All Club Members that require Proof of Insurance Certificates please fill out the Certificate Request Form and send them to the Saskatchewan Brazilian Jiu Jitsu Federation. Also view complete Summary of Insurance provided by SaskBJJ.
| Insurance Certificate Request Form | SaskBJJ Insurance Summary |
BASIC OUTLINE OF SPORT ACCIDENT COVERAGE
DESCRIPTION OF OPERATIONS
PROVINCIAL SPORT ORGANIZATION FOR BRAZILIAN JIU JITSU IN SASKATCHEWAN. COVERAGE EXTENDS TO MEMBER CLUBS.
| COVERAGE | LIMIT OF INSURANCE |
| Sport Accident: | |
Principle Amount
|
$50,000 |
| Fracture Indemnity Amount: | $1,000 |
| See Section I and II for Amounts Payable | |
| Dental Accident Reimbursement | $10,000 |
| Dentures, Removable Teeth, Hearing Aids, Eyeglass & Contact Lenses | $200 |
| Emergency Transportation – any one Insured Person | $50 |
| Family Transportation – any one Insured Person | $2,500 |
| Medical Expense Reimbursement – any one Insured Person | $15,000 |
| Prosthetic Appliances – any one Insured Person | $3,000 |
| Rehabilitation – any one Insured Person | $3,000 |
| Repatriation – any one Insured Person | $5,000 |
| Tuition Benefit – any one Insured Person | $2,000 |
| Aggregate Limit Payable for any one Accident | $1,000,000 |
| Weekly Income – Waiting Period – 30 days | $100 |
| The description of the coverage contained herein is not complete, and reference must be made to the actual terms and conditions of the applicable policy forms. | |
DESCRIPTION OF OPERATIONS
PROVINCIAL SPORT ORGANIZATION FOR BRAZILIAN JIU JITSU IN SASKATCHEWAN. COVERAGE EXTENDS TO MEMBER CLUBS.
| COVERAGE | DEDUCTIBLE | LIMIT OF INSURANCE |
| Commercial General Liability form | ||
| CGL Each Occurrence Limit | $500 Property Damage & Bodily Injury |
$5,000,000 |
| Personal & Advertising Injury | $5,000,000 | |
| Voluntary Medical Payments Third Party (any one person) |
$10,000 | |
| Products / Completed Operations Aggregate Limit |
$5,000,000 | |
| Participant Liability | Included | |
| Employers Liability Extension | Included | |
| Premises, Property & Operations Liability |
Included | |
| Blanket Contractual | Included | |
| Incidental Malpractice Malpractice (non-professional) |
Included | |
| Tenants legal Liability | $500.00 | $2,000,000 |
| Errors & Omissions Liability Per Occurrence |
$500.00 | $2,000,000 |
| Non-Owned Automobile | $5,000,000 | |
| SEF 94 – Legal Liability for Physical Damage to non-owned automobiles |
$1000.00 | $50,000 |
| O.E.F. 98B – Reduction of Coverage for Lessees SEF 99 – Excluding long Term leased Automobiles |
Included | |
| Cross Liability Clause | Included | |
| Additional Insured | Included | |
| Host Liquor Liability Exclusion | Included | |
The description of the coverage contained herein is not complete, and reference must be made to the actual terms and conditions of the applicable policy forms.