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2018 Baseball / Softball Insurance Application

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Please mark the option that applies

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:
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Account Access?

Do you have a waiver in place and would you be able to provide upon request?

Do you have Risk Management Guidelines/Procedures in place that include but are not limited to the following?
  1. Inspect and correct all areas of responsibility or rope off areas of concern with signs to prevent use, before play, including the field, benches, bleachers and all spectator areas.
  2. Report any premises concerns to the league, city, or field owner after inspection.

Does your organizations risk procedures include background checks and other reviews of persons working with the team or league including volunteers, coaches and officials?
* For discounted background checks, please contact our office for details.

Program Coverage Summary Information
$2,000,000 General Liability Aggregate Limit
$1,000,000 General Liability per Occurrence Limit
$1,000,000 Personal and Advertising Injury Limit
$2,000,000 Products/Completed Operations Aggregate Limit
$300,000 Coverage for Damage to Rented Premises Limit
$1,000,000 Non Owned and Hired Auto (Only applies to league officials on league business. Not valid for player transport or 15 passenger vans)
$1,000,000 Abuse & Molestation Coverage Aggregate Limit
Excluded Spectator Med – may be added only if required by contract ($5K limit)
$1,000,000 Participant Legal Liability (When purchasing $100K or more medical)
$100,000 Maximum Medical (Option 1)
$250,000 Maximum Medical (Option 2)
$10,000 Accidental Death & Dismemberment
$3,000 Accidental Dental Benefit

Additional Information Information
Crime/Theft Bond Protects your organization against employee fraud or dishonesty up to $35,000. This coverage has a $500 deductible.
Directors and Officers Coverage Executive board member coverage providing up to $1,000,000 per occurrence of liability coverage against discrimination, acts beyond granted authority, failure to deliver services. This coverage has a $500 deductible.
Sports Equipment Coverage Sports equipment coverage insures against loss or damage of all sports equipment, snack bar equipment (not food), uniforms, and playing equipment. This coverage has a $500 deductible.
Playing Field Coverage This coverage extends the liability policy to cover your organizations owned playing fields or fields for which you are responsible for 24/7.

Gagliardi Insurance Services - PA License # 809840 - 2018 Baseball / Softball Insurance Application