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	<id>https://wiki.ayso.org/w/index.php?action=history&amp;feed=atom&amp;title=Request_or_Renew_a_Certificate_of_Insurance</id>
	<title>Request or Renew a Certificate of Insurance - Revision history</title>
	<link rel="self" type="application/atom+xml" href="https://wiki.ayso.org/w/index.php?action=history&amp;feed=atom&amp;title=Request_or_Renew_a_Certificate_of_Insurance"/>
	<link rel="alternate" type="text/html" href="https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;action=history"/>
	<updated>2026-05-01T19:24:02Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;diff=5373&amp;oldid=prev</id>
		<title>Paulamuesse at 00:55, 1 May 2026</title>
		<link rel="alternate" type="text/html" href="https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;diff=5373&amp;oldid=prev"/>
		<updated>2026-05-01T00:55:52Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 17:55, 30 April 2026&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 17:&lt;/td&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 17:&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;==== Additional Support ====&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;==== Additional Support ====&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you are having difficulty completing the online form or feel you have a special circumstance, please email your insurance requirements document and related questions to &#039;&#039;&#039;&amp;lt;u&amp;gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Ren_Hartonians&lt;/del&gt;@ajg.com&amp;lt;/u&amp;gt;&#039;&#039;&#039; [[Mailto:AYSOCertificates@playershealth.com|AYSOCertificates@playershealth.com]]&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you are having difficulty completing the online form or feel you have a special circumstance, please email your insurance requirements document and related questions to &#039;&#039;&#039;&amp;lt;u&amp;gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ren_hartonians&lt;/ins&gt;@ajg.com&amp;lt;/u&amp;gt;&#039;&#039;&#039; [[Mailto:AYSOCertificates@playershealth.com|AYSOCertificates@playershealth.com]]&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Request a Renewal of a Certificate of Insurance ===&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Request a Renewal of a Certificate of Insurance ===&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;

&lt;!-- diff cache key mediawiki:diff:1.41:old-5372:rev-5373:wikidiff2=table:1.14.1:bc2a06be --&gt;
&lt;/table&gt;</summary>
		<author><name>Paulamuesse</name></author>
	</entry>
	<entry>
		<id>https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;diff=5372&amp;oldid=prev</id>
		<title>Paulamuesse at 00:54, 1 May 2026</title>
		<link rel="alternate" type="text/html" href="https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;diff=5372&amp;oldid=prev"/>
		<updated>2026-05-01T00:54:59Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;table style=&quot;background-color: #fff; color: #202122;&quot; data-mw=&quot;interface&quot;&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;col class=&quot;diff-marker&quot; /&gt;
				&lt;col class=&quot;diff-content&quot; /&gt;
				&lt;tr class=&quot;diff-title&quot; lang=&quot;en&quot;&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;← Older revision&lt;/td&gt;
				&lt;td colspan=&quot;2&quot; style=&quot;background-color: #fff; color: #202122; text-align: center;&quot;&gt;Revision as of 17:54, 30 April 2026&lt;/td&gt;
				&lt;/tr&gt;&lt;tr&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 4:&lt;/td&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 4:&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Request a New Certificate of Insurance ===&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Request a New Certificate of Insurance ===&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;==== To request a new Certificate of Insurance, complete the online request form [https://&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;landing&lt;/del&gt;.&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;playershealth&lt;/del&gt;.com/&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ayso-coi-5/&lt;/del&gt; &lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;&#039;&amp;lt;u&amp;gt;&lt;/del&gt;here&amp;lt;/u&amp;gt;&#039;&#039;&#039;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;]&lt;/del&gt;.  Note the following: ====&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;==== To request a new Certificate of Insurance, complete the online request form &lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;&#039;&#039;&#039;&amp;lt;u&amp;gt;&lt;/ins&gt;[https://&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;forms&lt;/ins&gt;.&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ajg&lt;/ins&gt;.com/&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;261168967147873&lt;/ins&gt; here&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;]&lt;/ins&gt;&amp;lt;/u&amp;gt;&#039;&#039;&#039;.  Note the following: ====&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;The Certificate Holder is generally the name of the entity who is requesting the proof of insurance, input their information in &#039;&#039;&#039;SECTION 1:&#039;&#039;&#039;&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;The Certificate Holder is generally the name of the entity who is requesting the proof of insurance, input their information in &#039;&#039;&#039;SECTION 1:&#039;&#039;&#039;&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;*&#039;&#039;&#039;Certificate Holder Name&#039;&#039;&#039; is who the Certificate will be issued to and should reflect the Name as specified on the insurance requirements provided by the requesting agency.&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;*&#039;&#039;&#039;Certificate Holder Name&#039;&#039;&#039; is who the Certificate will be issued to and should reflect the Name as specified on the insurance requirements provided by the requesting agency.&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 15:&lt;/td&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-lineno&quot;&gt;Line 15:&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;*&#039;&#039;&#039;AYSO Region, Area, or Section - Contact Email&#039;&#039;&#039; is required so that the insurance broker can clarify any request details if necessary.  This email will also receive a copy of the Certificate once issued.&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;*&#039;&#039;&#039;AYSO Region, Area, or Section - Contact Email&#039;&#039;&#039; is required so that the insurance broker can clarify any request details if necessary.  This email will also receive a copy of the Certificate once issued.&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;*&#039;&#039;&#039;Additional information or Special Verbiage Requested on Certificate&#039;&#039;&#039; is the field where special endorsements or other requirements for use of the facility can be specified.  Be sure to provide the exact information as specified in the insurance requirements documentation, be prepared to provide the insurance requirements if contacted, and note that special verbiage or endorsements will require longer than usual processing times.&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;*&#039;&#039;&#039;Additional information or Special Verbiage Requested on Certificate&#039;&#039;&#039; is the field where special endorsements or other requirements for use of the facility can be specified.  Be sure to provide the exact information as specified in the insurance requirements documentation, be prepared to provide the insurance requirements if contacted, and note that special verbiage or endorsements will require longer than usual processing times.&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-empty diff-side-added&quot;&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== [[File:Coi request.png|frameless|600x600px]] ===&lt;/div&gt;&lt;/td&gt;
  &lt;td colspan=&quot;2&quot; class=&quot;diff-empty diff-side-added&quot;&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;==== Additional Support ====&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;==== Additional Support ====&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;−&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you are having difficulty completing the online form or feel you have a special circumstance, please email your insurance requirements document and related questions to &#039;&#039;&#039;&amp;lt;u&amp;gt;&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;AYSOCertificates&lt;/del&gt;@&lt;del style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;playershealth&lt;/del&gt;.com&amp;lt;/u&amp;gt;&#039;&#039;&#039; [[Mailto:AYSOCertificates@playershealth.com|AYSOCertificates@playershealth.com]]&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot; data-marker=&quot;+&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;If you are having difficulty completing the online form or feel you have a special circumstance, please email your insurance requirements document and related questions to &#039;&#039;&#039;&amp;lt;u&amp;gt;&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;Ren_Hartonians&lt;/ins&gt;@&lt;ins style=&quot;font-weight: bold; text-decoration: none;&quot;&gt;ajg&lt;/ins&gt;.com&amp;lt;/u&amp;gt;&#039;&#039;&#039; [[Mailto:AYSOCertificates@playershealth.com|AYSOCertificates@playershealth.com]]&lt;/div&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;br /&gt;&lt;/td&gt;
&lt;/tr&gt;
&lt;tr&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Request a Renewal of a Certificate of Insurance ===&lt;/div&gt;&lt;/td&gt;
  &lt;td class=&quot;diff-marker&quot;&gt;&lt;/td&gt;
  &lt;td style=&quot;background-color: #f8f9fa; color: #202122; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;&quot;&gt;&lt;div&gt;=== Request a Renewal of a Certificate of Insurance ===&lt;/div&gt;&lt;/td&gt;
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		<author><name>Paulamuesse</name></author>
	</entry>
	<entry>
		<id>https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;diff=1307&amp;oldid=prev</id>
		<title>ayso&gt;Tiffanysosa at 18:28, 19 August 2025</title>
		<link rel="alternate" type="text/html" href="https://wiki.ayso.org/w/index.php?title=Request_or_Renew_a_Certificate_of_Insurance&amp;diff=1307&amp;oldid=prev"/>
		<updated>2025-08-19T18:28:12Z</updated>

		<summary type="html">&lt;p&gt;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;=== Certificates of Insurance (COI) ===&lt;br /&gt;
A Certificate of Insurance or proof of liability coverage, is usually required by property owners such as school districts, cities and their recreation departments and private businesses before they grant a Use Permit to any organization requesting permission to use their fields or facilities.   Because AYSO&amp;#039;s insurance policies renew on July 1, of each year.  New Certificates of Insurance will be issued each year on July 1.  Requests can be made prior to the renewal period, but Certificates will only be emailed to the Holder as of July 1st each year. &lt;br /&gt;
&lt;br /&gt;
=== Request a New Certificate of Insurance ===&lt;br /&gt;
&lt;br /&gt;
==== To request a new Certificate of Insurance, complete the online request form [https://landing.playershealth.com/ayso-coi-5/ &amp;#039;&amp;#039;&amp;#039;&amp;lt;u&amp;gt;here&amp;lt;/u&amp;gt;&amp;#039;&amp;#039;&amp;#039;].  Note the following: ====&lt;br /&gt;
The Certificate Holder is generally the name of the entity who is requesting the proof of insurance, input their information in &amp;#039;&amp;#039;&amp;#039;SECTION 1:&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
*&amp;#039;&amp;#039;&amp;#039;Certificate Holder Name&amp;#039;&amp;#039;&amp;#039; is who the Certificate will be issued to and should reflect the Name as specified on the insurance requirements provided by the requesting agency.&lt;br /&gt;
*&amp;#039;&amp;#039;&amp;#039;Certificate Holder Street, City, State, Zip and e-mail&amp;#039;&amp;#039;&amp;#039; are the contact details of the Certificate Holder, &amp;lt;u&amp;gt;not&amp;lt;/u&amp;gt; the location of field or facility.&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
The Requestor Information is on behalf of the AYSO entity who will be using the field or facility, input that information in &amp;#039;&amp;#039;&amp;#039;SECTION 2&amp;#039;&amp;#039;&amp;#039;:&lt;br /&gt;
*&amp;#039;&amp;#039;&amp;#039;AYSO Region, Area, or Section #&amp;#039;&amp;#039;&amp;#039; will be selected from the drop down.  If you do not see your Region listed, please contact riskmanagement@ayso.org to be added.&lt;br /&gt;
*&amp;#039;&amp;#039;&amp;#039;AYSO Region, Area, or Section - Contact Name&amp;#039;&amp;#039;&amp;#039; is the name of the authorized person for the Region making the request.&lt;br /&gt;
*&amp;#039;&amp;#039;&amp;#039;AYSO Region, Area, or Section - Contact Email&amp;#039;&amp;#039;&amp;#039; is required so that the insurance broker can clarify any request details if necessary.  This email will also receive a copy of the Certificate once issued.&lt;br /&gt;
*&amp;#039;&amp;#039;&amp;#039;Additional information or Special Verbiage Requested on Certificate&amp;#039;&amp;#039;&amp;#039; is the field where special endorsements or other requirements for use of the facility can be specified.  Be sure to provide the exact information as specified in the insurance requirements documentation, be prepared to provide the insurance requirements if contacted, and note that special verbiage or endorsements will require longer than usual processing times.&lt;br /&gt;
&lt;br /&gt;
=== [[File:Coi request.png|frameless|600x600px]] ===&lt;br /&gt;
&lt;br /&gt;
==== Additional Support ====&lt;br /&gt;
If you are having difficulty completing the online form or feel you have a special circumstance, please email your insurance requirements document and related questions to &amp;#039;&amp;#039;&amp;#039;&amp;lt;u&amp;gt;AYSOCertificates@playershealth.com&amp;lt;/u&amp;gt;&amp;#039;&amp;#039;&amp;#039; [[Mailto:AYSOCertificates@playershealth.com|AYSOCertificates@playershealth.com]]&lt;br /&gt;
&lt;br /&gt;
=== Request a Renewal of a Certificate of Insurance ===&lt;br /&gt;
Certificates of Insurance are generally resent annually.  If you need changes to an existing COI, please complete the online request [https://landing.playershealth.com/ayso-coi-5/ &amp;#039;&amp;#039;&amp;#039;&amp;lt;u&amp;gt;form&amp;lt;/u&amp;gt;&amp;#039;&amp;#039;&amp;#039;] and indicate in the Additional Information field:&lt;br /&gt;
&lt;br /&gt;
# This is a renewal of an existing COI&lt;br /&gt;
# Reason you are requesting changes&lt;br /&gt;
&lt;br /&gt;
=== Proof of Insurance===&lt;br /&gt;
If the facility use simply requires proof of insurance, without specifically being named, you can provide this generic Certificate, or as an interim measure while waiting for a Certificate of Insurance with the Holder&amp;#039;s Name, Additional Information or Special Verbiage.&lt;br /&gt;
&lt;br /&gt;
{{Download|Media:Proof_of_Insurance_25-26.pdf|AYSO Proof of Insurance 25-26}}&lt;br /&gt;
&lt;br /&gt;
===Additional Endorsement===&lt;br /&gt;
An Additional Insured Endorsement is an addendum to the insurance policy that defines coverage provided by the policy to the Additional Insureds. &lt;br /&gt;
&lt;br /&gt;
{{Download|Media:Blanket_Endorsement_25-26.pdf|AYSO Blanket Endorsement 25-26}}&lt;br /&gt;
&lt;br /&gt;
&lt;br /&gt;
===Banned Activities===&lt;br /&gt;
There is no coverage available for the following activities as outlined in AYSO National Policy Statement 2.16 Excluded Activities. Regions are advised that the following activities are excluded from AYSO’s insurance coverage and must not be included as AYSO sponsored activities: &lt;br /&gt;
&lt;br /&gt;
*Inflatable amusement devices which participants can climb or play on.&lt;br /&gt;
* Fireworks or the sale of fireworks.&lt;br /&gt;
*Amusement or carnival rides.&lt;br /&gt;
*Tractor pulls, hay rides or riding on parade floats.&lt;br /&gt;
*Rock climbing walls.&lt;br /&gt;
*Bungee jumping or bungee type rides.&lt;br /&gt;
* Trampolines.&lt;br /&gt;
*Other potentially high risk, non-soccer related activities.&lt;br /&gt;
&lt;br /&gt;
Additionally, AYSO insurance does not cover adults, including registered volunteers, playing in a game of soccer. This exclusion includes coach versus referee goodwill games, parent scrimmages and especially parent versus player scrimmages. Because of the risk of serious injury, under no circumstances should adults engage in scrimmages or games against minors. Adults registered in the AYSO Adult Soccer program will be covered by the Adult Soccer program insurance for official AYSO Adult Soccer activities.&lt;br /&gt;
[[Category:Insurance And Safety]]&lt;br /&gt;
[[Category:Financial Systems]]&lt;/div&gt;</summary>
		<author><name>ayso&gt;Tiffanysosa</name></author>
	</entry>
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