Application Form

General Liability

General Liability coverage protects you from lawsuits if someone was injured at one of your organization's activities and held you responsible. Some activities covered include skating parties, fall carnivals, bounce houses, dunking booths, fun runs, auctions, and more. Injuries resulting from transportation are not covered.

Extended Medical Payments

General Liability coverage also has a separate component that gives insureds access to a minimum of $5,000 in Medical Payments. This is for injuries sustained at one of your organization's activities even if no lawsuit has been filed.

Media Liability

Media Liability coverage is designed to protect you from liability in the event you accidentally misuse or disclose information on your website or other social media site. This includes misuse of logo, copyright, pictures, confidential information and other misrepresentations or misappropriations.

Fidelity Bond

Bond coverage protects your money. It covers anyone who your organization trusts with the money whether it's a President, Treasurer, board member, volunteer, or courier. If that person embezzles (runs off) with your money, Bond coverage would replace those missing funds.

Property (Inland Marine)

Inland Marine (Business Personal Property) coverage protects your raffle merchandise, auction items and fundraising supplies while in your possession. This coverage also protects any personal property of your organization such as popcorn machines, snow cone makers, school store supplies, emergency relief supplies, and more.

Professional Liability
(Officers Liability)

Officers Liability coverage protects the organization from lawsuits for "wrongful acts". If someone sued the officers of your organization for mismanagement, misrepresentations, dissemination of false or misleading information, or inappropriate actions this coverage would pay to defend you against those actions.

Please select the desired coverage and click Purchase Coverage below.

  • Educator's Professional Liability
    $1 Million Limit - $55.00

Media Liability, Medical Payments, or Utah Tort limits are only available in combination with General Liability Coverage

Fields marked with a * are required.
* Organization Name :
District : Council :
* Address :
* City : * State : Texas * Zip Code :
* Phone : Fax :
* Email : * Confirm Email :
* First Name : * Last Name :
We acknowledge that AIM may contact us by email.

Policies cancelled before the effective date, are subject to a $35 cancellation fee. Short term policies are subject to a minimum premium equivalent to 50% of the annual premium or $50, whichever is greater, not to exceed the total annual premium. All premium and fees paid are fully earned at inception.

Requirements of bond coverage (make sure all officers are aware of requirements):

  1. The Organization must conduct an annual review of the books by a Review Committee or qualified accountant.
  2. The monthly bank statement must be initialed and reviewed by someone who does not have authorization to sign checks.

COVERAGE IS VOID IF THESE REQUIREMENTS ARE NOT FOLLOWED.

Under the Terrorism Risk Insurance Act, you have the right to purchase coverage for losses resulting from Certified Acts of Terrorism. This option is available under General Liability and Inland Marine (Property).

I acknowledge that I have received a copy of the NOTICE OF TERRORISM insurance coverage, offered under the General Liability and/or Inland Marine Property coverage. I have read it and make the following selection regarding Terrorism coverage:

  • I hereby elect to purchase Terrorism coverage for a prospective premium of 5% of the policy premium subject to a $100 minimum. (Please include additional premium per line.)
    • General Liability
    • Inland Marine (Property)
  • I hereby decline to purchase Terrorism coverage. I understand that I will have no coverage for losses resulting from acts of terrorism.
    • General Liability
    • Inland Marine (Property)

If you have any questions please feel free to contact us directly at 800-876-4044.

I agree to the terms and conditions of the policy as set forth in this application

     
AIM Association Insurance Management PO Box 674051 Dallas, TX 75267-4051
(800) 876-4044 fax (214) 360-0802