COMMERCIAL RISK GROUP, INC. MOTORSPORTS FACILITY SUPPLEMENTAL APPLICATION

Transcription

1 GENERAL COMMERCIAL RISK GROUP, INC. Named Insured (Applicant) Owner / Operator Promoter Single Track (not track owner) Promoter Multiple Tracks Mailing Address City State Zip Contact Name E mail Address Phone Fax Website Address of Track City State Zip Number of Races /Events planned (provide details for non racing events) Estimated # of Spectators per Race / Event Estimated # of Participants per Race / Event What Concessions will be sold? Is Alcohol sold? If yes, Completed Liquor Liability Application Required Will any of your races have intermission or pre race / post race events? If yes describe (type of events, Fireworks, Monster Trucks, Concerts, etc.) RISK MANAGEMENT / UNDERWRITING Type of Facility: (Race Track Type, Oval, Drag, etc. Please Describe) Length of Track Track Surface (asphalt, concrete, dirt, other please describe) Type of Racing (late model, sprint car, etc.) 1) Are signs posted warning of restricted areas, track and spectator hazards? (please describe and provide photos if available) 2) Does barrier/guardrail protect all spectator areas? 3) Does barrier/guardrail protect all pit areas? 4) Does barrier/guardrail protect all private property? 5) Does barrier/guardrail protect all worker stations (including safety workers & flagmen)? 6) Are spectators and participants contained behind barrier by crowd control fence? 7) Are ancillary spectator areas (parking lots, walkways, etc.) protected with barriers and fencing? 8) Is pit/paddock area completely fenced off from spectator areas? 9) Is pit road completely fenced? 10) What type and how many security personnel are provided? Sheriff Local Police State/ Prov. Police Private Security 11) Security Personnel are hired as: Employees By Contract a) If by contract are Certificates of Insurance provided naming track / event as Additional Insured? b) If Track Employees describe training and duties RACE REN SUPP 1111 Page 1 of 5

2 12) Is a state certified ambulance on site? Sub contracted Track Owned 13) Are licensed ambulance attendants / EMT s provided? If under contract Certificate provided? 14) Describe Medical Facilities during event 15) Describe Fire Fighting Protection Fire Department Supplied & Staffed or Track Owned Equipment (If track owned describe equipment and training of personnel) 16) Is All track activity supervised? (test & tune, swap meets, etc.) 17) Are trained / certified race vehicle tech inspectors provided? 18) Are approved helmets required? 19) Are approved restraint belts required? 20) What is the Minimum Age of participants? 21) Do participants sign Waivers? If yes provide a copy. 22) What is the minimum age allowed in restricted pit areas? 23) Do those with Pit access sign Waivers? If yes provide a copy. 24) Is there a playground on the property? If Yes describe 25) Is overnight camping permitted? If yes complete campground supplemental application. 26) Are Non Owned ATV s or Golf Carts Allowed on Premises? If yes do you require proof of insurance? Waivers signed by operators? If No explain 27) Describe Grandstands Height Steps Highlighted Side Rails Fall Thru Protection Year Built Construction Updates / Improvements 28) Which Rules do you follow to operate races? Please provide a copy. Describe how rules are enforced 29) Do you assume liability or hold other parties harmless? If yes provide details and include copies of all contracts of this type. 30) Do you sub contract any work? If yes describe 31) Are there any survey / loss control recommendations still outstanding? If yes describe Provide Schedule of Races / Event(s) List Below or attached schedule: Provide Updated Diagram of Facility IF changes have been made since last renewal Include the following: 1)Buildings and Track 2) Spectator Viewing Area 3) Spectator Parking 4) Pit Area 5)Ambulance / Medical 6) Security Stations 7) Concessions 8) Restrooms 9)Restricted Areas 10) Fire Protection 11) Barriers 12) Fences (include height) 13)Show Distance Between Track & Nearest Crowd Control Fences RACE REN SUPP 1111 Page 2 of 5

3 OVAL TRACK FACILITIES Complete the diagram below, showing the following: a. Location of all grandstands / bleachers and all areas where people are admitted. b. Pit area location and protection. Show entrance and exit openings from the racing surface. c. Location of wheel fences and guard rails. d. Location of designated parking areas. e. Location of concessions, restrooms, etc. f. Location of crowd control fences. Length of Track Track Surface GUARDRAIL Material Height Thickness What is the distance (in feet) from the lowest set of seats to the guardrail? Does guardrail protect: Pit area? All spectator areas? All private property? WHEEL FENCE Fence post material Distance apart Height above the racing surface Type of fence wire Does wheel fence protect: Pit area? All spectator areas? All private property? Does wheel fence have a minimum of three (3) 3/8 diameter cables running the entire length of wheel fence? Are the cables on the track side and secured to each fence pole? SPECTATOR SAFETY Are spectators and / or general admissions: Permitted to sit in parked car to watch race? Permitted in the infield? Permitted in pit area? If Spectators are permitted are Waivers required? Are there grandstands in the pit area? Are they protected by guardrail? Wheel fence? Are there any playground or amusement rides on premises? If yes please describe Are Waivers required for all that have infield, pit or paddock access? How many race meets are scheduled in which the following type cars will appear: Full Body Stock Cars Open Wheel Stock Cars Sprint Cars Winged Sprint Cars Midgets Winged Midgets Go Kart Mini Stocks Motorcycle Snowmobile Other RACE REN SUPP 1111 Page 3 of 5

4 CHECK IF YES: Do you have a Para Medic on duty? Ambulance on premises and on duty? Track signal lights? All cars have roll bars? Fire wall required between driver and gas tank? Shoulder harness and lap belt required? Flagman on a well protected stand? Approved crash helmets? Qualified Tech inspector? Fire suit and gloves required? Mobile fire equipment? Doors securely fastened? Stationary fire equipment? Safety or reinforced hubs? Do you maintain a pit pass system to identify those persons authorized to be in pit or competition area? DRAG STRIP FACILITIES Complete the diagram below, showing the following: a. Location of all grandstands / bleachers and all areas where people are admitted. b. Staging area. Burn out area. c. Crowd control fences and guard rails. d. Unprotected light or telephone poles. e. Location of concessions, restrooms, etc. f. Return road, timing booth, scales. g. Pit areas, parking areas. Length of Track Track Surface Width of Track Length of shut down area Length of timing zone Is finish line well marked? Please indicate what following types of drag racing machines may be competing in scheduled events: Top Fuel Top Alcohol Dragster Funny Car Top Alcohol Funny Car Pro Stock Comp Pro Stock Motorcycle ET Brackets Street Legal Super Stock Super Street ATV Stock Jr. Dragster Trucks Super Comp Grudge Quads Super Gas Snowmobiles Other RACE REN SUPP 1111 Page 4 of 5

5 GUARDRAIL Material Height Thickness Is guardrail on both sides of strip? Distance from rail to strip Length of rail What is the distance (in feet) from the closest crowd control fence to edge of strip? SPECTATOR SAFETY / CROWD CONTROL FENCE Fence post material Distance apart Type of fence wire What is the distance (in feet) from the closest crowd control fence to the edge of the strip? Are there any playground or amusement rides on premises? Are spectators and / or general admissions: Permitted in staging areas? Permitted to park or view in areas not protected by guardrail? CHECK IF YES: Do you have a Para Medic on duty? Ambulance on premises and on duty? Fire wall required between driver and gas tank? All cars have roll bars? Qualified Tech inspector? Shoulder harness and lap belt required? Mobile fire equipment? Approved crash helmets? Stationary fire equipment? Doors securely fastened? Do you maintain a pit pass system to identify those persons authorized to be in pit or competition area? Required for applicable classes: Safety hubs? Flywheel shield? Fire Suit and Gloves required? FOR MOTORCYCLE RACING FACILITIES Events Scheduled: Motocross Flat Track Scrambles Hare Scrambles Road Course Hare & Hound Type of surface: AMA Sanctioned? Yes No Is there a minimum distance of 30 feet between the course and the crowd control fencing at all jump areas at all times? Yes No Is there a minimum distance of 20 feet between the course and crowd control fencing at all other viewing areas? Yes No FOR ROAD RACING FACILITIES Events Scheduled: Ride N Drives Car Club Drivers Schools/Time Trials SCCA Races Non SCCA Races (include vintage) Motorcycles Commercials/Film Shoots Go Karts Private Driving School Any other events not listed on application? Insured Signature: Title: Print Name: Date: Agent Signature: Date: RACE REN SUPP 1111 Page 5 of 5