HomeMy WebLinkAboutPCN 0142 Hard Core Running Club - Kittitas CountyPolicy Change
Number 0142
Gu 269
(11-85)
THE ENDORSEMENT CHANCES THE POLICY. PLEASE READ IT CAREFULLY.
IL 12 01 11 85
POLICY CHANGES
POLICY NO.
POLICY CHANGES
COMPANY
EFFECTIVE
NATIONAL CASUALTY COMPANY
KRO0000007654600
03/30/19
NAMED INSURED
AUTHORIZED REPRESENTATIVE
ROAD RUNNERS CLUB OF AMERICA
K&K INSURANCE GROUP,INC.
COVERAGE PARTS AFFECTED
PAGE 01 OF 01
Commercial General Liability
CHANGES
Form Number: KR -GL -56 "Additional Insureds Owners and}/}..or Lessors of
Premises, Sponsors or
Co-Promators IT
(K) Add Form To Include Additional Insured Below:
KITTITAS COUNTY
Club: Hard Core Running Club
Event: Yakima River Canyon Marathon and Half
Marathon
Date: 03/30/19
No Premium Change
NLS 02/25/19 �� pn/�
Authorized Representative Signature
Copyright Insurance Services Office, Inc., 1983
Copyright, ISO Commercial Risk Services, Inc. 1983
�+ Company
National Casualty Company NO, 0142
1AC}iE❑ TD ANLL ENDORSEMENT EFFECTIVE DATE
FORMING A PART OF NAM£O INSURED
POLfCY NUM9ER 112:01 A.M. STANOARD TIME] AGENT NO,
KR00000007654600 , 03/30/19 1 ROAD RUNNERS CLUB OF AMERICA
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSUREDS OWNERS AND/OR LESSORS OF PREMISES,
SPONSORS OR CO -PROMOTERS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
The policy is amended to include as an additional Insured
any person or organization of the types indicated by an "X"
in any boxes shown Below, but only with respect to liability
arising out of your operations:
0 Owners and/or lessors of the premises leased,
rented, or loaned to you, subject to the following
additional exclusions:
a. This insurance applies only to an "occurrence"
which takes place while you are a tenant in
the premises;
b. This insurance does not apply to "bodily
injury" or "property damage" resulting from
structural alterations, new construction or
demolition operations performed by or on
behalf of the owner and/or lessor of the
premises;
c. This insurance does not apply to liability of the
owners and/or lessors for "bodily injury" or
"property damage" arising out of any design
defect or structural maintenance of the prem-
ises or loss caused by a premises defect.
With respect to any additional insured included
under this policy, this insurance does not apply to
any negligence of such additional insured.
❑ Sponsors
❑ Co -Promoters
❑X Any individual person(s) or organization(s) listed
below:
KITTITAS COUNTY
Club: Hard Core Running Club
Event: Yakima River Canyon Marathon
and Half Marathon
Date: 03/30/19
AUTHORIZED REPRESENTATIVE
KR -GL -56 (4-07) Page 1 of 1
DATE