OPTIONAL INSURANCE COVERAGE FOR TEAMS AND LEAGUES *Please select from one of the following choices below. PLAN A Director's & Officers Liability ($1 Million Limit) Coverage $385.00 PLAN B Director's & Officers Liability ($2 Million Limit) Coverage $770.00 PLAN C Crime Insurance Plan $175.00 PLAN D Equipment Insurance Plan (Calculated Price) PLAN E Director's & Officers Liability ($1 Million Limit) Coverage + Crime 500.00 PLAN F Director's & Officers Liability ($2 Million Limit) Coverage + Crime $885.00

PLAN C Crime Insurance Plan This plan provides protection for your sports organization against financial loss caused by the dishonest disappearance of money, securities or negotiable instruments. This Crime Insurance Plan includes coverage for loss by theft or forgery by an officer or volunteer of the league. Employee Dishonesty: $25,000 per loss Theft (inside/outside) $10,000 per loss Depositor's Forgery: $10,000 per loss Computer Theft Coverage: Not Covered Deductible: $250 per claim     Annual Premium: $175.00 per League    Examples of covered losses under this plan are the loss or dishonest disappearance of: moneys or securities in the league treasury; moneys collected from fund raising activities; or moneys set aside for the purchase of uniforms and equipment. Please note that this policy does not cover the loss of equipment or other league property. Those exposures can be covered under the Equipment Insurance Plan. This coverage is underwritten by Chubb Group of Insurance Companies, an "A+" rated carrier. Coverage is effective upon underwriting acceptance of this enrollment form by the insurance company.