Dizzy Dean Online Application

In just a few clicks, get an instant online quote and then you may continue to purchase coverage using an online check and receive certificates immediately!

NOTE TO ALL AGENTS AND BROKERS: This program does not pay a commission to agents and brokers

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Agreement
GENERAL AGREEMENT:

I agree that I have reviewed and accepted the terms of the Copyright Notice, Legal Notice and Privacy Policy that can be found in the links at the bottom of this page.

The submission of this application does not guarantee coverage even though you will immediately receive an email confirming that your payment has been submitted, and a second email evidencing Proof of Coverage subject to review of your electronic submission by Sadler & Company. In order to participate in this program your league must be franchised with Dizzy Dean Baseball, Inc. or have an application pending.

I understand that anyone who includes false or misleading information is subject to criminal and civil penalties.

I agree that I have read and understand the coverage description sections of the website including a summary of policy limitations and exclusions for Accident, General Liability, and Optional Coverages.

In the event that Sadler & Company determines in its sole discretion that the applicant does not qualify for the program, has not accurately answered a question, or has tendered an invalid check, coverage will be considered to be void as of the application date and all certificate holders will be immediately notified. (If for some reason your application is not accepted after underwriting review, your premium will be refunded to you by check.)

In addition, I agree that I have reviewed the Detailed Coverage Description that can be found at http://www.sadlersports.com/wp-content/uploads/2017-DIZZY-Application.pdf. If I have any questions regarding the policy, I will contact Sadler & Company promptly at dizzy@sadlersports.com.

ACCIDENT:

Coverage starts the later of February 1, 2017, or the date that this electronic enrollment form and internet check is received and approved at Sadler & Company, Inc. All coverages expire on February 1, 2018 regardless of the effective date of coverage.

Since this policy contains an Excess Medical Expense Benefit, you must first file the claim with your existing insurance plans (including major medical) before we may determine what payments, if any, we owe. Note: If your family carrier is an HMO, PPO you must always follow their rules for obtaining benefits.

GENERAL LIABILITY:

Coverage starts the later of February 1, 2017, or the date that this electronic enrollment form and internet check is received and approved at Sadler & Company. All coverages expire on February 1, 2018 regardless of the effective date of coverage.

No Coverage will be provided for abuse molestation if there is no system in place to perform at least one of the following background checks on all your employees, volunteers, or sub-contracted labor with repeated access to youth: a) Internet sexual offender registry check for your state on an annual basis. b) Criminal background check through a third party vendor. This check must be performed once upon initial employment, subcontracting, or volunteering and at least once every third year on each person thereafter.

I understand and agree by my electronic signature below that Sadler & Company, Inc., in consideration of services rendered, will receive a fee in lieu of commission (equal to a 27% commission).

The completion of this enrollment form confirms my desire to obtain insurance through the ERS Risk Purchasing Group Association, Inc. Domiciled in IL.

OPTIONAL COVERAGES:
  • Directors & Officers Liability
  • Crime
  • Equipment

These coverages are available only if my league has purchased its General Liability coverage through Sadler & Company.

FOR THE DIRECTORS & OFFICERS LIABILITY POLICY: IMPORTANT NOTE: THE POLICY FOR WHICH APPLICATION IS MADE, IF ISSUED, WILL BE ON A CLAIMS MADE BASIS. THIS POLICY SUBJECT TO THE DECLARATIONS, INSURING AGREEMENTS, TERMS, CONDITIONS, LIMITATIONS AND AMENDMENTS APPLIES ONLY TO CLAIMS THAT ARE FIRST MADE DURING THE POLICY PERIOD OR THE DISCOVERY PERIOD IF EXERCISED.

The Crime Policy does not cover vandalism or theft of property by outsiders. If this coverage is desired, you must purchase coverage under the Equipment Section.

The Equipment Policy requires that all equipment valued $1,000.00 or more per item be individually scheduled with a brief description of the equipment and its replacement cost value. Please have this information available prior to completing the equipment application. (Itemized Inventory will be required at time of loss.)

NOTE: Certain weather conditions (ex: tropical storms and hurricanes) in your area may prevent us from binding Equipment coverage upon receipt of the application and premium payment. If this happens, we will make coverage effective as soon as the insurance company allows us to do so.

For all three policies under optional coverages, coverage is effective only upon underwriting and acceptance by the carrier. All coverages expire one year after the effective date.

NOTE: If purchaser's coverage is non-renewed, the carrier shall endeavor, but shall not be required, to provide purchaser with prior written notice of non-renewal equal to the time allotted by purchaser's domiciliary state. By signing the application, purchaser acknowledged: (1) That this evidence of insurance (hereinafter "EOI") shall be non-renewed effective the expiration date; and (2) That, upon the expiration of purchaser's EOI, the carrier may offer a renewal, but reserves the rights, because of aforesaid non-renewal, to change the terms & conditions of coverage as compared with the expiring coverage.

WARRANTY STATEMENT:

I understand that the insurance company, in determining whether to provide insurance coverage will rely on the information contained in this form and all other information being submitted. I hereby warrant, represent and confirm that, to the best of my knowledge, all information provided is complete, true and correct.

I understand that anyone who includes false or misleading information is subject to criminal and civil penalties.

I am aware that the insurance company expects accurate reporting for my premium calculation, and should my figures exceed my estimates during the coverage term I will make arrangements to pay the additional premium. I understand that my books and records may be examined or audited by the insurance company at any time during the coverage period and up to three years afterwards. Intentional misrepresentation or misreporting may jeopardize coverage.

I further acknowledge that I have reviewed all information provided with this enrollment form and understand the exclusions that apply, as well as the activities and operations for which coverage is not provided.

I understand that this online enrollment provided the option for the organization to select Accident & General Liability, Directors & Officers Liability, Crime, and Equipment. However, we offer other types of insurance policies that are not available on this online enrollment such as Workers' Compensation, Excess Liability, Property (building and contents), Event Cancellation, Cyber Risk, Business Auto, Professional Liability, etc. If at any time we are interested in a quote for these other types of policies, we will need to inform Sadler in writing, sport3@sadlersports.com.

RECEIPT OF COVERAGE DOCUMENTS:

I understand that I will only receive electronic copies of insurance documents and will not receive paper copies.

I understand that the files contained in my proof of coverage email are important documents. Once these documents are received, I will review and make sure the documents contain the coverages requested and further agree to notify Sadler & Co., Inc. if the documents have any mistakes in coverages and/or limits.

I am aware that because this coverage is written on a master policy, only the certificate of insurance and the verification of coverage will be provided. However, a copy of the master policy is available at any time by emailing a request to dizzy@sadlersports.com.

EMAIL AND ELECTRONIC CONSENT:

I acknowledge that my address below is correct and will update Sadler & Co., Inc. of any changes to this email in the future. I grant permission to Sadler & Co., Inc. to utilize this email address to send all documents and communications electronically, including but not limited to, certificates of insurance, verification of coverage, underwriting questions, coverage changes, renewal notices, non-renewal notices, cancellation notices, quarterly newsletters and important messages. You have the right to withdraw your electronic consent and to request paper copies of certain documents and communications. However, withdrawing electronic consent will greatly diminish our ability to provide service in a timely fashion.

If I do not get email containing my proof of coverage documents within 24 hours, I will follow-up with Sadler & Company immediately.

Verification of Insurance Documents

If you've already purchased insurance with Sadler & Company and need to access to your verification of coverage documents or add an Additional Certificate click here to recover your information. The email address attached to your account will need to be supplied.

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