AFFIDAVIT REGARDING LIABILITY INSURANCE FOR FAMILY CHILD CARE HOME

Section A

Subject *

Tags

LIABILITY INSURANCE ( Sectiion B )

I/WE, THE PARENT(S)/GUARDIAN(S) OF

ACKNOWLEDGE THAT

THE LICENSEE OF

HAS INFORMED ME/US THAT SHE/HE DOES NOT OWN THE PREMISES OR IS A MEMBER OF A CONDOMINIUM OR HOMEOWNER'S ASSOCIATION,AND THE LIABILITY INSURANCE, IF ANY, OF THE OWNER/HOMEOWNERS' ASSOCIATION MAY NOT PROVIDE COVERAGE FOR LOSSES ARISING OUT OF, OR IN CONNECTION WITH, THE OPERATION OF THE FAMILY CHILD CARE HOME, EXCEPT TO THE EXTENT THAT THE LOSSES ARE CAUSED BY, OR RESULT FROM, AN ACTION OR OMISSION BY THE OWNER/HOMEOWNERS' ASSOCIATION, FOR WHICH THE OWNER/HOMEOWNERS' ASSOCIATION WOULD OTHERWISE BE LIABLE UNDER THE LAW.

SIGNATURE OF PARENT(S)/GUARDIAN(S)

DATE

Submit

NOTE: The law requires Family Child Care providers to carry liability insurance or bond in the amount of $300,000 annually or to maintain this signed statement in the facility file. Lack of a bond or insurance does not effect the right of parents to bring legal action against the facility.