Basketball Teams | Basketball Clubs | Basketball Leagues | Basketball Camps | Basketball Clinics | Basketball Tournaments | Races
4. Please list locations and buildings at each location (List additional locations on separate page)
(If located in Illinois, this section MUST be completed. If located in other states, complete only if you desire coverage.)
OPTIONAL PROPERTY COVERAGES
COMMERCIAL AUTOMOBILE INSURANCE
DIRECTORS & OFFICERS LIABILITY AND WORKERS' COMPENSATION INSURANCE
The information I have provided is true and accurate to the best of my knowledge. I have not willfully concealed or misrepresented any material fact(s) or information. I understand completion of this questionnaire does not compel the company to provide coverage.
Questions? 877-244-9090Kevin Morency | email@example.com Morency & Associates Inc.1194 Long Hollow Pike, Gallatin, TN 37066Fax: 615-452-6580https://sportsprograminsurance.com/