2017 Amateur Sports Team & League Application

Start Step 1
This application does not provide facility coverage.
Please use the “General Application” application for facility coverage.

No account? No problem! Enter a desired password or leave this blank and we will generate one for you.

Effective Date

Please enter your desired effective date. If you’re a returning client, please consult your previous year's Certificate for an accurate renewal date. Failure to do so may result in a period of double coverage or lapse in coverage. If you no longer have access to your Certificates, please contact our office at 800-995-9768 and an agent will assist you in determining correct effective date.

Expiration Date:
Not Yet Set

Please mark the option that applies

Covered Activities

Scheduled, sanctioned, approved, organized, and supervised activities and events by the covered member organization, including set up and tear down periods, concessions, sales ancillary events held in conjunction with the insured events and customary ancillary activities such as occasional fund raising events, dinners, awards banquets and planning sessions.

Program Coverage Summary Information
$2,000,000 Liability Aggregate
$1,000,000 Personal and Advertising Injury
$1,000,000 Liability Each Occurrence
$300,000 Damage to Rented Premises
$25,000 Accident Medical Limit (Excess)
$10,000 Accident Death & Dismemberment
$100 Medical Deductible per occurrence

Additional limits, sports and coverage available, please contact our office for details.

Gagliardi Insurance Services - PA License # 809840 - 2018 Amateur Sports Application