California Soccer Association North

Certificate of Liability Insurance Request Instructions

Important! Read all instructions before submitting request to CSAN

1) 45 days prior to the beginning of your season, contact the office of the Field
or Recreation and Parks Department that requires the insurance certificate.

2) Ask for their specific requirements for the Certificate of Insurance.
Documents that are usually required could include:
-Certificate of Insurance
-Additional Insured
-Endorsement
-Any other additional requirements

If they have additional requirements, ask them to provide an example of what is required,
as specific wording is often required on the documents.

3) Fill out the CSAN Certificate of Liability Insurance Request form.
Be sure to state all of the required forms needed by the Field or Recreation and
Parks Department. Attach any examples and include any specific wording
requirements.

4) Submit to CSAN at least 30 days prior to the start of your league’s season.

5) The COI will be ready 2 weeks from the date the completed request was
submitted to CSAN.