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  • 2023  ANNUAL CLUB LIABILITY APPLICATION

    2023 ANNUAL CLUB LIABILITY APPLICATION

  • This annual coverage is for clubs; associations and organizations and their members for general activities on and off water. It includes, but is not limited to, training, practices, coaching, club/association cruises, meetings, banquets, small fundraisers (excluding racing fundraisers), recruiting, demonstrations, club/association social events. This is NOT for racing events or special events where members of the public are paying to participate in a race, cruise or demonstration.

    To access this program your club or association must be a member of Paddlesport Risk Management, LLC. Annual membership is $25 and payable with premium. 

    PLEASE NOTE:  ALL PREMIUM ON ANNUAL CLUB INSURANCE IS FULLY EARNED AND NON-REFUNDABLE.

  • We recommend providing a generic club email address.  This avoids important emails from our office being rejected when a prior club members personal email address is no longer valid.

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  • PREMIUM CALCULATION

    USE THE NUMBER OF ACTIVE PADDLERS 

    Definitions:   

    Active - A member that participants in 1 or more off and/or on water club activities.

    Non-Active - A member that pays member dues but does not participate in any club activities. They support the club financially.

     

    CHOOSE CLASS OF WATER MOST FREQUENTLY PADDLED BELOW.  IF YOU HAVE MEMBERS THAT PADDLE IN SPECIFIC CLASS' YOU MAY BREAK THE CLASS' UP.  Please call for help with this section if necessary.  (631) 321-6859

     

    Hover over class code if you are not sure which one to select:  

  • PLEASE READ BEFORE SELECTING CERTIFICATE TYPE:

    If you are asked to provide specific endorsements  please  upload  a copy of the permit/lease insurance requirements using the UPLOAD button below or email to paddlesports@jacka-liquori.com.  Endorsements must be issued by the insurance company and can take between 2-4 business days.  Please confirm the entities name/address details as municipalities tend to change these frequently.  Changes due to not checking will delay processing and not given priority.    

    IF YOU HAVE NOT BEEN ASKED TO PROVIDE ANY ENDORSEMENTS DO NOT CHECK THE ENDORSEMENT BOX.  You will be provided an addtional insured certificate of insurance.

    A fee of $25 per entity is charged for additional insureds.  In the event of an incident that results in a suit beging filed against the club, it's members and any addtional insured, the club policy will not only pay defense and judgement costs to defend the club and its members but will also pay defense costs for the additional insureds named.


  • ELECTRONIC WAIVERS:

    An electronic waiver system is available for clubs to access.  Your club name and/or logo can be added to the generic waiver.  Any specific wording/information lines can also be added.  (discussed prior to creation of waiver).  We recommended using a generic email address for notifications of a signed waiver to go to.     You will not be required to mail or email copies of club waivers as our office will download at the end of the season.   This reduces the responsibility of a member having to collect paper waivers.  You will be given a link to post to your websites/social media pages or to email to members and guests.   You will have access to a back office where you will see all signed waivers and be able to download.  Up to 8 members can be added to access the back office.   You will not be able to edit, remove or delete any data this can only be done by request to our office.  It is a simplifed cost effective system for clubs looking to reduce the use of paper.   A PDF waiver is also provided for on-site use.

    The cost is $35 per year.

  • UPLOAD YOUR FILE
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  • TERMS AND CONDITIONS

    Acceptance of this proposal confirms your desire to obtain insurance through the Sports, Liesure, & Entertainment Risk Purchasing Group.   I hereby certify that the safety requirements of Paddlesport Risk Management, LLC (PRM) and US Coast Guard  or state laws, whichever is stricter, will be adhered to during  club activities.   I further understand that all PFD's used are USCoast Guard class I, II,III or V approved and that all members and guests will sign the PRM approved release of liability waiver or one that your club has had approved by PRM.

    I also confirm that I will download the safety regulations and incident reporting packet and will review the safety rules with club members and guest paddlers.

  • Mail in payment:   Make check payable to Paddlesport Risk Management, LLC 

    Mail to:  121 Pulaski Road, Kings Park, NY 11754

    Phone: (631-321-6859)

  • A COPY OF THIS APPLICATION WILL BE EMAILED TO THE EMAIL ADDRESS PROVIDED

    Thank you for your support of our paddlesports program.   If you love our service please leave a review on Yelp; Google Reviews or Facebook.

     

    PADDLES UP!!

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