- PRO Insurance Managers, Inc.

Health & General Liability
For Direct Sellers
Exclusively Endorsed By
Direct Selling Association

No cost, No obligation
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Direct Seller
General Liability
Optional Coverage Request

When Required To Name a Place or Person on Your Coverage

When you may be required by a tradeshow, fair, meeting facility, convention, etc. to have General Liability coverage and that your coverage must also name the organizer, hotel, or venue of the event as an "Additional Insured", we can help, just complete the request form below and a certificate will be issued and emailed to you.

Terms & Conditions

(Refer to actual policy for full Terms & Conditions)

You must already be enrolled under the General Liability coverage offered through PRO Insurance to apply for the Additional Insured certificate. If you are not already enrolled, please Click Here.
No certificates will be issued unless you are actively enrolled. Applying below does not guarantee coverage. If approved, your certificate will be emailed to you promptly.
Please note charges below for issuance of the additional certificate.
Coverage can not be backdated under any circumstances.
Certificate will name one venue and/or meeting only. If multiple venues are used, each will need a specific certificate and a separate charge will apply for each.

If you have questions regarding coverage or eligibility, please call 800-821-7383.

Request For Optional Coverage

Your Contact Information
First & Last Name
If you also use a Business Name
Address
City, State, Zip
Contact Phone	(913) 555-1234
Email Address
Direct Seller Liability - Additional Insured Certificate (NOTE: Home Business policies starting with "BOP" please click here) Please ensure you have the exact way the name on the certificate should read, reissues will be charged* All fields must be completed or certificate cannot be issued.
Additional Insured Name Is To Read
Address
City, State, Zip
Event Dates	Start (Setup)
	End (Tear Down)
Certificate Holder Information If the event also requires that a Certificate Holder be named please indicate below.
	Same as Additional Insured name above
Certificate Holder Name Is To Read
Address
City, State, Zip
Required Fee - Based on Event/Meeting Dates >> Please Process Payment after clicking "I Agree" below. <<
	Event = A single event of up to 14 days, over 14 days or for your full term, higher fee shown applies
Processing Fee	Events starting 3 or more days away = $25.00 *Certificate over 14 days or full term of your coverage = $50.00
	Events starting 3 or less days away = $50.00 *Certificate over 14 days or full term of your coverage = $75.00
	Reissued certificate = $25.00* (*Your original request was not correct, if our error, no charge)

Simply read the agreement below then submit your request online.

Terms:
Terms & Conditions. Completion of this enrollment form confirms your desire to obtain insurance through the Sports, Leisure and Entertainment Risk Purchasing Group. The submission of this enrollment form and/or acceptance of payment does not guarantee coverage. Certain operations are not eligible for coverage by this program. PRO Insurance Managers reserves the right to decline any request for coverage. You realize that any false, or inaccurate statement or misrepresentation in the enrollment form may result in claim denial or contract rescission. Any person who injures, defrauds, or deceives any insurer, files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree. You understand that the plan applied for will not pay benefits for any expenses incurred on account of any claim before the effective date. You further acknowledge that you have reviewed all information provided with this enrollment form and understand the exclusions that apply, as well as the activities and operations for which coverage is not provided. I understand the plan hereby applied for will not be considered in force until a policy or certificate is issued and full payment of applicable charges and fees has been received and other conditions remain as described in this application. The charges and fees charged under this program are fully earned and are not refundable. No representation except by PRO Insurance Managers, Inc. or the company are binding. No other person has the authority to issue or change coverage or the effective date of coverage. I warrant and represent that the signature shown is accurate and that of my own. By signing, I authorize PRO Insurance to charge my payment for the coverage ordered and verify and affirm any information I've completed above and that I understand and agree to all of the foregoing.

REFUND POLICY.

Applicant's Signature

Click here that you agree to the terms and conditions.
For acknowledgment, please enter your full name exactly as it appears above.

Date Signed

To complete the application, click the "I Agree" button below.

Please click only one time

Direct Seller General Liability Optional Coverage Request

Direct Seller
General Liability
Optional Coverage Request