All American Purchasing Group

CAMPS, CLINICS, TOURNAMENTS SUPPLEMENT

(Refer also to the GENERAL INFORMATION APPLICATION)

 

Name of

Account:

 

 

(This supplement applies only to instructional sports conducted within building or outside on sports fields)

 

Coverage & Limits Information

 

Eff. Date (if other than shown on

GENERAL INFORMATION APPL.)

 

Expiration Date (if other than shown on GENERAL INFORMATION APPL.)

 

 

 

Coverages & Limits Requested

 

Coverage

The limits indicated below are standard limits provided.  If lower limits are desired, indicate below.

Premium

 

Commercial General Liability

Bodily Injury and

Property Damage

Each Occurrence

$   1,000,000.

General Aggregate

$ 2,000,000.

$

Products / C.O. Aggregate

$   1,000,000.

Pers./ Adv. Inj. Aggr.

$ 1,000,000.

Included

Damage to Leased Premises

$      100,000.

Medical Payments

$        5,000.

Included

 

 

Optional Coverages

 

Coverage

Occurrence Limits

Aggregate

Coverage Wanted?

Yes

No

 

 

Hired & Non-Owned Auto Liability

$

$

 

 

 

$

Sports Amendatory End–Broad Form

Included

Included

 

 

 

Included

Limited Sexual Abuse/Molestation

$           100,000.**

$         300,000.**

 

 

 

$

Injury To Participant *

Included

Included

* U/L Limits Carried

$

 

*If Injury to Participants coverage to be provided,  we require the insured to carry a minimum of $5,000. underlying Accident / Medical Coverage limits.  ** Higher Limited Sexual Abuse & Molestation Limits may be available on referral basis.

Total Prem.

 

 
                     

 

Exposure / # of Participant Days By Activity

 

Type of Sport

Youth

Adult

 

Instructional Only

Class Code

# of Participant Days*

Class Code

# of Participant Days*

 

Camps & Clinics –  rated as: * Rating basis is the # of participants multiplied by the number of days they participate.

 

Camps – Day Only

40067-07

 

40067-56

 

Camps – Overnight

40067-08

 

40067-57

 

 

Tournaments – rated as:

 

Instructional Only

Class Code

Number of Days

Class Code

Number of Days

 

Day Tournaments Up To 500 Participants

40067-07A

 

40067-56A

 

Day Tournaments Over 500 Participants

40067-07B

 

40067-56B

 

Overnight Tournaments Up To 500 Participants

40067-08A    

 

40067-57A

 

Overnight Tournaments Over 500 Participants

40067-08B

 

40067-57B

 

 

Comments:

 

 

 

 

 

Applicants Signature:

 

Date:

Producer’s Signature:

 

Date:

 

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