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.)
* Required
Your name
*
Your answer
Your phone number
*
Your answer
Your email address
*
Your answer
If you would like a copy of the insurance certificate, please check here.
Event Information
Walk Name
*
Your answer
Event Date
*
MM
/
DD
/
YYYY
CWS Staff Contact Name
If you are working with a CWS staff person, please indicate their name here.
Choose
Adam Smedberg
Andrew Gifford
Christine Vander Weerdt
Erin Luchenbill
Heather Willson
Jason Welle
Jon Skogen
Kevin McCoy
Kevin Murphy
Lary Jackson
Leonard Blue
Mary Catherine Hinds
Patrick Walker
Rebekah Belase
Renee Overton
Roberta Macauley
Teresa Cintron
I don't know.
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)
*
Your answer
Contact Person
Your answer
Phone Number
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Choose
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Your answer
Email Address
To expedite your request, include certificate holder's email address.
Your answer
Did Certificate Holder above ask to be listed as an Additional Insured?
*
yes
no
Did Certificate Holder above request an endorsement (or second page endorsement)?
*
yes
no
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:
Your answer
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.
Your answer
Additional Comments
Your answer
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