CROP Hunger Walk Insurance Request Form

Church World Service is covered by general liability insurance. General liability insurance is a requirement of many city and park permits. To ensure that CWS carries general liability insurance, many cities, parks, etc. ask for proof of this insurance before they will approve a permit for a Walk. Some churches and agencies also require proof of insurance to use their property and/or facilities.

To request a certificate of insurance, please submit the required information below. For any questions about the insurance, please contact business@cwsglobal.org

Please submit a separate request for each certificate holder (city, park, church, agency, etc.)

Your name *

Your phone number *

Your email address *

If you would like a copy of the insurance certificate, please check here.

Event Information

Walk Name *

Event Date *

YYYY

CWS Staff Contact Name

If you are working with a CWS staff person, please indicate their name here.

Event Type *

If you choose "other," you may be contacted for more information.

CROP Hunger Walk

CROP Hunger Run

Other:

Required

Permit Requirements

City / Park / Agency (Certificate Holder) *

Contact Person

Phone Number

Street Address *

City *

State *

Zip Code *

Email Address

To expedite your request, include certificate holder's email address.

Did Certificate Holder above ask to be listed as an Additional Insured? *

yes

Did Certificate Holder above request an endorsement (or second page endorsement)? *

yes

The general liability policy provides $1,000,000 combined single limit each and evey occurrance subject to an aggregate of $2,000,000. Does the Certificate holder require larger limits? If so, amount:

If proof of other insurance is needed (not typically required), please specify:

workers compensation

auto liability

unemployment

Other:

Clear selection

Other Information

URL of Requirements

If there are specific requirements for the permit online, please copy and paste the URL of those requirements below.

Additional Comments

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