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Skating Facility Supplemental General Liability Application Separate application required for each location I. General Information Named Insured I DBA Facility Address Website I Email D

NAME OF TRACK FACILITY: I HAVE READ THIS RELEASE: SIGNATURE: PRINT NAME: TITLE: DATE SIGNED: CREDENTIALS: ADDRESS:

PAGE 1 OF 2©2026 Innovation Growth Partners Specialty, LLC. All rights reserved. | igpspecialty.com | Rev. 02.17.26 Natural Disaster Program Application PERILS TO BE COVERED • Flood-only

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PROFESSIONAL LIABILITY ■ Defense outside limit option available ■ Personal injury included when related to professional services ■ Contingent BI/PD coverage available ■ Claims Made and

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Batting Cages Supplemental Questionnaire Separate application required for each location I. General InformationNamed Insured I OBA Facility Address Website I Email II. Batting Cage

Revised 2/2020 CLIMBING WALL SUPPLEMENTAL QUESTIONAIRE (Separate application required for each location) I. GENERAL INFORMATION NAMED INSURED: _________________________________________________

1 GAMING SUPPLEMENTAL QUESTIONAIRE Insured Name: 1. Provide description of gaming operation, # of gaming machines, tables etc. ____________________________________________ ___________________

Abuse & Molestation Supplemental Questionnaire Named Insured I DBA Facility Address City I State I ZIP Code 1. Type of Facility 2. Please check each that describes your current and/ or planned

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Facility Insurance Application Facility Name I Facility Age Contact Person I Title Facility Location Phone I Fax I Email Annual Admissions I Seating I Total Capacity I Total Gross Receipts

Health Club Facility Swimming Pool Supplemental Application I. General Information Named Insured I DBA Facility Address Website I Email How many pools? Indoor Outdoor II. Pool

Hired & Non-Owned Auto Supplemental Application Separate application required for each location To be completed and returned with Commercial Auto ACORD application I. General Information Named

Liquor Liability Application This is a warrantee application for primary or excess liquor liability insurance. All questions must be answered. If the answer to any question is none, state 'none'