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Kaercher-Campbell logoPhiladelphia Insurance Companies

Liability Insurance Program and Enrollment Form

Please Read All Information Before Ordering!

The 2009/2010 Policy has been extended to September 30th, 2010.

2010/2011 Policies will be available on and after October 1st, 2010

FORBS Santa Insurance Logo

Important! Coverage Term

 The FORBS Master Policy is an 12 month policy that renews 10/01/10.

Members enrolling mid-term, (after 10/01/10),  will have coverage from date of enrollment to 10/01/11.

Applicants applying prior to 10/01/10 MUST REQUEST coverage to be effective ATER 10/01/10 will be notified of a 12 month renewal for the 10/01/11 - 10/01/12 policy period.

All enrolled participants will be notified of a 12 month renewal for the 10/01/11 - 10/01/12 policy period.

Program Description

This insurance program has been specifically designed for US-based members of the Fraternal Order of Real Bearded Santas

Coverages provided under this program include important liability protection for the FORBS member or FORBS member and assistant for claims arising out of their operations as Santa and assistant(s).

Eligible Operations
Coverage limited to registered members of FORBS only and their assistants who have been reported to the company and for whom a premium has been paid.

Liability Coverage and Limits
Commercial general liability coverage protects the insured against liability claims for bodily injury and property damage arising out of premises, operations, products and completed operations. No deductible applies


 

 

Coverage Limits
Each Occurrence Limit $1,000,000
Personal and Advertising Injury $1,000,000
General Aggregate Limit (Other than products-completed operations) $2,000,000
Products/Completed Operations Aggregate Limit $2,000,000
Damage to Premises Leased or Rented to You $100,000
Subject to the following terms and conditions
  • Aggregate Limit Applies Per Member
  • Premises Medical Payments Excluded
  • Abuse & Molestation Coverage sublimit can be included at no addition premium if background checks on member and member assistants are completed and on file with FORBS.
  • Bodily Injury to Performers Excluded
  • AAdditional Insured’s – Lessors of Premises, Sponsors, included at no additional premium.

Carrier /span
Coverage is provided by Philadelphia Indemnity Insurance Company, rated A++XV by A.M. Best.

Rates

Per Member $176.00 Flat/Fully Earned
Per Member $4.38 Credit Card Transaction Fee
Per Member Assistant(s) $75.00 Flat/Fully Earned
Per Member Assistant(s) $2.17 Credit Card Transaction Fee

Credit Card Transaction Fees do not apply when paying by check.

Obtain Coverage


On-Line
CLICK HERE
US Post
CLICK HERE
Fax
(702) 304-7898
 Attention:
Steve Waters
CLICK HERE
Telephone
(800) 280-6642
Ask for Melissa Mason
or Steve Waters
 CLICK HERE

FORBS INSURANCE POLICY RUNS THROUGH October 1ST of the current year, REGARDLESS OF PURCHASE DATE.

You will be notified by Kaercher Campbell if, for any reason, your submission to this insurance is declined or determined to be ineligible for coverage and your premium payment will be returned or refunded.

If your enrollment is accepted, you will receive a certificate of insurance indicating coverage.

Coverage will become effective the day after the enrollment form and premium payment are received by Kaercher Campbell, unless the later date is specified on the enrollment form to run from 10/01/10 to 10/01/11.

For any requests for changes or additions to your current coverage or any changes to the original enrollment form, please indicate those changes or additions in writing.

Please allow 7 business days for processing.

Note: Any requests to amend or change coverage, or the information reported on the enrollment form must be submitted in writing to Kaercher Campbell & Associates Insurance Brokerage.

Contact Information:
    FORBS Insurance Coordinator
     Steve Waters
    P: 310-556-1900
    C: 310-291-5508
    F: 702-304-7898

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Fraternal Order of Real Bearded Santas

P. O. Box 2531 – La Habra, CA 90632-2531