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K & K INSURANCE
Insuring the world's funŽ HAWK RACE CONSULTANTS PRESENT THE: 2009 INSURANCE FOR THE ECBRCNJ!!!!!
National Casualty Co. AM Best Rating “A+” Admitted Market Nationwide Life Ins. Co. AM Best Rating
“A+” Admitted Market UNDERWRITING AGENT Insuring the world's funŽ is our focus. For over 50 years, K&K
Insurance has been recognized as the leading provider of sports, leisure and entertainment insurance products. As
one of the largest Managing General Underwriters in the United States, we perform a variety of traditional insurance
company functions on behalf of the insurance companies we represent, allowing us to provide exceptional service in:
program development, sales and marketing, underwriting, policy issuance and administration, loss control and claims. Richard
H. Felsen, President HAWK RACE CONSULTANTS Broker & Risk Consultant “Motor Sports Specialist” 111
Great Neck Road Great Neck, NY 11021 TEL: 516-466-9760 FAX: 516-466-9663 CELL: 516-449-1134
It is the responsibility of the chief referee and the race promoter to see that any incident that takes place during
a sanctioned ECBR event is recorded on the incident report form and submitted by mail no later than one day following
the event. In the event of a fatality, or a transport to the hospital, promptly call: K&K Emergency Claims Service
at: (800) 637-4757 This number is accessible 24 hours a day. If a demand is made for damages for either bodily
injury or property damage liability, a complete and detailed incident report must be provided to K&K Insurance Group
Claims Dept. Copies of any demands, summons and legal papers are to be provided to K&K Insurance Group without
delay. MAIL COMPLETED INCIDENT REPORTS TO: K&K Insurance Group, Inc. 1712 Magnavox Way Fort Wayne, IN 46804 1-800-237-2917 The
information contained in this brochure is a summary of benefits provided. It is NOT a complete explanation of all the
provisions of the policy or specifics of the policy benefits. No coverage is extended and no representations are
made other than what is stated in the policy. For a complete description of program coverage, exclusions, and benefits,
please refer to the policy.
A participant includes a driver, throttleman, navigator, mechanic, official, or anyone else who has a duty necessary
to the conduct of a sanctioned ECBR event for which the fee has been paid in full and who has signed an ECBR -approved
waiver and release. The ECBR Waiver and Release of Liability, Assumption of Risk, and Indemnity Agreement is a mandatory
legal document that acknowledges that each participant accepts full responsibility for all risks associated with
participating in the ECBR - sanctioned event. Each participant and each person granted access to a restricted area must sign
an approved waiver and release. All member participants who have signed the approved waiver and release form and possess a
valid ECBR pit identification are eligible for member accident medical coverage. No coverage is provided for any person
who is not defined as a participant. It is the responsibility of the chief referee and the race promoter to see that
any incident that takes place during a sanctioned ECBR event is recorded on the incident report form and submitted
by mail no later than one day following the event. In the event of a fatality, or a transport to the hospital, promptly
call: K&K Emergency Claims Service at: (800) 637-4757 This number is accessible 24 hours a day. If a demand
is made for damages for either bodily injury or property damage liability, a complete and detailed incident report must
be provided to K&K Insurance Group Claims Dept. Copies of any demands, summons and legal papers are to be
provided to K&K Insurance Group without delay. MAIL COMPLETED INCIDENT REPORTS TO: K&K Insurance Group, Inc. 1712
Magnavox Way Fort Wayne, IN 46804 1-800-237-2917 The information contained in this brochure is a summary of benefits
provided. It is NOT a complete explanation of all the provisions of the policy or specifics of the policy benefits. No
coverage is extended and no representations are made other than what is stated in the policy. For a complete description
of program coverage, exclusions, and benefits, please refer to the policy. Insuring the world's funŽ HAWK RACE CONSULTANTS PRESENT
THE: 2009 Insurance Program National Casualty Co. AM Best Rating “A+” Admitted Market Nationwide
Life Ins. Co. AM Best Rating “A+” Admitted Market UNDERWRITING AGENT Insuring the world's funŽ is our
focus. For over 50 years, K&K Insurance has been recognized as the leading provider of sports, leisure and entertainment
insurance products. As one of the largest Managing General Underwriters in the United States, we perform a variety
of traditional insurance company functions on behalf of the insurance companies we represent, allowing us to provide
exceptional service in: program development, sales and marketing, underwriting, policy issuance and administration,
loss control and claims. Richard H. Felsen, President HAWK RACE CONSULTANTS Broker & Risk Consultant “Motor
Sports Specialist” 111 Great Neck Road Great Neck, NY 11021 TEL: 516-466-9760 FAX: 516-466-9663 CELL:
516-449-1134 Who is a participant? ECBR Waiver and Release Incident Report Form Claims Procedure About the
Insurance Providers About the Program Providers IMPORTANT: PLEASE NOTE MINORS: DO NOT sign the Adult Waiver and
Release Form. MINORS must sign the Minor Waiver and Release Form, and that signature MUST BE WITNESSED BY BOTH parents
(if applicable) or a LEGAL guardian. Brothers, sisters or friends MAY NOT act as witnesses to this signature. Adult Waiver
and Release forms are to be retained for five (5) years.
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The ECBR Master Event Liability Program provides General Liability coverage with a limit of $2,000,000 EACH OCCURRENCE
WITH NO AGGREGATE for ECBR sanctioned events. These policies provide liability coverage for covered occurrences during
ECBR Sanctioned Insured Events. Coverages under the ECBR Master Event Liability Program Include: Participant Legal Liability:
In combination with the completed Waiver & Release of Liability, Assumption of Risk, Indemnity Agreement, and appropriate
accident coverage, this coverage provides protection against lawsuits brought by participants for a bodily injury. Products
and Completed Operations: Provides coverage for bodily injury losses resulting from sale of ECBR and member club products.
(Does not include maintenance services performed on competition boats or vehicles.) Spectator Liability: Provides protection
in the event of spectator bodily injury or property damage liability. Unintentional Errors and Omissions: Protects against
allegations of breach of duty in conducting the sanctioned event ($100,000. limit applicable) Personal and Advertising
Injury Liability: Provides coverage for false arrest, libel, slander, wrongful eviction, and privacy violation. Property
Damage to Official Watercraft: Provides coverage up to $300,000., for losses resulting from covered damage to official
watercraft. (Subject to a $1,000. deductible per loss) Non-Owned Aircraft Liability: Provides coverage up to the policy
limit for non-owned aircraft, subject to terms and conditions of policy. Contractual Liability: Provides coverage for
liability assumed under leased premises, municipal indemnification, or sidetrack agreement; does not indemnify certain
professionals for their failure to perform their function. Optional Liability Coverages: Contingent Fireworks: Provides
secondary coverage against claims arising out of fireworks, pyrotechnics, or any similar explosive material. Coverage is
excess of any other insurance. For coverage to apply, primary fireworks coverage must be in place. Maximum Limit: $1,000,000. Liquor
Law Liability: If alcoholic beverages are being sold by a ECBR member club, please contact main ECBR office or broker to
obtain the necessary Liquor Law Liability Application. We can offer up to a $1,000,000. Limit for this coverage. (ALL
COVERAGES ARE SUBJECT TO POLICY TERMS, CONDITIONS & EXCLUSIONS)
Participant accident medical coverage is provided only for eligible participants as defined in the policy and not
for any other persons or additional insured who are not also eligible participants. This policy only provides coverage
for accidental bodily injury suffered during ECBR Insured Sanctioned Events. ECBR Member Basic Benefits ECBR Non-Member
Basic Benefits All Racing and Crew Categories All Other Categories Accidental Death and Accidental Death and Dismemberment
$3,000.00 Dismemberment $3,000.00 Participant Accident Participant Accident Medical Excess Expense $3,000.00 Medical
Excess Expense $3,000.00 Deductible: $500.00* *No separate deductible for those having other collectible insurance. Accidental
Death and Dismemberment – Members: The full benefits are paid for accidental loss of life, two limbs, or both eyes.
One half the benefit amoun ts are paid for loss of one limb or one eye. Benefits are payable up to one year from the date
of accident. Participant Accidental Excess Medical Expense – Members and Non-Members: If, as a result of accidental
body injury, the participant requires: (1) treatment of services of a legally qualified physician or surgeon or a licensed
or graduate nurse; (2) x-ray examination; (3) confinement in a hospital; or (4) the use of ambulance for transportation
from the location of the covered event to the location where first treatment by a qualified physician is administered,
the policy will pay the reasonable costs of such services rendered within one year from date of accident that are in excess
of the deductible amount but not more than the applicable amount of benefits shown above. Medical Exclusions: Coverage
does not apply for medical expenses incurred due to a pre-existing condition, which means any injury that the participant
received medical treatment for during the 12 month period immediately preceding the date of covered accident. General
Exclusions Include, but are not limited to: Loss resulting from: (1) driving while intoxicated; (2) assault and battery;
(3) committing a felony; (4) illness, disease, bacterial infection, except bacterial infection of an accidental bodily
injury; (5) the operation or use of any jet propelled, rocket propelled or nuclear powered vehicle; (6) participating in
special events, thrill shows, entertainment; or (7) serving as a member of the crew or learning to operate aircraft.
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