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Search for:
Home
About Us
Fiscal Sponsorship
About Fiscal Sponsorship
Apply
Active Projects
Fiscal Sponsorship Frequently Asked Questions
Resources
Sponsors
Project Portal
Programs & Services
In-House Programs
Marin Arts
Warm Wishes
MarinLink University
Events
Contact Us
Donate
Insurance Overview
Insurance Overview
Jeffrey Samorano
2019-07-02T02:14:32-07:00
Step 2 of 2
Insurance Overview
To ensure a comprehensive search for insurance, all questions must be answered. If a question does not apply to your project, input “n/a”.
Date
*
Organization/Project Name
*
Primary Contact & Title
*
Mailing Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Physical Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Is site
*
owned by organization?
leasing/renting space?
using donated space?
Phone
*
Fax
*
Email
*
Website/Social Media
*
Mission Statement/Primary Goals
*
Project’s Expected Annual Gross Revenue for current year
*
Project’s Average Annual Revenue (past two years)
*
Years in Operation
*
Organization Type
*
Individual
Association
Business
Corporation
Does organization have own 501(c)(3)?
*
No
Yes
Implementation/General Plan of Action (In implementing mission/goals please check the means you use to raise funds, checking all that apply )
*
Solicitation of funds from individuals or groups
Self-funded by members of organization or by individual director/leader
Donation of materials/in kind
Grants
Provide services for fee
Specific fundraising event (e.g. walkathon, pancake breakfast, crab feed, etc.)
Sale of goods
Is Alcohol Served at Events?
*
No
Yes
If yes, do you have access to someone trained in responsible beverage service?
*
No
Yes
If you use a caterer, bar, or restaurant for such events, please be sure that you inquire if staff is trained for responsible beverage service. If you are hosting your own event, you can take an online certification course or an actual classroom course.
Note
Responsible Beverage Service personnel is not mandatory in California, but it is mandatory for many insurance companies and preferred by all.
Frequency of Fundraising Events
*
Frequency of Services Provided
*
(Specify Classes, Seminars, Workshop, Tours etc.)
Project Description
*
Location of Activities
*
Number of Participants attending Activities
*
What age groups are involved in Activities?
paid
*
salary/hourly
*
stipend
*
volunteers
*
Are Employees/Volunteers Screened for History of Criminal Activity?
*
No
Yes
If Volunteers are Involved, do they Sign a Release of Liability Form?
*
No
If Volunteers are Involved, do they Sign a Release of Liability Form?
Does Organization use Sub-contractors?
*
No
Yes
If yes, does Organization require Proof of Insurance from Sub-contractors?
*
No
Yes
Do you have Insurance coverage? If Yes, what kind? Please attach proof of insurance.
*
No
Yes
Terms of Insurance
*
Social Security or Employer Identification Number (EIN): ============================================================== Sponsored Project must maintain in force, during the full term of the Fiscal Sponsorship Agreement insurance in the following amounts and coverages as are relevant to its particular activities. Workers’ Compensation, in statutory amounts, including Employers’ Liability Limits not less than $1,000,000 each accident, injury, or illness. Commercial Automobile Liability Insurance with limits not less than $1,000,000 each occurrence Combined Single Limit for $1,000,000 Bodily Injury and Property Damage, including Owned, Non-Owned and Hired Auto Coverage, as applicable. Professional Liability if relevant and in amounts according to circumstances and needs of the Sponsored Project. Commercial General Liability Insurance with limits not less than $1,000,000 Occurrence and $2,000,000 General Aggregate Limit for Bodily Injury and Property Damage; Damage to Premises and Medical Expense are typically included coverages in Commercial General Liability Insurance but need and amounts may vary according to circumstances and relevance to Sponsored Project. Contractual Liability, Personal Injury, and Products/Completed Operations should be included in Commercial General Liability if relevant to the Sponsored Project and in amounts adequate to the circumstances and need of the Sponsored Project. Commercial General Liability Insurance policies must provide the following: Name as Additional Insured MarinLink Inc., its Officers, Agents, and Employees. ** If your project has any or all of these coverages, or additional coverage such as cyberliability, media liability, abuse or molestation. It is requested that they be reviewed by MarinLink’s insurance agents, Bob and Kathy Glass from Tamalpa Insurance Services. You do not need to email the whole policy. Please send them a copy of the first page known as the Dec Sheet (Declaration Sheet) OR a single sheet that is either called Evidence of Insurance or a Certificate of Insurance to confirm the types of coverage, limits, and term of the policy. After the review process is complete, MarinLink will ask for the certificate naming MarinLink as additional insured if it is required. Please send the completed Insurance Overview and Dec Sheet(s) or Certificate of Insurance to both Bob and Kathy Glass (see contact information) and cc to admin@marinlink.org ** If your project does NOT have insurance coverage Some projects can be covered under MarinLink’s insurance policy, if they meet the insurance criteria for coverage under the policy’s specifications. If your project meets the criteria, MarinLink will issue your project an Actively Managed Fiscal Contract. See Fiscal Sponsorship Levels for additional information. If it does not, the project will need to secure its own insurance and a Basic Fiscal Sponsorship will be issued once all the insurance documents have been received and reviewed. If you cannot procure the necessary insurance through your own means, MarinLink welcomes you to contact our agents for assistance and MarinLink can assist you in contacting them. Contact information for Tamalpa Insurance Services Bob Glass, Lic: #0563710 Kathy Glass, Lic. #OK97624 Office: (415) 454-7166 Email: kathy@tamalpa.com and cc: bob@tamalpa.com
Social Security or Employer Identification Number (EIN):
==============================================================
Sponsored Project must maintain in force, during the full term of the Fiscal Sponsorship Agreement insurance in the following amounts and coverages as are relevant to its particular activities.
Workers’ Compensation, in statutory amounts, including Employers’ Liability Limits not less than $1,000,000 each accident, injury, or illness.
Commercial Automobile Liability Insurance with limits not less than $1,000,000 each occurrence Combined Single Limit for $1,000,000 Bodily Injury and Property Damage, including Owned, Non-Owned and Hired Auto Coverage, as applicable.
Professional Liability if relevant and in amounts according to circumstances and needs of the Sponsored Project.
Commercial General Liability Insurance with limits not less than $1,000,000 Occurrence and $2,000,000 General Aggregate Limit for Bodily Injury and Property Damage; Damage to Premises and Medical Expense are typically included coverages in Commercial General Liability Insurance but need and amounts may vary according to circumstances and relevance to Sponsored Project.
Contractual Liability, Personal Injury, and Products/Completed Operations should be included in Commercial General Liability if relevant to the Sponsored Project and in amounts adequate to the circumstances and need of the Sponsored Project.
Commercial General Liability Insurance policies must provide the following:
Name as Additional Insured MarinLink Inc., its Officers, Agents, and Employees.
If your project has any or all of these coverages, or additional coverage such as cyberliability, media liability, abuse or molestation.
It is requested that they be reviewed by MarinLink’s insurance agents, Bob and Kathy Glass from Tamalpa Insurance Services. You do not need to email the whole policy. Please send them a copy of the first page known as the Dec Sheet (Declaration Sheet) OR a single sheet that is either called Evidence of Insurance or a Certificate of Insurance to confirm the types of coverage, limits, and term of the policy. After the review process is complete, MarinLink will ask for the certificate naming MarinLink as additional insured if it is required.
Please send the completed Insurance Overview and Dec Sheet(s) or Certificate of Insurance to both Bob and Kathy Glass (see contact information) and cc to
[email protected]
If your project does NOT have insurance coverage
Some projects can be covered under MarinLink’s insurance policy, if they meet the insurance criteria for coverage under the policy’s specifications. If your project meets the criteria, MarinLink will issue your project an Actively Managed Fiscal Contract. See Fiscal Sponsorship Levels for additional information. If it does not, the project will need to secure its own insurance and a Basic Fiscal Sponsorship will be issued once all the insurance documents have been received and reviewed.
If you cannot procure the necessary insurance through your own means, MarinLink welcomes you to contact our agents for assistance and MarinLink can assist you in contacting them.
Contact information for Tamalpa Insurance Services
Bob Glass, Lic: #0563710
Kathy Glass, Lic. #OK97624
Office: (415) 454-7166
Email:
[email protected]
and cc:
[email protected]
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