Skip survey header

Certificate of Insurance (COI) Request Form - 2024-2025

Certificate of Insurance (COI) Request Form - 2024-2025 policy

 
IMPORTANT | PLEASE READ
Please note: This is a group insurance policy. Unfortunately, you are not authorized to make changes to the policy unless Sport BC Insurance is provided consent from British Columbia Recreation and Parks Association (BCRPA). 

This Certificate of Insurance (COI) request form has been shared by BCRPA and you must return it to an authorized BCRPA representative by completing and submitting this form. BCRPA will confirm your Fitness Leader Registration and distribute to Sport BC to issue the COI. Please refrain from contacting the Sport BC office directly with a COI request. If you do, your request will be forwarded to BCRPA.

We ask that you review the form for accuracy and compare it with your rental/user group agreement. Please fill it out to the best of your ability. 

Since 2017 – COI's have not been sent out directly to the city/municipality/districts/villages due to frequent personnel changes/transitions with staff and contacts. After you receive the certificate of insurance from a representative, we kindly ask that you send this to your contact. 
 
DETAILS OF THE INSURANCE POLICY 
Date:                                            February 1st, 2024
From:                                           British Columbia Recreation & Parks Association
CGL Policy Limit                          $2,000,000.00 ($2M) or $5,000,000.00 ($5M)
Policy Term                                  February 1, 2024 to February 1, 2025 @ 12:01AM 
 
DESCRIPTION OF OPERATIONS -> The following activities are covered by this policy. 
Older Adult Fitness, Aquatic Fitness, Group Fitness, Osteofit, Pilates Fitness, Weight Training, Yoga Fitness (excluding Bikram Yoga and Inversion), Fitness Theory*, and Personal Trainers. Practitioners shall include Supervisors of Fitness Leaders and Trainers of Fitness Leaders while they are performing Fitness Leader evaluations. *Fitness Leaders registered solely in Fitness Theory are insured for fitness instruction based upon the practical application of knowledge acquired in their specialty module course in a practicum setting for a period up to 365 days from the date of registration in Fitness Theory.
 
Including online and also at home instruction. 
 
1. Are you a  *This question is required.
2. Which insurance policy are you requesting to add an insured to?  *This question is required.
3. Named Insured/ Name of your organization
This question requires a valid email address.
This question requires a valid date format of MM/DD/YYYY.
Start Date calendar To: 02/01/2025 @ 12:01AM
LOCATION(S) OF THE ACTIVITIES
6. First location Information *This question is required.
List name and addresses of the location(s) your activities will take place. *This question is required.
Is this also an additional insured?  *This question is required.
7. Second location Information
List name and addresses of the location(s) your activities will take place.
Is this also an additional insured? 
8. Third location Information
List name and addresses of the location(s) your activities will take place.
Is this also an additional insured? 
9. Fourth location Information
List name and addresses of the location(s) your activities will take place.
Is this also an additional insured? 
ADDITIONAL INSUREDS
This should not be confused with additional named insureds. Additional insureds are facility owners (usually a city or municipality) and are leasing/renting a space to you to use. 
Please name and list all additional insureds on this request form. Please put the full civic addresses. SBC Insurance will NOT be verifying the accuracy of this information as it is your responsibility as a policy holder to check and verify with the insurance requirements provided to you as a renter/user/facility user. 
 
10. Please list the following information about your additional insured: 
11. Please list the following information about your additional insured (2):
12. Please list the following information about your additional insured (3): 
13. Please list the following information about your additional insured (4):