Purchase Tournament Insurance | Junior Volleyball Association

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Welcome to JVA Insurance Enrollment

Following the completion of this registration, you will receive an email with IMPORTANT INSTRUCTIONS REGARDING JVA BACKGROUND SCREEN POLICY! *It is mandatory that all coaches and players complete the electronic insurance waiver.

QUESTIONS? Please contact: Lisa Wielebnicki lisa.wielebnicki@jvavolleyball.org

One Day Tournament Indoor: $12.00/team

Two-Three Day Tournament Indoor: $18.00/team

One Day Tournament Beach: $3.50/team

Two-Three Day Tournament Beach: $5.00/team

*Covers all non JVA insured teams. JVA Tournament/League insurance allows teams of any national affiliation (USAV, AAU, or non-affiliated) to participate in your events. Click here for more information on Running a JVA Insured Event

Your Club*

Contact Information

Name*

First Last

Phone*

Email*

Tournament Insurance

Section 1 LIABILITY:

Carrier – International Insurance Company of Hannover
- Occurrence: $1,000,000
- Aggregate: $5,000,000
- Fire Damage: $100,000
- Products/Completed Operations: $1,000,000
- Personal/Advertising: $1,000,000
- Spectator Medical Expense: $5,000
- Physical/Sexual Abuse Option: $50,000/$100,000
--Non-Owned Auto Option – EXCLUDED (Can be added for separate premium upon approval)
--Sports Equipment Option – EXCLUDED (Can be added for separate premium upon approval)
Policy Term – Limited to Dates of League Play

Section 2 EXCESS ACCIDENT:

Carrier – AXIS Global Accident & Health
- Excess Accident Limit: $25,000
- AD&D: $2,500
- Deductible: $ 250
- Dental: $1,500
Policy Term – Limited to Dates of Season Any administrative fees added have been applied to the rates above.

Has there been any prior claim or incidents of alleged physical/sexual assault within your club?:***

Liability insurance includes Sexual Abuse & Molestation coverage. Please verify this statement.

Yes

Host Organization*

If different from the Club Name, please enter in the name of the business.

Tournament Information

What is the name of your event?*

Tournament Director(s)*

Please list all directors if more than one.

Additional Certificates or Endorsements:**

Only list those entities that contractually require you to name them as an additional insured on the policy. We will only honor such requests that are made by the league contact. Note that the certificates will not be sent directly to these entities – they will be sent to you for delivery. (If you do not provide the complete mailing address of the Additional insured(s) we will not be able to issue the certificate). Your insurance premium includes all additional insured (s) that are landowners, field locations or sponsors at policy inception. Special endorsements or specific certificate wording, as required by the additional insured, may incur an additional charge.

Dates & Locations

How many days is your tournament?*

Please enter a number greater than or equal to 1.

List All Dates the Tournament Cover Individually*

Enter MM/DD/YYYY format. Use the plus sign "+" to the right of the field add the number of rows needed.

How many Tournament Locations?*

Please enter a number greater than or equal to 1.

List All of Your Tournament Locations with their Address and Contact*

Name of Facility

Address

Contact Name

Contact Phone

Use the plus sign "+" to the right of the field add the number of rows needed.

Insurance Purchase

Tournament Insurance Type*

Indoor: One Day $12/team

Indoor: Two/Three Day $18/Team

Beach: One Day $3.50/team

Beach: Two/Three Day $5/Team

How many total teams? (Indoor - 1 Day)