2014 ins pkt
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This document provides information about special event insurance requirements for renting indoor facilities from the East Bay Regional Park District. It outlines that renters must provide a certificate of $1 million general liability insurance naming the park district as an additional insured. Renters have two options to meet this requirement: 1) modifying an existing home or business policy, or 2) purchasing one-day event insurance through the park district's program. The document includes an event questionnaire and pricing table for the one-day event insurance.
2014 ins pkt
- 1. Special Event Insurance Information Brazilian Room/ Lake Temescal Beach House/ Fern Cottage/ Shoreline Center Indoor Reservations: (888) 327-2757 (Option 2) (510) 635-5502 Fax Dear 2014 Indoor Facility Renter, The East Bay Regional Park District requires the User of the indoor Rental Facilities to maintain a comprehensive insurance policy in an amount equal to or greater than general liability $1,000,000 (one million dollars) which is endorsed to name the East Bay Regional Park District (EBRPD) as an additional insured for the day of your event, and to provide the EBRPD with a certificate of insurance with endorsement as proof of this coverage. There are two ways in which this requirement can be fulfilled: 1) You may go through your insurance agent to modify your home owners or business insurance policy to meet these requirements. The certificate with additional insured endorsement naming the East Bay Regional Park District is due from your agent more than four months prior to your event. OR 2) Through a program managed by Diversified Risk Insurance Brokers, facility users may purchase a one day special event general liability insurance policy from the East Bay Regional Park District Reservations office. See the Premium Quotation chart on the back of this letter for the breakdown of insurance fees based on the number of attendees at your event. To obtain one-day special event general liability insurance, you will need to complete and return the Event Holder Questionnaire form found on the back of this letter. This form must be turned in when your rental fees are due, 120 days prior to your event date. Payment may be made using a Visa or MasterCard credit card. Early completion is encouraged and sincerely appreciated. Payment may be taken care of over the phone using a Visa or MasterCard. We accept mailed, faxed or emailed copies of this form. Or, you may mail the insurance form with a check made out to the East Bay Regional Park District (EBRPD). Insurance rates are subject to change at any time.
- 2. Mailing address for Insurance: East Bay Regional Park District Attention: Reservations P.O. Box 5381 Oakland, CA 94605-0381 reservations@ebparks.org SPECIAL EVENT LIABILITY GROUP INSURANCE TRUST, RPG Quotes for 2014 only* Guest Count Coverage Premium Taxes & Fees Processing Fee Totals 1-25 Guests General Liability $35.00 $1.12 $30.00 $66.12 26-50 Guests General Liability $68.00 $2.18 $30.00 $100.18 51-150 Guests General Liability $75.00 $2.40 $30.00 $107.40 151-250 Guests General Liability $93.00 $2.98 $30.00 $125.98 Excess Limits (if applicable) *2015 rates will be available in November 2014 EVENT HOLDER QUESTIONNAIRE Name of Renter or Event Holder: (Same as on Rental Contract) __________________________________ Rental Contract # _______________________ EVENT INFORMATION Date(s) Held: Time: Event Location: (circle one) Brazilian Room Lake Temescal Beach House Fern Cottage Shoreline Center Description of Event: (circle one) Social or Meeting Total Attendance (per day) including all participants, guests, exhibitors, entertainers, volunteers, employees: Day One ___________ Day Two ____________ Day Three ____________ Additional Event Exposures Yes No Vendors/Exhibitors/Concessionaires? How Many?
- 3. Caterer? Liquor Served? Liquor Sold? Food/Non-Alcoholic Beverages Served? Food/Non-Alcoholic Beverages Sold? Entertainment Activities?(Provide a List) Have you held this event or a similar event in the past? Yes No If yes, have accidents, incidents, claims or loss arisen from such event? Yes No Please review contracts and fill out on a separate sheet, the names and addresses of all parties requiring to be named as Additional Insured. This vendor form is to be turned in to the Reservations staff when purchasing Insurance. The event premium includes a premium charge for the facility owner/lessor as additional insured. Please sign and return this sheet to the Reservations Staff. Thank you. SIGNATURE: ________________________________________________ DATE: ______________________