion: To approve a Special Event Permit for the Glacier Edge Color Run on Wednesday, May
1, 2019, contingent upon submittal of a Certificate of Insurance naming the City of Verona as
the Certificate Holder.
3. A Special Event Permit application from Stacey Burkart, Verona Area Public Library
Director, for the Word on the Street 5K Run/Walk and Kids’ Run on Saturday, May 4,
2019
This is the fourth year for this event. This fundraising event for the Verona Public Library will
run from 8 a.m. – 10 a.m. The route begins and ends at the library. Participants will cross E.
Verona Avenue at Franklin Street. An officer will be staffed at that location. Sidewalk chalk will
be used for pavement markings.
Motion: To approve a Special Event Permit for the Word on the Street 5K Run/Walk and Kids’
Run on Saturday, May 4, 2019.
4. A Special Event Permit application from Patti Ullsperger, Fisher King Winery, for the Fisher
King Winery 5K Fun Run/Walk on Saturday, June 22, 2019
This is the second year for this event. Fisher King Winery is sponsoring a 5K Fun Run/Walk, with
proceeds going to the Dane County Humane Society. The event route begins on Liberty Street
near the winery, and follows CTH PB and the Ice Age Trail. Route crossing at CTH M and Liberty
Street will be facilitated by a Verona Police Officer, the cost of which will be reimbursed by the
applicant. A post-race celebration will be held in the winery. Approval of this event will be
contingent upon submittal of a Certificate of Liability Insurance naming the City of Verona as
the Certificate Holder.
Motion: To approve a Special Event Permit for the Fisher King Winery 5K Fun Run/Walk on
Saturday, June 22, 2019, contingent upon the submittal of a Certificate of Insurance naming the
City of Verona as the Certificate Holder.
5. A Special Event Permit application from Jessica Laufenberg, Rocket Bicycle Studio, for The
Loop Pursuit Triathlon on Sunday, August 4, 2019
This is the first year for The Loop Pursuit Triathlon. Rocket Bicycle Studio is organizing this
event. The event begins and ends at Fireman’s Park, and includes a 50-mile route which
consists of a .8 mile swim in the Fireman’s Park quarry; 39.2 miles of biking through the Verona,
Cross Plains, Mt. Horeb, and Mt. Veron areas; and a 10-mile run on the Military Ridge Trail.
Bruce Street will be closed from just east of 507 Bruce Street to Paoli Street. Traffic will have
access to Bruce Street from the east. The remaining intersections impacted will be
monitored/controlled by seven Verona Police Officers, the cost of which will be reimbursed by
the applicant. The event will end around 2:30 p.m., but public access to Fireman’s Park will be
available by 12 p.m. The applicant will be requesting a temporary premises description
amendment at a later date for n+1 Coffee and Beer Bar to allow them to serve beer outside
after the event.
Motion: To approve a Special Event Permit for The Loop Pursuit Triathlon on Sunday, August 4,
2019.
6. A Special Event Permit application from Alex Ogden, FourOneFour Events, for the
Wisconsin Beer Run 5K & .05K on October 19, 2019
This is the third year for this event in Verona. The event will run from 9 a.m. – 1 p.m. The
Wisconsin Beer Run is a chip-timed 5K. FourOneFour will be partnering with Hop Haus Brewing
Company, which is designated as the end of the event route. Railroad Street will be closed
between S. Main Street and Franklin Street from 8 a.m. – 1 p.m. Residents will be notified of
the street closure. Other intersections impacted by the race will be staffed by Verona Police
Officers, the cost of which will be reimbursed by the applicant. Approximately 800 people are
expected to participate in the event. Approval of this event will be contingent upon submittal of
a Certificate of Insurance naming the City of Verona as the Certificate Holder.
Motion: To recommend to the Common Council to approve a Special Event Permit for the
Wisconsin Beer Run 5K and .05K on Saturday, October 19, 2019, contingent upon the submittal
of a Certificate of Insurance naming the City of Verona as the Certificate Holder.
7. A Special Event Permit application from Le Jordan, Verona Area Chamber of Commerce, for
the Spring Eggstravaganza on Saturday, April 20, 2019
This is the first year for the Spring Eggstravaganza. The event will take place at Harriet Park, and
will run from 9 a.m. – Noon. Requested permit time is 7:30 a.m. – 1:30 p.m. to allow for set up
and tear down time. Breakfast with the Bunny will consist of pancakes and juice. Brats, chips
and soda will also be sold, along with flavored alcoholic seltzers. There will be treats and several
make-and-take crafts for the kids, including potted flowers and construction paper bunny ears.
A Temporary Class “B”Retailer’s License is required for the sale of alcoholic beverages at this
event.
Motion: To recommend to the Common Council to approve a Special Event Permit for the
Verona Area Chamber of Commerce Spring Eggstravaganza on Saturday, April 20, 2019.
8. An application for a Temporary Class “B” and “Class B” Retailer’s License from the Verona
Area Chamber of Commerce for the Spring Eggstravaganza event on Saturday, April 20, 2019
at Harriet Park, 414 Mary Lou Street, Verona, WI 53593, Le Jordan, Agent
This Temporary Class “B” and “Class B” Retailer’s License allows the Verona Area Chamber of
Commerce to sell alcoholic beverages at the Spring Eggstravaganza event.
Motion: The motion for this item should be to recommend to the Common Council to approve a
Temporary Class “B” and “Class B” Retailer’s License from the Verona Area Chamber of
Commerce for the Spring Eggstravaganza event on Saturday, April 20, 2019 at Harriet Park, 414
Mary Lou Street, Verona, WI 53593, Le Jordan, Agent.
CITY OF VERONA
PUBLIC SAFETY AND WELFARE COMMITTEE
MARCH 18, 2019
VERONA CITY HALL
MINUTES
1. Call to order: Heather Reekie called the meeting to order at 5:45 p.m.
2. Roll Call: Heather Reekie and Katie Kohl were present. Also present: Police Chief Bernie
Coughlin, Interim Administrator Adam Sayre and City Clerk Ellen Clark. Evan Touchett
arrived at 5:49 p.m.
3. Approval of Minutes: Motion by Kohl, seconded by Reekie, to approve the minutes
from the February 25, 2019 Public Safety and Welfare Committee meeting. Motion
carried 2-0.
4. Discussion and Possible Action Re: End User License Agreement with Zuercher
Technologies LLC and Community Data Platform Membership Agreement with TriTech.
These agreements relate to the City’s Multi-Jurisdictional Public Safety Informational
System (MPSIS) and the records management system. Chief Coughlin explained that the
request is for the replacement of our police records management system. The City
joined the multi-jurisdictional system in 2009. The system works quite well. The new
incident-based reporting system is a bit different than the incident-based reporting
system we are currently using. These agreements are a partnership with Fitchburg and
other municipalities. Half of the City’s total cost of $61,415 ($30,708), was approved in
the 2019 Capital Improvement Plan (CIP), and the Chief anticipates the other half being
approved in the 2020 CIP. The City Attorney has reviewed the agreements and has no
significant concerns. Staff recommends to the Common Council to approve the
agreements subject to final review and approval by the City Attorney and Chief of
Police.
Motion by Reekie, seconded by Kohl, to recommend to the Common Council to approve
the End User License Agreement with Zuercher Technologies LLC and Community Data
Platform Membership Agreement with TriTech subject to final review and approval by
the City Attorney and Chief of Police. Motion carried 3-0.
5. Adjournment: Motion by Kohl, seconded by Touchett, to adjourn at 5:58 p.m. Motion
carried 3-0.
Ellen Clark, City Clerk
VEROARE-01 LWEIGEL
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE 03/11/2019
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(ies) 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).
CONTACT Lynn Weigel, CIC
PRODUCER NAME:
TRICOR, Inc. - Platteville PHONE FAX
(A/C, No, Ext): (608) 473-1176 1335 (A/C, No): (608) 723-6440
1370 N. Water Street E-MAIL
Platteville, WI 53818 ADDRESS: lweigel@tricorinsurance.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Employers Mutual Companies 21415
INSURED INSURER B :
Verona Area School District INSURER C :
700 N Main St INSURER D :
Verona, WI 53593
INSURER E :
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 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.
INSR ADDL SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
2,000,000
CLAIMS-MADE X OCCUR
X 5D30809 05/01/2018 05/01/2019 DAMAGE TO RENTED
PREMISES (Ea occurrence) $
300,000
MED EXP (Any one person) $
10,000
PERSONAL & ADV INJURY $
2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
4,000,000
POLICY PRO-
JECT LOC PRODUCTS - COMP/OP AGG $
4,000,000
OTHER: General Aggregate $
A AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
(Ea accident) $
2,000,000
X ANY AUTO 5E30809 05/01/2018 05/01/2019 BODILY INJURY (Per person) $
OWNED SCHEDULED
AUTOS ONLY AUTOS BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident) $
$
A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $
9,000,000
EXCESS LIAB CLAIMS-MADE 5J30809 05/01/2018 05/01/2019 AGGREGATE $
9,000,000
DED X RETENTION $ 0 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
The City of Verona is an additional insured on the general liability by policy form CG7501 10/13)
(copy attached) - City of Verona/Fun Run - 4/13/19
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
City of Verona ACCORDANCE WITH THE POLICY PROVISIONS.
111 Lincoln Street
Verona, WI 53593
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
COMMERCIAL GENERAL LIABILITY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION –
VICARIOUS LIABILITY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
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 “Vicarious liability” as used in this endorsement
include as an additional insured the person(s) or means liability that is imposed on the additional
organization(s) shown in the Schedule, but only insured solely by virtue of its relationship with you,
with respect to liability for “bodily injury”, “property and not due to any act or omission of the additional
damage” or “personal and advertising injury” insured.
caused, in whole, by your acts or omissions or the C. With respect to the insurance afforded to these
acts or omissions of those acting on your behalf: additional insureds, the following is added to
1. In the performance of your ongoing operations; Section III – Limits Of Insurance:
or If coverage provided to the additional insured is
2. In connection with your premises owned by or required by a contract or agreement, the most we
rented to you. will pay on behalf of the additional insured is the
However, the insurance afforded to such additional amount of insurance:
insured only applies to the extent permitted by law. 1. Required by the contract or agreement; or
B. This insurance does not apply to any “bodily injury”, 2. Available under the applicable Limits of
“property damage” or “personal and advertising Insurance shown in the Declarations;
injury” resulting from any act or omission by, or whichever is less.
willful misconduct of the additional insured shown in
the Schedule, whether the sole or a contributing This endorsement shall not increase the applicable
cause of the loss. The coverage afforded to the Limits of Insurance shown in the Declarations.
additional insured is limited solely to the additional
insured’s “vicarious liability” that is a specific and
direct result of your conduct.
CG7501(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1
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