Category:

Additional Insured

$5.00

If you forgot to add all of the additional insureds to your original permit or if new additional insureds were required add the number of additional insureds you need.

File Upload

Upload race application documents

(max file size 512 MB)

Filed Upload 2

Upload race application documents

(max file size 512 MB)

Filed Upload 3

Upload race application documents

(max file size 512 MB)

Promoter name

Name of the person or group promoting the event. “Owner of the event.”

Contact name

(If different from promoter)

Contact phone

Contact address

City

State

Zip

Website

Website address

Name of event

Type of event

Dates of event

Number of days

Number of participants at last years event

Put zero if it is a new event

Maximum number of participants

(estimate)

Number of volunteers that will be present

Number of spectators anticipated

(estimate)

Describe arrangements for medical/first aid

Contact mike.murray@obra.org to request OBRA first aid (if available).

Description

If you forgot to add all of the additional insureds to your original permit or if new additional insureds were required add the number of additional insureds you need.

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