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Client Services Kit PMA’s Quick Reference Guide Overview of PMA services, from reporting claims and finding medical providers to accessing our online resources. Client Services Kit2

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PRG 142057 (12-22) ©All rights reserved. Page 1 of 1 FOREIGN DRIVER QUESTIONNAIRE Named Insured: ______________________________________________________________ Policy Number: _________________

PRG 142061 (12-22) ©All rights reserved. Page 1 of 2 MOTORCYCLE EVENTS SUPPLEMENTAL APPLICATION 1 Events Scheduled: □ Motocross □ Flat track □ Scrambles □ Hare & Hound □ UTV □ ATV 2

PRG 142072 (12-22) ©All rights reserved. Page 1 of 1 I understand that the insurance company in determining whether to provide a quotation for insurance coverage will rely on the information

MOTORSPORTS Application for Insurance PRG 142142 (01-22) ©All rights reserved. Page 1 of 6 . 1. COMPLETE REPONSES ARE REQUIRED ON ALL QUESTIONS 2. APPLICATION MUST BE SIGNED 3. EFFECTIVE

SPECIAL EVENT Application for Insurance PRG 142143 (01-22) ©All rights reserved. Page 1 of 5 1. COMPLETE REPONSES ARE REQUIRED ON ALL QUESTIONS 2. APPLICATION MUST BE SIGNED 3. EVENT DATES

March 14, 2021 COMMUNICABLE DISEASE EXPOSURE AND INFECTION ASSUMPTION OF RISK, HOLD HARMLESS, RELEASE, WAIVER OF LIABILITY AND INDEMNITY AGREEMENT ________________________________ FILL IN

MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT (READ CAREFULLY BEFORE SIGNING) ALL TRACKS/ALL EVENTS ALL DATES ____________________________________________

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'

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

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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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

Specialty Underwriting LIVE Event Service Providers Program Event Promoters SUBMISSION REQUIREMENTS • ACORD forms for all lines required: • General Info (125) • General Liability (126) •