The top part of this form is where you identify yourself—the KBF Affiliated Club that is submitting this request.
Name of KBF Partner submitting this request for COI
The following information will be used to identify the Entity (e.g., organization, agency, department, municipality) that requires it be identified as "Additional Insured" on KBF's Certificate of Insurance.
What is the name of the Entity that's requiring you to provide them with a COI and that should be entered on the form as "Additional Insured"?
If the insurance company mails something to the Entity, how should the envelope be addressed?
Who is the person the insurance company will deal with in case of a claim against the Entity?
What is the name of the tournament/event that you hope to conduct in the area over which the Entity has authority?
Where are you planning for the tournament/event to take place?
On what date will it take place?