General Liability Pool Program Forms
- General Liability Accident Report Form
(for use by CFSA GL pool participants only)
- Participant Liability Release Waiver Forms: English Spanish
As soon as possible after an accident/incident has taken place, complete the General Liability Accident Report Form, save it and then email, fax or mail it to CFSA. It’s also advisable to print out and save a copy for your files. This form is only valid for fairs participating in CFSA’s General Liability pool program. If you are a law firm or attorney representing a client, please contact Eugene Chang, firstname.lastname@example.org or (916) 263-6171 to discuss the incident.
Note: This form works best when opened and completed in Internet Explorer. If you use Chrome, Edge or another browser, please print out a copy before attempting to save the document. Unfortunately, saving in these other browsers can result in lost data.
Once completed, please email the report to Mario Castagnola, CFSA risk analyst, at email@example.com. He will confirm with you when your information is received. CFSA’s mailing address is on the form; our fax number is (916) 263-6159.
We strongly encourage that the fair employee responsible for completing the Accident Report Form visits the accident/incident site as quickly as possible and that they take a few photos with a camera or cell phone to document the scene and the circumstances that led up to the accident/incident. Hand drawn diagrams with relevant measurements are valuable too. Note anything that seems unusual as well. The more details you can provide to CFSA, the better for all involved.
Serious injuries should be reported immediately by phone to CFSA’s Executive Director Rebecca Desmond (916) 263-6161. After normal business hours, please call (916) 921-2213 for key contact information. Learn more. >
Participant Liability Release Waiver Forms
Update: April 7, 2020
The COVID-19 waiver is written specifically for CFSA General Liability Risk Pool Members. If CFSA does not provide your General Liability Coverage, please contact your fairgrounds’ insurance carrier or legal counsel as you may deem appropriate, so that they can adapt the waiver to your coverage; please do not use this document without that review. We are sharing this document with everyone in the Fair industry out of a spirit of cooperation and support of the entire Network of California Fairs because we are all in this together.
For CFSA General Liability Risk Pool Members: Those who must sign the COVID-19 waiver include, but are not limited to, the following individuals entering the grounds for fairground-related activities:
- All volunteers, including fair board members
- Horse boarders (and people helping with horse care)
- Anyone working your junior livestock auction activity including any aspect of alternative auction activities (e.g., grading, health exams, transport)
- All livestock exhibitors, parents, and leaders – even if they do not leave their vehicles
- Any service members picking up or dropping off equipment
Individuals that do not need to sign the waiver include:
- Fairground employees
- Anyone working for the agency contracted to provide COVID-19 emergency services on your fairgrounds
Please retain the signed waivers either in hard copy or scanned to a digital file for 36 months from the date of signature.
If you have specific questions about the COVID-19 waivers, please contact:
General Liability Claims Manager Eugene Chang, (916) 263-6171
Risk Analyst Mario Castagnola, (916) 263-6145
Executive Director Rebecca Desmond (916) 263-6161
CFSA’s General Liability pool program provides protection for participant liability as long as your fair makes a good faith effort to obtain participant liability release and waiver forms from all participants in athletic team; equestrian, motorized, or rodeo events; as well as other hazardous participant activities taking place on your fairgrounds. Make sure every participant signs a waiver form BEFORE being permitted to participate in the event or activity. For more information about the effectiveness of participant waivers, please read the waivers article in the June 2019 fyi newsletter.
By signing a participant waiver form, the participant is agreeing to assume any and all risks of bodily injury, including death, or property damage that may arise out of the hazardous nature of the event or activity in which they’re participating. You may use either CFSA’s approved Release and Waiver of Liability Agreement form or the form required by the insurance company of the contractor/renter. Learn more. >