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Sports Insurance - K&K Insurance Group, Inc 6/11/12 Sports Insurance - K&K Insurance Group, Inc. Home About Us Agents Customer Service FAQ Events Links Contact Us Sports Insurance Phone 1-800-426-2889 Fax 1-260-459-5105 Camps | Teams & Leagues | Tournaments & Events | Sports Instructors Claims 1-800-237-2917 Ask us a question/E-mail Quote 1 2 3 4 Eligibility Rating Optional Coverages Quote Login/Register First time users must register in order to save their Quotes Below is your Quote Summary. & Applications: Register here To purchase coverage, select "Continue" at the bottom of the screen During this process, you will... E-mail Provide your Insured Information (to appear on the policy) Password Provide Additional Insured/Certificate Holder Information (if needed - at no additional cost) Accept the Warranty and Disclosure page (serves as your signature) Go Receive a Final Summary outlining the coverages, limits and amount due. You'll have the option to Save and return later, or purchase coverage now. Forgot password? Submit payment information (PayPal, Credit Card or Checking Account options) Once payment is processed, you will receive your coverage documents IMMEDIATELY online and through email. Select a Program Go Quote Date : 06/11/2012 Quote# : Other K&K Sites Coverage & Premium Quote Summary Select a Category Amateur Sports Teams & Leagues General Liability Eligibility Edit Selected operations: Baseball Coverage effective date: 08/01/2012 to 08/01/2013 Is the organization a/an: Individual Team Is the insured a member of any of the following organizations? American Youth Football, American Amateur Baseball Congress, Babe Ruth Baseball, Babe Ruth Softball, Dixie Boys Baseball, Dixie Softball, Dixie Youth Baseball, U.S. Youth Soccer None Association, World Adult Kickball Association (WAKA®) In which state is the team or league based? California Is the insured a not-for-profit organization? No Does the insured own, operate, or maintain any outdoor sports fields, courts or facilities? No Is there any form of player compensation or prize money awarded for participation? No Is the insured a school-sanctioned sports team or league? No Does the insured have activities held on private residential property? No Does the insured own, operate, or maintain any pools? No Is the insured a municipality or a park and recreation division? No List the total number of anticipated rostered/registered athletes in each age group: Sport 12 and under 13-15 16-19 20 and over Baseball 0 0 0 15 Choose the desired deductible for Medical Payments for Participants coverage: $100.00 Coverage & Limits Edit Each Occurrence: $1,000,000 General Aggregate (other than Products-completed Operations): $5,000,000 Products-completed Operations Aggregate: $1,000,000 Personal and Advertising Injury: $1,000,000 Damage to Premises Rented to You: $300,000 Medical Expense (other than participants): $5,000 Hired Auto and Employers' Nonownership Liability (not provided while in Hawaii): $1,000,000 Professional Liability: $1,000,000 Legal Liability to Participants: $1,000,000 Medical Payments for Participants: $25,000 General Liability Premium: $432.15 www.kandkinsurance.com/sites/sports/Pages/TLAQuoteSummary.aspx 1/3 6/11/12 Sports Insurance - K&K Insurance Group, Inc. Additional Coverages Abuse, Molestation, Harassment or Sexual Conduct Defense Cost Reimbursement Edit Do you want to add this coverage to the quote? No, Thank you Hosted Tournament Liability Edit Do you want to include hosted tournament coverage in this quote? No Total General Liability Premium $432.15 Notable Exclusions: The following exclusions are contained in the commercial general liability coverage provided by this program. 24-hour premises liability (unless optional coverage is purchased); Abuse, molestation, harassment or sexual conduct; Aircraft/hot air balloon; Airport; Amusement devices (The ownership, operation, maintenance or use of: any mechanical or non-mechanical ride, slide, or water slide, any inflatable recreational device, any bungee operation or equipment, any vertical device or equipment used for climbing-either permanently affixed or temporarily erected, or dunk tank. Amusement devices do not include any video or computer games or any device that is specifically designed for the training or instruction of the activity for which you are enrolled.); Animals (injury or death to, or injury, death or property damage caused by any animal owned, rented or hired by you); Asbestos; Athletic or sports participants in: Box/indoor lacrosse, Broomball, Diving, Dodgeball, Gymnastics, Hurling, Ice hockey, Inline hockey, Inline skating, Judo, Lacrosse (age 20 & over), Martial arts, Powerlifting (age 20 & over), Ringette, Roller hockey, Soccer (age 20 & over), Street hockey, Taekwondo, Takraw, Water hockey (age 20 & over), Water polo (age 20 & over), Weightlifting (age 20 & over), Wrestling (age 20 & over); Babysitting/child care services; Carnivals/festivals; Cheer and dance studios; Commercial general liability standard exclusions (CG0001 12/04 edition); Concerts; Employment-related practices; Events involving gambling (eg: bingo, casino nights, poker, texas hold’em tournaments); Events where alcohol is served; Fireworks; Fungi or bacteria; Gymnastic Studios; Haunted attractions; Intercollegiate & Interscholastic teams, leagues and associations; Lead; Martial arts studios; Non-rostered participants at tournaments hosted by the enrolled member (unless optional coverage is purchased); Nuclear energy liability; Operation, ownership or management of any athletic facility or field, other than while being used for covered activities; Operations of independent concessionaires/vendors in conjunction with your organization; Performers; Rodeos; Saddle animals; Snowmobile; Sports events/activities involving participants in sports other than those reported and for whom premium has been paid; Transportation of athletes/participants; Those operations listed as ineligible: Adventure races, Bandy, BMX/stunt cycling, Boating activities, Bobsled, Body boarding, Boxing, Canoe, Cheerleading (Age 20 and over), Climbing, Cycling, Drill team (Age 20 and over), Equestrian, Extreme/stunt inline skating, Fitness – aerobics and exercise, Hammer throw, Hang gliding, Hostelling, Jai alai, Javelin, Kayaking, Kite surfing, Luge (street), Marathon, Mixed martial arts; Modern pentathlon, Mountain biking, Mountain boarding, Open water fishing, Outrigging, Parachute, Parasailing, Polo (horse), Rafting, Rodeo, Roller derby, Rowing, Rugby, Sailing, Scuba diving, Shooting sports, Skateboarding, Skiing (snow or water), Sky diving, Sky surfing, Sled dog racing, Snorkeling, Snow boarding, Snow surfing, Strength and conditioning, Streetball, Surfing, Tackle football (age 20 & over), Trampoline, Trapeze, Triathlon, Unicycling, Wake boarding, Wind surfing, Yachting. Terms & Conditions: 1. Any exposure changes that deviate from the original enrollment form must be reported in writing. 2. Premiums are 100% fully earned and non-refundable once the coverage begins. 3. Coverage will be effective upon receipt of the completed enrollment form and premium payment. 4. Commercial General Liability Broadening Endorsement: Expected or intended bodily injury or property damage resulting from the use of reasonable force to protect persons or property. Non-owned Watercraft - extneded to 58 feet. Supplementary Payments - $2,500 bail bonds, $500 a day loss of earnings. Waiver of Right of Recovery. Bodily Injury definition expanded to include mental anguish, mental injury, shock, fright, humiliation, emotional distress or death resulting from bodily injury, sickness or disease. Damage to Premises Rented to You - the term fire is replaced with fire, lightening, explosion, smoke and leaks from sprinklers. Additional Coverage: Emergency Real Estate Consultant Fee - $25,000 Identity Theft Exposure - $25,000 Key Individual Replacement Cost - $50,000 Lease Cancellation Moving Expense - $2,500 Temporary Meeting Space - $25,000 Terrorism Travel Reimbursement - $25,000 Workplace Violence Counseling - $25,000 Equipment & Contents (This is a separate coverage document) Eligibility Edit Does the insured have leased/owned equipment that they will want to insure? No Premium Summary Commercial General Liability: $432.15 Sexual Abuse/Sexual Molestation: Not Covered Hosted Tournament: Not Covered Total Commercial General Liability: $432.15 Total Equipment & Contents: Not Covered Total Premium: $432.15 RPG Membership Fee $10.00 Total Amount Due $442.15 * Premium subject to change if not completing purchase same day as quoting * This summary is not a contract of insurance. You must refer to the actual policy for complete information regarding coverage terms, conditions and exclusions, as they may change from one coverage period to the next. Please remember that you will receive evidence of coverage immediately if purchased online. You may request a copy of the full policy by submitting a written request. Acceptance of this quote confirms your desire to obtain liability insurance through the sports, leisure and entertainment risk purchasing group (where applicable). An RPG provides group purchasing power for similar risks resulting in potential advantageous coverage terms, competitive rates, risk management bulletins, and rewards for favorable group loss experience. An RPG membership fee may be charged. Fraud Warning GENERAL STATEMENT - Any person who knowingly and with intent to defraud any insurance company or another person files an www.kandkinsurance.com/sites/sports/Pages/TLAQuoteSummary.aspx 2/3 6/11/12 Sports
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