Waiver Of Subrogation Sample Form printable pdf download

Waiver Of Subrogation Sample Form

CONTINUED

Sample: Waiver of subrogation

This agreement is between _____________________________, a Kiwanis club and _________________________________,

an owner or lessor of property located at _____________________________________________________________________.

Whereas the Kiwanis club wishes to use the property for an event to be held on or around ________________________;

and whereas owner/lessor wishes to make the premises available for their use;

Therefore, in consideration of the exchange of promises contained herein and other valuable consideration, the Kiwanis

club and owner/lessor agree as follows:

1. Owner/lessor agrees to waive all rights of subrogation against Kiwanis International, the Kiwanis club and their

insurers for damages to the premises to the extent that such damages are covered by the owner’s/lessor’s insurance

or would have been covered but for the application of a deductible.

2. Kiwanis club agrees to waive all rights of subrogation against owner/lessor and its insurers for damages to property

belonging to the Kiwanis club or its members to the extent that such damages are covered by the Kiwanis club’s or

member’s insurance or would have been covered but for the application of a deductible.

3. This agreement is separate and distinct from any other lease or other agreement regarding or relating to the use of

the premises. It is expressly agreed that this Agreement is not a part of the consideration offered under any other

agreement, and that no merger clause of any other agreement shall serve to extinguish this separate and distinct

agreement.

Signed this day of ______________ ______________ _______________

by:____________________________________

Month

Day

Year

For owner/lessor

For Kiwanis club

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Waiver Of Subrogation Sample Form