Insurance Questionnaire

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ORA ACCREDITED ROAD RACES
CHECKLIST FOR LIABILITY INSURANCE

Below is a checklist outlining the basics of the required insurance for an ORA Accredited Road Race. We recommend that you have insurance to cover every item below. Those which are essential to us and to the accreditation process are marked with an *. Any race which does not have insurance to cover the items marked * will not be Accredited.

You may obtain the Insurance through any source of your choosing.

As a service, all Accredited races may make use of the ORA insurance policy. All ORA/Athletics Ontario members are already covered under the policy.

If you will be using your own policy have your insurance agent complete and return the checklist below. Note that both the Ontario Roadrunners Association and Athletics Ontario must be named as insureds if you are using your own policy.

Elevator Coverage
Owners Protective Liability
* Products and Completed Operation
* Volunteer Medical Payments
Blanket Written Contractual Liability
Liquor License Liability
* Cross Liability
* Incidental Medical Malpractice
Advertising Injury Liability
* Employers Liability
* Non-owned Automobile
* Blanket Tenants Legal Liability
* Personal Injury Liability
Broad Form Property Damage
World Wide Liability Protection
* Legal Liability for bodily injury or death to spectators and other members of the public and accidental damage to their property arising from any sanctioned activity.
* Participants and Volunteers named in the policy (directors, athletes, coaches, trainers, volunteers, and other members)
* Sports Accident Coverage available (dental, fracture, death, AD&D, etc.). Primary policy, not an excess only policy.
* Ontario Roadrunners Association amd Athletics Ontario named as insureds

BASIC LIABILITY COVERAGE - CHECKLIST

YES

Race:

Race Date:mm/dd/yy

ABOVE COVERAGE CONFIRMED BY: (Name)

NAME OF INSURANCE COMPANY:

INSURANCE POLICY NUMBER:

Signature:

Date: mm/dd/yy

PLEASE NOTE: THIS DOCUMENT MUST BE SUBMITTED ELECTRONICALLY AND PRINTED, SIGNED and MAILED TO THE ORA AT THE ADDRESS BELOW

ORA Race Accreditation

Suite 158 2255-B Queen St East Toronto On M4E 1G3