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HomeMy WebLinkAboutInsurance Endorsement and EmailsPOLICY NUMBER: 17522417-02 COMMERCIAL GENERAL LIABILITY CG 20 120413 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED -STATE OR GOVERNMENTAL AGENCY OR SUBDIVISION OR POLITICAL SUBDIVISION -PERMITS OR AUTHORIZATIONS This endorsement modifies insurance provided under the following : COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE State Or Governmental Agency Or Subdivision Or Political Subdivision: Kittitas County 205 W. 5th Ave Ellensburg, WA 98926 Information required to complete this Schedule, if not shown abov e , will be shown in the Declarations . A. Section II -Who Is An Insured is amended to include as an additional insured any state or governmental agency or subdivision or political subdivision shown in the Schedule, subject to the following provisions : 1. This insurance applies only with respect to operations performed by you or on your behalf for which the state or governmental agency or subdivision or political subdivision has issued a permit or authorization . However: a. The insurance afforded to such additional insured only applies to the extent permitted by law; and b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured . Insured: Silent Sports Association -NBTS SE Vicious Cycle Events, Inc. 139 E. Street SW, Ephrata , WA 98823 Event: Gran Fondo Ellensburg : June 11, 2017 2. This insurance does not apply to: a. "Bodily injury", "property damage" or "personal and advertising injury" arising out of operations performed for the federal government, state or municipality; or b. "Bodily injury" or "property damage" included within the "products-completed operations hazard". B. With respect to the insurance afforded to these additional insureds, the following is added to Section III -Limits Of Insurance: If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance: 1. Required by the contract or agreement ; or 2. Available under the applicable Limits of Insurance shown in the Declarations; whichever is less. This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations. CG 20 120413 © Insurance Services Office, Inc., 2012 Page 1 of 1 Mandy Buchholz From: Sent: To: Cc: Subject: Attachments: Christopher Horner Friday, June 02/2017 4:21 PM Mandy Buchholz Rebecca Schoos FW : FW : Gran Fondo Approval Gran Fondo Ellensburg -Kittitas County -CG 20 120413 Additional Insured Kittitas County.pdf I have now reviewed the insurance certificate and endorsement. Both look satisfactory, so I can now recommend approval. Have a great weekend! Chris From: Jake & Karen Maedke [mailto:ephratablkes@gmall.com ] Sent: Friday, June 02, 2017 3:06 PM To: Christopher Horner Cc: Mandy Buchholz; Rebecca Schoos Subject: Re: FW: Gran Fondo Approval Attached is the requested Endorsement. Thank you , Karen Maedke On Thu, lun 1,2017 at 9 :22 AM , Christopher Horner <c hri lopher.homel@ co.kitl itas.\: a.u > wrote: The insurance certificate looks good. The endorsement is a new requirement this year. I've attached an example of the type of insurance endorsement I want to see from your insurance company. Your insurance company may use a form that is slightly different, but it will be somewhat similar. If you ask your insurance company for an "additional insured endorsement" listing Kittitas County as an additional insured, they should know what you are asking about. Let me know if you have any other questions about this. Thank you, 1 Chris Horner Deputy Prosecuting Attorney Kittitas County From: Mandy Buchholz Sent: Wednesday, May 31, 2017 2:58 PM To: 'Jake & Karen Maedke' Cc: Christopher Horner Subject: RE: FW: Gran Fondo Approval Thank you! I will let Deputy Horner explain the Endorsements. This is new this year, and will be required from this point on. Chris, please let Karen know what is needed with the endorsement requirement. Thank you both! From: Jake & Karen Maedke [Iila ll to:ephratabikes@gmall .com] Sent: Wednesday, May 31, 2017 2:48 PM To: Mandy Buchholz Subject: Re: FW: Gran Fondo Approval Here is a corrected Certificate of Insurance. What is the "Endorsement" that we need? I am not sure that we have had it in the past. Thank you, Karen Maedke 5097603620 On Wed, May 31, 2017 at 2:35 PM, Mandy Buchholz <Mandy. lIchholz@ c .kittitas.wa.us> wrote: 2 See Below from our Prosecutor- Please contact Deputy Horner for further clarification and or reply to this e-mail as I am CC'ing him on this e-mail. From: Christopher Horner Sent: Wednesday, May 31, 2017 2:32 PM To: Mandy Buchholz Cc: Rebecca Schoos Subject: RE: Gran Fondo Approval Hi Mandy, I am still unable to recommend approval, for two reasons: 1) the policy expiration is listed on the certificate of insurance as 5/23/17, which is well before the event date of 6/11/17; and 2) no endorsement has yet been provided. Thanks! Chris 3 From: Mandy Buchholz Sent: Tuesday, May 30, 2017 10:35 AM To: Christopher Horner Subject: RE: Gran Fondo Approval FYI Notice: Email sent to Kittitas County may be subject to public disclosure as required by law Notice : Email sent to Kittitas County may be subject to public disclosure as required by law Notice : Email sent to Kittitas County may be subject to public disclosure as required by law Notice: Email sent to Kittitas County may be subject to public disclosure as required by law 4