To access this Club Liability program your club MUST be a member of one of the USDBF affiliates - ERDBA, ADBA, PDBA OR SRDBA.
If you are not a member or need to renew your membership please click the applicable affiliate link above to complete the 2021 membership process BEFORE you complete this application.
We will confirm membership with the applicable affiliate before your application is processed.
Premium is based on your clubs active paddling members and annual paddling schedule.
ENTER ONLY IN SECTIONS A, B & C - PREMIUM WILL AUTO CALCULATE
Endorsements are generally only requested by State or Government agencies. All others are named as additional insureds, added to the policy and provided a certificate of insurance.
Please Note: Endorsements must be issued by the insurance carrier and take up to 7 business days to acquire. Certificates are issued by our office.
IT IS VITAL THAT YOU PROVIDE THE CORRECT NAME AND ADDRESS OF THE AGENCY. If the agency provides you with a contractual agreement please upload a copy. CORRECTIONS WILL DELAY PROCESSING
Acceptance of this proposal confirms your desire to obtain insurance through the Sports, Liesure, & Entertainment Risk Purchasing Group. I hereby certify that the USDBF Safety Requirements have been met and will be adhered to as well as the US Coast Guard or state laws, whichever is stricter, during regular 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 approved USDBF release of liability waiver copies of which will be sent to the USDBF administrator annually.
READ BEFORE SUBMITTING
After you click submit you will be directed to make your payment via EPayPolicy. Applications submitted without payment will not be processed.
If you would like to mail a physical check please check the box below. Do not click the PayNow Button after submitting:
Make check payable and mail to:
Paddlesport Risk Management, 121 Pulaski Road, Kings Park, NY 11754
Have questions contact Maria Liquori
Phone (631) 269-9696