Call us at
1 800 223 9998
1 714 739 3177
FAX us at
1 714 739 3188
(Available in U.S.)
Central Station Alarm:
(Burglary coverage is afforded only with a working central
the amount of insurance required for each category below. The
amount should include the replacement value for items as store
displays, fixtures, computers, furniture, equipment and tools
(including rental equipment), property of others (employee scuba
equipment stored on premises, customer repair equipment, etc.)
and tenant improvements. Inventory value should be reported at
your cost. PADI Members with multiple locations should include
the contents for each category for all locations.
Please explain location:
(This should include all of your dive-related
business. PADI Members with multiple locations should include the total
receipts for all locations.)
will need to complete another application for these locations.
Other business activity, please explain:
STORE/RESORT INSTRUCTIONAL POLICY
Dive Centers and Resorts are able to secure
professional liability insurance for the dive
professionals who provide professional services for
the store at reduced prices. Discount rates are
computed according to the gross receipts for
instructional and supervisory activities. PADI
Members with multiple locations should include the
receipts for all facilities.
of Understanding (This box must be checked)
No charge for Additional Insureds.
receipt and review of the completed application,
Vicencia & Buckley, a division of HUB International will provide your with a total
premium for your approval before coverage is placed.
Upon your acceptance of the policy and premium, credit
card information can be provided to Vicencia & Buckley, a division of HUB International
or a check/money order mailed. Premium Financing is also available.
GDPR Agreement (This box must be checked)
By checking this box...
HUB International Insurance will use the information you provide on this form to be in touch with you and to provide updates and marketing. We will treat your information with respect. For more information about our privacy practices please visit our website. By checking this box, you agree that we may process your information in accordance with these terms.