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Out Of State Rating Class Class low to Moderate Hazard Class 2A‐ Athletic Low to Moderate Class = High Hazard Class 3F – High Hazard Athletic Class 4– Severe Hazard Class R recreational Low hazard SAM HNOA Hazard Definition Schedule on CCSD Event insurance with Special Event Declaration Form signed by Advisor, Principal, Academic Manager – at set rate Athletic activity (not Tackle Football) -Including clubs too varied to mention but includes examples like Dance, Cheer, Wrestling, Lacrosse etc (if in doubt call risk management for clarification) ‐ Slightly higher exposure that non athletic but still manageable with adequate loss prevention ‐Includes Tournament, Camps, Meets (Must meet NIAA Guidelines if applicable) -If any participants go out of NV or are from outside of Nevada RISK exposure IS MUCH HIGHER and Out of State rating applies If adequate risk Control/Management in place, alternative insurance transfer can usually be arranged but on separate policy at unknown rate Tackle Football is a high hazard athletic activity exposure It is difficult to prevent injuries and damages -Rate includes Tournament, Camps, Combines (must meet NIAA Guidelines if applicable) -If any participants go out of NV or are from outside of Nevada RISK exposure IS MUCH HIGHER and Out of State rating applies No possible way adequate risk management controls can be placed to avoid possible severe/catastrophic loss in event of occurrence Hazard is so severe, only insurance available, if any, will not be cost effective Usually involves Violation of regulation or statute Only option for successful managing risk is avoidance Recreational activity either added to event or sole purpose of trip – rate is charged added in addition to standard rate Increased hazard of Sexual Abuse or Molestation driven by inadequate chaperone to student ratio‐ added in addition to standard rate Increased Hazard driven by either not following DOE Transportation guidelines or not using CCSD contracted Charter bus company‐ added in addition to standard rate *NOTE: When attending location with multiple activities, use highest rated activity Rate per participant $2.70 $3.80 Unknown $9.90 Not Applicable $0.60 $20.00 $10.00 Out Of State Hazard class Assignment HAZARD CLASS LOCATION/ACTIVITY ACROBATIS OR GYMNASTIC WORK ANYHEIGHT OVER FLOOR (i.e Balance beams, low and high tight ropes, bars, rings etc.) ASTROCAMP ATV OR ANY OR WHEEL MOTORIZED VEHICLE BACKPACKING BEACH BOAT TRIP (ie dinner cruise) BOATING KAYAKING BOULDERING BOXING BUNGEE JUMPS CAMP OCEAN PINES CAMP PENDLETON CAMPING-ONLY ACTIVITY CAMPS - OTHER - SPONSORED BY CCSD CARNIVAL / FAIR COUNTY CAVES CIMI CLIMBING WALL DISNEYLAND EQUESTRIAN ACTIVITIES GYMNASTICS HANG GLIDING HOT AIR BALLOONS ICE SKATING INFLATABLE EVICES JROTC (Not Air Rifle) (EXCEPT CAMP PENDLETON) JROTC AIR RIFLE KNOTTS BERRY FARM LUGE MAGIC MOUNTAIN MARTIAL ARTS MINI TRAMPOLINES MINING MOTOR SPORTS OF ANY KIND MOTORCYCLE/BMX / MOUNTAIN BIKING MOUNTAIN/ROCK CLIMBING MUSEUM PALI PARACHUTING POLITICAL RALLIES POLO RAFTING RODEO/EQUESTRIAN ACTIVITIES ROLLER SKATING ROPES COURSES RUGBY SAUNA SCUBA / SNORKEL SEACAMP SEAWORLD 4 2 2 4 4 2 REFER 4 4 4 4 REFER 4 4 4 4 4 4 Out Of State Hazard class Assignment SIX FLAGS SKATEBOARDING SKI DIVING SKIING SLEDDING SNOWBOARDING SOUTHERN UTAH UNIVERSITY SURFING SWIMMING TOBAGGANING TANNING DEVICES TOURNAMENTS / COMPETITIONS SPONSORED BY CCSD TRAMPOLINES TUBING UNICYCLE WATER SKIING WATER SLIDES ZION PONDEROSA ZIP LINES ZOO

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