HomeMy WebLinkAbout670210.tiffa
Renewal of No.
Owl f k etaatilmil ad 7eeaata.' o is y 714
GLT 3 70 82 ,. - No. 0LT 296259
THE WESTERN CASUALTYAND SURETY COMPANY
FORT SCOTT, KANSAS
A STOCK INSURANCE COMPANY
DECLARATIONS
Item 1. Named Insured and Address (No., Street, Town, County, State, Zip Code)
4-H CLUBS OF WELD COUNTY
Weld County Court House
Greeley, Colorado
The named Insured is Individual O; Partnership O Corporation O; Joint Venture
Item 2. Policy Period:
From June 3 1967 to June 3 1970
12:01 A. M., standard time at the address of the named insured as stated herein.
Item 3. Insurance is afforded only with respect to such of the following coverages as are indicated by specific premium charge or charges. The limit of the
company's liability against each such coverage shall be as stated herein, subject to all the terms of this policy having reference thereto.
General Liahility Hazards
Description of Hazards - Cede No.
Premium Bases
Rates
Advance Premium
Bodily Injury
Coverage A
Property Damage
Coverage B
Bodily Injury
Coverage A
Property Damage
Coverage B
1. Premises —Operations
CLUBS --Civic, Fraternal, Luncheon,
Service or Social --no buildings or premises
owned or leased except for office
purposes 0791
(al Area (sq. ft.)
(b) Frontage
1600
members
Igoe
(a) Per 100 sq.
(b) Per linear ft.
.046
ft. of Area
.023
*Indicates Minimum
74.00
Premium
37.00
2. Elevators (Number at Premises)
NONE AT INCEPTION
Number Insured
Per Elevator
3. Structural Alterations, New Construction, Demolition
NOT COVERED
(a) Remuneration
(b) Cost
(a) Per $100 of Remuneration
(b) Per $100 of Cost
Endorsements
tFor a policy term Ohm years the premium shall be $ 289.00 Total Estimated
payable in advance, $ 111.00 ; 2nd year, $ 89.00 ; 3rd year, $ 89.00 Premium
74.00
111.00
37.00
*Audit Period: I Advance Premium $
Coverages Limits of Liability
A.
Bodily Injury Liability $ 100,000.00 each person
$ 300,000.00 each occurrence
B.
Property Damage Liability $ 25,000.00 each occurrence
$ aggregate
Item 4. Location of insured premises (enter "same" if same as Item 1).
Interest of named insured in insured premises O owner, O general lessee, O tenant
Part occupied by named insured
Item 5. During the past three years no insurer has cancelled any similar insurance issued to the named i
otherwise stated. No exceptions j
Greeley, Colorado
Countersigned at
Form 0LT 6503-R16
} Ngt applicable In Texas * Audit Period annual unless stated otherwise
A Xooio
By _
1, nor declined to issue such insurance, unless
a a.,
Authorized Agent
670210 (2S5,901- 310,900)
THE W ramRN CASUALTY" AND SURETY COM NY
FORT SCOTT, KANSAS of
(A stock insurance company, herein called the company)
In consideration of the payment of the premium, in reliance upon the statements in the declarations made a part hereof and subject to all of the terms of this policy,
agrees with the named insured as follows:
I. COVERAGE A —BODILY INJURY LIABILITY
COVERAGE B —PROPERTY DAMAGE LIABILITY
The company will pay on behalf of the Insured all sums which the Insured shall
become legally obligated to pay as damages because of
Coverage A. bodily Injury or
Coverage B. property damage
to which this policy applies, caused by an occurrence and arising out of the own-
ership, maintenance or use of the insured premises and all operations necessary
or incidental thereto, and the company shall have the right and duty to defend any
suit against the insured seeking damages on account of such bodily injury or
property damage, even if any of the allegations of the suit are groundless, false
or fraudulent, and may make such investigation and settlement of any claim or
suit as it deems expedient, but the company shall not be obligated to pay any
claim or judgment or to defend any suit after the applicable limit of the company's
liability has been exhausted by payment of judgments or settlements.
Exclusions
This policy does not apply:
(a) to liability assumed by the insured under any contract or agreement except an
Incidental contract; but with respect to bodily injury or property damage occurring
while work performed by or on behalf of the named insured is in progress, this
exclusion does not apply to a warranty that such work will be done in a workman-
like manner;
(b) to bodily injury or property damage arising out of the ownership, maintenance,
operation, use, loading or unloading of
(1) any automobile or aircraft owned or operated by or rented or loaned to the
named insured, or
(2) any other automobile or aircraft operated by any person in the course of his
employment by the named insured;
but this exclusion does not apply to the parking of an automobile on insured
premises, if such automobile is not owned by or rented or loaned to the named
insured;
(c) to bodily injury or property..damage arising out of and in the course of the
transportation of mobile equipment by an automobile owned or operated -by of
rented or loaned to the named insured;
(dl to bodily injury or property damage arising out of the ownership, maintenance,
operation, use, loading or unloading of any watercraft, if the bodily Injury or
property damage occurs away from the Insured premises, but this exclusion does
not apply to bodily injury or property damage resulting from operations performed
for the named insured by independent contractors or to liability assumed by the
insured under an incidental contract;
(e) to bodily injury or property damage due to war, whether or not declared, civil
war, insurrection, rebellion or revolution or to any act or condition incident to any
of the foregoing, with respect to
(1) liability assumed by the insured under an Incidental contract, or
(2) expenses for first aid under the Supplementary Payments provision;
(f) to bodily injury or property damage for which the insured or his indemnitee
maybe held liable, as a person or organization engaged in the business of manu-
facturing, distributing, selling or serving alcoholic beverages or as an owner or
lessor of premises used for such purposes, by reason of the selling, serving or
giving of any alcoholic beverage
(1) in violation of any statute, ordinance or regulation,
(2) to a minor,
(3) to a person under the influence of alcohol, or
(4) which causes or contributesto the intoxication of any person;,
(g) to any obligation for which the insured or any carrier as his insurer may be
held liable under any workmen's compensation, unemployment compensation or
disability benefits law, or under any similar law;
(h) to bodily injury to any employee of the insured arising out of 2ed.i2 the course
of his employment by the insured; but this exclusion doesnot apply to liability
assumed by the insured under an incidental contract;
(i) to property damage to
(1) property owned or occupied by or rented to the insured,
(2) property used by the insured, or
(3) property in the care, custody or control of the Insured or as to which the
insured is for any purpose exercising physical control;
but parts (2) and (3) of this exclusion do not apply with respect to liability under
a written sidetrack agreement and part (3) of this exclusion does not apply with
respect to property damage (other than to elevators) arising out of the use of an
elevator at the insured premises;
(j) to property damage to premises alienated by the named insured arising out of
such premises or any part thereof;
(k) to property damage to the named insured's products arising out of such products
or any part of such products;
(I) to property damage to work performed by or on behalf of the named Insured
arising out of the work or any portion thereof, or out of materials, parts or equip-
ment furnished in connection therewith;
(m) to bodily injury or property damage included within the completed operations
hazard or the products hazard;
(n) to bodily injury or propertydamage arising out of operations on or from premises
(other than the Insured premises) owned by, rented to or controlled by the named
insured, or to liabilityassumed by the insured under any contractor agreement
relating to such premises;
(o) to bodily Injury or property damage arising out of structural alterations which
involve changing the size'gf`ar movingbuildings' or:ether_struetures, new con-
struction or demolition opera. performed by or an behalf of the named Insured,
but this exclusion shall not ap H -a specifie'charge-is -indicatedin Item 3 of the
declarations under the Description of Ha3ardsfpfc.Independe tt Contractors.
II. PERSONS INSURED
Each of the following is an insured under this policy to the extent set forth below:
(a) if the -named insured is designated in the declarations as an individual, the
person so"deSignated but only with respect to the conduet of a business of which
he is the sole proprietor;
(b) if the namedinsured is designated in the declarations as a partnership or joint
venture, the partnership or joint venture so designated and any partner or member
thereof but only with respect to his liability as such;
(c) if the named insured is designated in the declarations as other than an indi-
vidual, partnership or joint venture, the organization so designated and any execu-
tive officer, director or stockholder thereof while acting within the scope of his
duties as such;
(d) any person (other than an employee of the named insured) or organization while
acting as real estate manager for the named insured; and
(e) with respect to the operation, for the purpose of locomotion upon a public
highway, of mobile equipment registered under any motor vehicle registration law,
(i) an employee of the named insured while operating any such equipment in the
course of his employment, and
(ii) any other person While rineratidg'With ihe'p`elmiesioil of the named insured
any such-e$Cpnintit registoted inghe nadre-af thelamed Mewed and:any person
or organization legally=resfonsib)e for,such _operation, but only ifthere:, is no
other valid and collectible insurance available, either oil a primary dt excess
basis, to'such-person or organization;
provided that no person or organization shall be an insured under this paragraph (e)
with respect to:
(1) bodily injury to any fellow employee of such person injured in the course of his
employment, or
(2) property damage to property owned by, rented to, in charge of or occupied by
the named Insured or the employer of any person described in subparagraph (ii).
This insurance does not apply to bodily injury or property damage arising out
of the conduct of any partnership or joint venture of which the insured is a partner
or member and which is not designated in this policy as a named Insured.
III. LIMITS OF LIABILITY
Regardless of the number of (1) insureds under this policy, (2) persons or organi-
zations who sustain bodily injury or property damage, or (31 made or suits
brought on account of bodily injury or property damage, the company's liability is
limited as follows:
Coverage A —The limit of bodily injury liability stated in the.declarations as
applicable to "each person" is the limit of the company's liability -for eft damages
because of bodily injury sustained by one person as the result of any one occur-
rence; but subject to the above provision respecting "each person", the total
liability of the company for all damages because of bodily injury sustained by two
or more persons as the result of any one occurrence -shall not exceed the limit of
bodily injury liability stated in the declarationsesapplicable to "each occurrence".
Coverage B —The total liability of the company for all damages because of all
property damage sustained by one or more persons or organizations as the result
of any one occurrence shall not exceed the limit of property damage liability
stated in the declarations as applicable to "each occurrence".
Subject to the above provision respecting "each occurrence", the total liability of
the company for all damages because of all property damage to which this coverage
applies and arising out of and occurring in the course of structural alterations
which involve changing the size of or moving buildings or other structures, new
construction or demolition operations performed by or on behalf of the named
insured (including any such property damage for which liability is assumed under
any incidental contract relating to such operations) shall not exceed the limit of
property damage liability stated in the declarations as "aggregate".
Coverages A and B —For the purpose of determining the limit of the company's
liability, all bodily injury and property damage arising out of continuous or repeated
exposure to substantially the same general conditions shall be considered as arising
Out of one occurrence.
IV. POLICY PERIOD; TERRITORY - ---- This policy applies only to bodily injury or property damage which occurs during
the policy period within the policy territory.
(ATTACH ENDORSEMENTS HERE)
Saappleasentaity Pavements
,The company will pay, in addition to the applicable limit of liability:
(a) all expenses incurred by the company, all costs taxed against the insured in
any sui defended by the, company and all interest on the entire amount of any
judgment therein which accrues after entryof the judgment and before the
company has paid or tendered or deposited in court that part of the judgment
which does not exceed the limit of the company's liability thereon;
(b) premiums on appeal bonds required in any such suit, premiums on bonds to
release attachments in any such suit for an amount not in excess of the
applicable limit of liability of this policy, and the cost of bail bonds required
When used in this policy (including endorsements forming a part hereof):
"automobile" means a land motor vehicle, trailer or semitrailer designed for travel
on public roads (including any machinery or apparatus attached thereto), but
does not include mobile equipment;
"bodily injury" means bodily injury, sickness or disease sustained by any person;
"completed operations hazard" includes bodily injury and property damage arising
out of operations or reliance upon a representation or warranty made at any time
with respect thereto, but only if the bodily injury or property damage occurs after
such operations have been completed or abandoned and occurs away from premises
owned by or rented to the named insured. "Operations" include materials, parts
or equipment furnished in connection therewith. Operations shall be deemed com-
pleted at the earliest of the following times:
(1) when all operations to 5e performed by or bn behalf of the `named insured
under the contract have been completed,
(2) when all operations to be performed by or on behalf of the named insured at
the site of the operations have been completed, or
(3) when the portion of the work out of which the injury or damage arises has
been put to its intended use by any person or organization other than another
contractor or subcontractor engaged in performing operations for a principal
as a part of the same project.
Operations which may require further service or maintenance work, or correc-
tion, repair or replacement because of any defect or deficiency, but which are
otherwise complete, shall be deemed completed.
The completed operations hazard does not include bodily Injury or property
damage arising out of
(a) operations in connection with the transportation of property, unless the bodily
injury or property damage arises out of a condition in or ona vehicle created
by the loading or unloading thereof,
(b) the existence of tools, uninstalled equipment or abandoned or unused ma-
terials, or
(c) operations for which the classification stated in the policy or in the company's
manual specifies "including completed operations";
"damages" includes damages for death and for care and loss of services resulting
from bodily injury and damages for loss of use of property resulting from property
damage;
"elevator" means any hoisting or lowering device to connect floors or landings,
whether or not in service, and all appliances thereof including any car, platform,
shaft, hoistway, stairway, runway, power equipment and machinery; but does not
include an automobile servicing hoist, or a hoist without a platform outside a
building if without mechanical power or if not attached to building walls, or a
hod or material hoist used in alteration, construction or demolition operations, or
an inclined conveyor used exclusively for carrying property or a dumbwaiter used
exclusively for carrying property and having a compartment height not exceeding
four feet;
"incidental contract" means any written (1) lease of premises, (2) easement
agreement, except in connection with construction or demolition operations on or
adjacent to a railroad, (3) undertaking to indemnify a municipality required by
municipal ordinance, except inconnection with work for the municipality, (4) side-
track agreement, or (5) elevator maintenance agreement;
of the insured because of accident or traffic law violation arising out of the use
of any vehicle to which this policy applies, not to exceed $250 per bail bond,
but the company shall have no obligation to apply for or furnish any such
bonds; -
(c) reasonablb expenses incurred by the Insured for first aid to others at the time
of an accident, for bodily injury to which this policy applies;
(dl reasonable expenses incurred by the insured at the company's request, includ-
ing actual loss of wages or salary (but not loss of other income) not to exceed
$25 per day because of his attendance at hearings or trials at such request.
"insured" means any person or organization qualifying as an insured in the "Per-
sons Insured" provision of the applicable insurance coverage. The insurance
afforded applies separately to each insured against whom claim is made or suit
is brought, except with respect to the limits of the company's liability;
"insured premises" means (1) the premises designated in the declarations, (2)
premises alienated by the named insured (other than premises constructed for sale
by the named insured), if possession has been relinquished to others, and (3)
premises as to which the named insured acquires ownership or control and re-
ports his intention to insure such premises under this policy and no other within
30 days after such acquisition; and includes the ways immediately adjoining such
premises on land;
"mobile equipment" means a land vehicle (including any machinery or apparatus
attached thereto), whether or not self-propelled, (1) not subject to motor vehicle
registration, or (2) maintained for use exclusively on premises owned by or rented
to the named insured, including the ways immediately adjoining, or (3) designed
for use principally off nubile roads, or (4) -designed or' maintained for the sole
purpose of affording mobility to equipment of the following typed _forming an in-
tegral part of or permanently attached to such vehicle: power cranes, shovels,
loaders, diggers and drills; concrete mixers (other than the mix -in -transit type);
graders, scrapers, rollers and other road construction or repair equipment; air -
compressors, pumps and generators, including spraying, welding and building
cleaning equipment; and geophysical exploration and well servicing equipment;
"named insured" means the person or organization named in Item 1. of the decla-
rations of this policy;
"named insured's products" means goods or products manufactured, sold, handled
or distributed by the named insured or by others trading under his name, including
any container thereof (other than a vehicle), but "named insured's products" shall
not include a vending machine or any property other than such container, rented
to or located for use of others but not sold;
"occurrence" means an accident, including injurious exposure to conditions, which
results, during the policy period, in bodily injury or property damage neither ex-
pected nor intended from the standpoint of the insured;
"policy territory" means:
(1) the United States of America, its territoriesor possessions, or Canada, or
(2) international waters or air space, provided the bodily injury or property dam-
age does not occur in the course of travel or transportation to or from any
other country, state or nation, or
(3) anywhere in the world with respect to damages because of -bodily injury or
property damage arising out of a product which was sold for use or consump-
tion within the territory described in paragraph (1) above, provided the original
suit for such damages is brought within such territory;
"products hazard" includes bodily injury and property damage arising out of the
named insured's products or reliance upon a representation or warranty made at
any time with respect thereto, but only if the bodily injury or property damage
occurs away from premises owned by or rented to the named insured and after
physical possession of such products has been relinquished to others;
"property damage" means injury to or destruction of tangible property.
t?ondellens
1. Premium: All premiums for this policy shall be computed in accordance with
the company's rules, rates, rating plans, premiums and ry'u'tmum premiums appli-
cable to the insurance afforded herein.
Premium designated in this policy as "advance premit ' is a deposit premium
only which shall be credited to the amount of the earned premium due at the
end of the policy period. At the close of each period (or part thereof terminating
with the end of the policy period) designated in the declarations as the audit
period the earned premium shall be computed for such period and, upon notice
thereof to the named Insured, shall become due and pa able. If the total earned
premium forthe policy period is less than the prempreviously paid, the
company shall return to the named insured the unear 'portion paid by the
named insured.
The named insured shall maintain records of such information as is necessary
for premium computation, and shall send copies of such records to the company
at the end of the policy period and at such times during the policy period as the
company may direct.
2. Inspection and Audit The company shall be permitted but not obligated to
inspect the named Insured's property and operations at any time. Neither the
company's right to make inspections nor the making thereof nor any report there-
on shall constitute an undertaking, on behalf of or for the benefit of the named
Insured or others, to determine or warrant that such property or operations are
safe.
The company may examine and audit the named insured's books and records at
any time during the policy period and extensions thereof and within three years
after the final termination of this policy, as far as they relate to the subject
matter of this insurance.
3. Financial Responsibility Laws: When this policy is certified as proof of financial
responsibility for the future under the provisions of any motor vehicle financial
responsibility law, such insurance as is afforded by this policy for bodily injury
liability or for property da liability shall comply with the provisions of such
law to the extent of the c qz f$e and limits ofliability required by such law.
,,The insured agrees to reimbe v . in company for any payment made by the com-
pahy'wMch it would not hate been obligated to make under the terms of this
policy except for the agreement contained in this paragraph.
4. Insured's Duties in the Event of Occurrence, Claim er Suit:
(a) In the event of an occurrence, written notice containing particulars sufficient
to identify the Inured anifiiso reasonably obtainable information with respect
to the time, place and c' tances thereof, and the names and addresses of
the injured and of availat itnesses, shall be given by or for the insured to
the company or. any of its authorized agents as soon as practicable. The named
insured shall promptly take at his expense all reasonable steps to prevent
other bodily injury or property damage from arising out of the same or similar
conditions, but such expense shall not be recoverable under this policy.
(b) If claim is made or suit is brought against the insured, the insured shall im-
mediately forward to the company every demand, notice, summons or other
process received by him or his representative.
(c) The insured shall cooperate with the company and, upon the company's re-
quest, assist in making settlements, in the conduct of suits and in enforcing
any right of contribution or indemnity against any person or organization who
may be liable to the insured because of bodily injury or property damage with
respect to which insurance is afforded under this policy; and the insured shall
attend hearings and trials and assist in securing and giving evidence and ob-
taining the attendance of witnesses. The insured shall not, except at his own
cost, voluntarily make any payment, assume any obligation or incur any ex-
pense other than for first aid to others at the time of accident.
5. Action Against Company::No action shall lie against the company unless, as a
condition precedent thereto, there shall have been full compliance with all of the
It is agreed that:
I. This policy does not apply:
A. Under any Liability Coverage, to bodily injury or property damage
(1) with respect to which an insured under this policy is also an insured
under a nuclear energy liability policy issued by Nuclear Energy Liability
Insurance Association, Mutual Atomic Energy Liability Underwriters or
Nuclear Insurance Association of Canada, or would be an insured under
any such policy but for its termination upon exhaustion of its limit of
liability; or
(2) resulting from the hazardous properties of nuclear material and with
respect to which (a) any person or organization is required to maintain
financial protection pursuant to the Atomic Energy Act ` of 1954, or*
law amendatory thereof, or (b) the insured is, or had this policy not
been issued would be, entitled to indemnity from the United States of
America, or any agency thereof, under any agreement entered into by
the United States of America, or any agency thereof, with any person or
organization.
B. Under any Medical Payments Coverage, or under any Supplementary Pay-
ments provision relating to first aid, to expenses incurred with respect to
bodily injury resulting from the hazardous properties of nuclear material
and arising out of the operation of a nuclear facility by any person or
organization.
C. Under any Liability Coverage, to bodily injury or property damage resulting
from the hazardous properties of nuclear material, if
(1) the nuclear material (a) is at any nuclear facility owned by, or operated
by or on behalf of, an insured or (b) has been discharged or dispersed
therefrom;
(2) the nuclear material is contained in spent fuel or waste at •any time
possessed, handled, used, processed, stored, transported or disposed
of by or on behalf of an insured; or
(3) -.the bodily injury or property damage arises out of the furnishing by an
insured of service -s, materials, parts or equipment in 'connection with
the planning, construction, maintenance, operation or use of any nuclear
facility, but if such facility is located within the United States of
terms of this policy, nor until the amount of the insured's obligation to pay shall
have been finally determined either by judgment against the insured after actual
trial or by written agreement of the insured, the claimant and the company.
Any person or organization or the legal representative thereof who has secured
such judgment or written agreement shall thereafter be entitled to recover under
this policy to the extent of the insurance afforded by this policy. No person or
organization shall have any right under this policy to join the company as a party
to any action against the insured to determine the insured's liability, nor shall
the company be impleaded by the insured or his legal representative. Bankruptcy
or insolvency of the insured or of the insured's estate shall not relieve the com-
pany of any of its obligations hereunder.
6. Other Insurance: The insurance afforded by this policy is primary insurance,
except when stated to apply in excess of or contingent upon the absence of other
insurance. When this insurance is primary and the insured has other insurance
which is stated to be applicable to the loss on an excess or contingent basis, the
amount of the company's liability under this policy shall not be reduced by the
existence of such other insurance.
insur-
ance
When both this insurance and other insurance apply a loss on the same
basis, whether primary, excess or contingent, the corn, ,,,y shall not be liable
under this policy for a greater proportion of the loss than that stated in the
applicable contribution provision below:
lal _ Contribution by Out Shares. If all of sTich other valid and col-NO{16l
provides for contribution by equal shares, the company shall not be liable
for a greater proportion of such loss than would belpayable if each insurer
contributes an equal share until the share of each irtmter equals the lowest
applicable limit of liability under any one policy or th amount of the loss
is paid, and with respect to any amount of loss not _,, paid the remaining
insurers then Continue to contribute equal shares of the remaining amount
of the loss until each such insurer has paid its limit in full or the full amount
of the loss is paid.
(b) Contribution by Limits. If any of such other insurance does not provide for
contribution by equal shares, the company shall not be liable for a greater
proportion of such loss than the applicable limit of liability under this policy
for such loss bears to the total applicable limit of liability of all valid and
collectible insurance against such loss.
7. Subrogation: In the event of any payment under this policy, the company shall
be subrogated to all the insured's rights of recovery therefor against any person
or organization and the insured shall execute and deliver instruments and papers
In Witness Whereof, The Western Casualty and Surety Company has caused this policy to be executed and attested, but this policy shall not be valid unless counter-
signed on the declarations page by a duly authorized agent of the company. .
and do whatever else is necessary to secure such rights. The insured shall do
nothing after loss to prejudice such rights.
8. Changes: Notice to any agent or knowledge possessed by any agent or by any
other person shall not effect a waiver or a change in any part of this policy or
estop the company from asserting any right under the terms of this policy; nor
shall the terms of this policy be waived or changed, except by endorsement issued
to form a part of this policy.
9. Assignment: Assignment of interest under this policy shall not bind the com-
pany until its consent is endorsed hereon; if, however, the named insured shall
die, such insurance as is afforded by this policy shall apply (1) to the named
insured's legal representative, as the named insured, but only while acting within
the scope of his duties as such, and (2) with respect to the property of the
named insured, to the person having proper temporary custody thereof, as insured,
but only until the appointment and qualification of the legal representative.
10. Three Year Policy: If this policy is issued for a period of three years, the
limits of the company's liability shall apply separately to each consecutive annual
period thereof.
.11. Cancellation: This policy ,y be cancelled by the named insured by sur-
render tifereof to the company or any of its authorized agents or by mailing to
the company written notice stating when thereafter the cancellation shall be
effective. This policy may be cancelled by, the corn an by mailing. to the, named
e
insured-MFe address shown -In this policy, wri ett n notice stating Wien not less
than ten days thereafter such cancellation shall be effective. The mailing of notice
as aforesaid shall be sufficient pr.+of of notice. The time of surrender or the ef-
aiective date and hour of cart' n stated in the notice shall become the end
of the policy period. Delivery .uch written notice either by the named insured
or by the company shall be egaoualent to"mailing.
If the named insured cancels, earned premium shall be computed in accordance
with the customary short rate table and procedure. If the company cancels,
earned premium shall be computed pro rata. Premium adjustment may be made
either at the time cancellation is effected or as soon as practicable after cancel-
lation becomes effective, but payment or tender of unearned premium is not a
condition of cancellation.
12. Declarations: By acceptance of this policy, the named Insured agrees that
the statements in the declarations are his agreements and representations, that
this policy is issued in reliance upon the truth of such representations and that
this policy embodies all agreements existing between himself and the company
or any of its agents relating to this insurance.
Secretary President
Nacleafs %/tespy 1�iaJililr4 Cachalots %a lotac s at--swael 4 osa
America, its territories or possessions or Canada, this exclusion (3)
applies only to property damage to such nuclear facility and any
property thereat.
II. As used in this endorsement:
"hazardous properties" include radioactive, toxic or explosive properties;
"nuclear material" means source material, special nuclear material or by-
product material;
"source material';^"special nuclear-material",'and "byproduct -material". have
the meanings given themin the Atomic Energy Ackof 1954., or in,.any law
• amendatory thereof; - -
"spent fuel" means any fuel element -'orrfuel 'compbnent,-solid or liquid, which
has been used or exposed to radiation in a nuclear reactor; .,
"waste" means any waste material (1) containing byproduct material and
(2) resulting from the operation by any person or organization of any nuclear
facility included within the definition of nuclear facility under paragraph
(a) or (b) thereof;
"nuclear facility" means
(a) any nuclear reactor,
(b) any equipment or device designed or used for (1) separating the isotopes
of uranium or plutonium, (2) processing or utilizing spent fuel, or (3)
handling, processing or packaging waste,
(c) any equipment or device used for the processing, fabricating or alloying
of special nuclear material if at any time the total amount of such ma-
terial in the custody of the insured at the. premiseswhere sucb.equipment
or device is located consists of of contains more than 25" grams of
plutonium or uranium 233 or any combination thereof, or more than 250
grams of uranium 235,
(d) any structure, basin, excavation, premises or pace prepared or used for
the storage or disposal of waste, •--- -
and includes the site on which any of the foregoing is located, all operations
conducted on such site and all premises used for such operations;
"nuclear leader" means any apparatus designedor used to sustain nuclear
fission in. a self-supporting chain reaction. or tocontain a critical mass of
fissionable material;
"property damage" includes all forms of radioactive contamination of property.
MICHIGAN SPECIAL PROVISION —If this policy is written in the State of Michigan, it is agreed that the first paragraph of the Cancellation Condition is amended to
read as follows:
"This policy may be cancelled by the named insured by surrender thereof to the company or any of its authorized agents or by mailing to the company writtennotice
stating when thereafter the cancellation shall be effective. This policy may be cancelled by the company by mailing to the named insured at his address last known to the
company or its authorized agent written notice stating when not less than ten days thereafter such cancellation shall be effective. The time of the surrender or the effec-
tive date and hour of cancellation stated in the notice shall become the end of the policy period. Delivery of such written notice either by the named insured or by the
company shall be equivalent to mailing."
ADDITIONAL INSURED c lol
(Club Members —Civic, Fraternal, Luncheon, Service or Social)
Attached to and made a part of Policy No
of Fort Scott, Kansas.
Issued to 4-H Clubs of Weld County
Name of Insured
./ ( Secretary
(AT 296 259
Western Casualty and Surety Company,
of The and/or
Western Fire Insurance Company,
Greeley, Colorado
City State
Endorsement Effective June 3, 1967
Countersigned by Agent.
No.
It is agreed that:
1. The "Persons Insured" provision is amended to include as an insured any member of the named Insured but only with respect to hs liability for
activities of the named Insured or activities performed by such member on behalf of the named Insured.
2. The insurance does not apply to bodily Injury or property damage arising out of
(a) activities conducted by the named insured to which the public is admitted if an admission fee is charged by the named Insured;
(b) the use of buildings or premises, other than offices, owned by or rented to the named Insured, except premises hired or rented only for specified
days for meeting purposes; or
(c) the use of premises occupied by the named Insured for purposes other than meetings of members and guests.
All other terms, limits and provisions of the policy remain unchanged.
Form 6870 (OLT) 5M-9.66-PDM
Hello