Note: Center MUST be licensed or certified to be considered for coverage (or "Registered" for Iowa only. (Attach copy of state license.)
STUDENT ACCIDENT INSURANCE
OTHER LIABILITY COVERAGE
Check "Yes" if you would like us ot incude the following coverage in our quote. Check "No" if you do not want the coverage.
Optional coverage is available for Physical Abuse or Sexual Molestation excluding the perpetrator.Multiple incidents to one person shall be deemed to be one occurrence and subject to coverage limits ineffect at the time of the first incident. Coverage is limited with in the General Liability Limits. Prior toproviding coverage, Childcare operators must conduct personal background checks on all employeesand volunteers (and all residents 18 and older for in-home operations) or have signed affidavits asrequired by state statue. Background checks must be done regularly & maintained in file for all current& past employees including in-home residents (18 and older).
This endorsement provides a $50,000 Per Occurrence and $50,000 General Aggregate Limit of liabilityfor bodily injury or property damage arising out of the insured’s ownership, care, custody and control of any dog and/or cat. It is only available for in-home operations. (Damages arising out of the insured’s ownership, or care, custody, or control of any dog/and or cat are otherwise excluded from coverage).
Hired Auto Liability covers bodily injury and property damage arising out of the maintenance or use of ahired auto by you or your employees in the course of your business. Hired auto means any auto youlease, hire, rent, or borrow. Non-Owned Liability covers bodily injury and property damage arising out ofthe use of any non-owned auto in your business, by any person other than you, in the course of yourbusiness. Non-owned auto means any auto you do not own, lease, hire, rent, or borrow which is used inconnection with your business. (Available only if we provide coverage for vehicles.)
This is an optional coverage to pay for bodily injury claims that arise out of the use, ownership, ormaintenance of any body of water or pool whether the childcare water activities are on or off premises.This endorsement provides a $150,000 per occurrence, $150,000 general aggregate limit of coverage.
The limit of liability for water activities is the same as, and included within the General Liability policylimit. This is an optional coverage to pay for bodily injury claims that arise out of the use, ownership, ormaintenance of any body of water or pool whether the childcare water activities are on or off premises.(Certified lifeguard is required on premises for policy limits).
Coverage for any actual or alleged act of discrimination, harassment, wrongful discipline, and manyother employee related practices that you become legally obligated to pay
This is an optional coverage to pay for damages that are caused by any negligent act, error, or omissionby you or any other person in connection with the administration of your "employee benefits program".
TRANSPORTATION & COMMERCIAL AUTOMOBILE INSURANCE
DIRECTORS AND OFFICERS INSURANCE
WORKERS' COMPENSATION INSURANCE
The information I have provided is true and accurate to the best of my knowledge. I have not willfully concealed or misrepresented any material fact(s) or information. I understand completion of this questionnaire does not compel the company to provide coverage.
Questions? 877-244-9090Kevin Morency | firstname.lastname@example.org Morency & Associates Inc., 1194 Long Hollow Pike, Gallatin, TN 37066Fax: 615-452-6580https://insurancechildcare.com/