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CDSS Liability Insurance Form

CDSS is pleased to offer liability insurance to individual members who are callers within the United States and US affiliate groups. The insurance coverage period is May 1 through April 30; applications are accepted after May 1, but rates are not prorated - the premium remains the same throughout the year. All coverage ends on April 30.

Callers Liability Insurance is $65/year, with a $10 fee for each additional insured. Group Liability Insurance is available for a flat rate of $450, $550, $650, or $750 for full year coverage, depending on how many events you are covering, or per event, for $65/calendar day. Additional insureds for group insurance are $30 each.

If you are having any trouble filling out or submitting this form, email support@cdss.org or call 413-203-5467 during office hours.

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Event Location

Name of Event and Event Location

Please provide an address for each venue you use for your one time event.
Please provide an address for each location where you hold events. Locations with multiple events should be listed only once.
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One Time Event

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Annual Flat Rate

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Additional Insureds

The purpose of “additional insured” is coverage for the hall or site and is not necessary unless the hall owner requests it, i.e. if they want the hall’s name on the insurance certificate. Some places insist on this; others don’t. (There is a $10 fee for each additional insured)

Additional Insureds

The purpose of “additional insured” is coverage for the hall or site and is not necessary unless the hall owner requests it, i.e. if they want the hall’s name on the insurance certificate. Some places insist on this; others don’t. (There is a $30 fee for each additional insured)

Additional Insured

The purpose of “additional insured” is coverage for the hall or site and is not necessary unless the hall owner requests it, i.e. if they want the hall’s name on the insurance certificate. Some places insist on this; others don’t. (There is a $30 fee)

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Additional Insured
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Additional Insured 2
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Additional Insured 3
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Additional Insured 4
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Additional Insured 5
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Total Cost and Payment Info

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