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Disclosure Notice Under the Financial Institutions Act
Province of British Columbia

The Financial Institutions Act requires that the information contained in this Disclosure Notice be provided to a customer in writing prior to the customer entering a financial transaction.

RE: Application for Insurance for Commercial General Liabilty? Program, Oasis Outdoor Adventure & Sports Insurance Solutions Inc.

  1. Oasis Outdoor Adventure & Sport Insurance Inc. is licensed as a general insurance agent by the Insurance Council of British Columbia.
  2. This transaction is between you and Lloyd's of London, Traveller's and Various MGA's.
  3. In soliciting the transaction described above, I am representing Oasis Outdoor Adventure & Sports Insurance Solutions Inc. which represents Lloyd's of London, Traveller's and Various MGA's.
  4. The nature and extent of my interest in Lloyd's of London, Traveller's and Various MGA's is none.
  5. The nature and extent of Lloyd's of London, Traveller's and Various MGA's interest in me is none.
  6. Upon completing this transaction, I will be remunerated by way of commission or other remuneration which will be paid to me by Oasis Outdoor Adventure & Sports Insurance Solutions Inc., the agency which I represent.
  7. The Financial Institutions Act prohibits Lloyd's of London, Traveller's and Various MGA's or me from requiring you to transact additional or other business with Lloyd's of London, Traveller's and Various MGA's as a condition of this transaction.

I have read the above terms and conditions and agree to proceed with the application.

 

General Liability Application

Application Form
General Business Information for Commercial General Liability

PLEASE READ THIS CAREFULLY BEFORE PROCEEDING WITH THE APPLICATION

  1. I understand that completing and submitting this application does not result in insurance coverage. Coverage is not in effect until I have received written confirmation from OASIS.
  2. I am aware that the information provided in this application must be correct, accurate and current. Incorrect information affecting the risk may result in a denial of insurance coverage at a later date.
  3. I understand that there is a continuing obligation to immediately report to the insurer any changes that are material to the risk during the policy period.
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  18. General Financial Information

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    Insurance History Information

  22. Activity Information

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Where (a) an Applicant for this contract gives false particulars to the prejudice of the insurer or knowingly misrepresents or fails to disclose any fact in any part of this application required to be stated therein; or (b) the insured contravenes a term of the contract or commits a fraud; or (c) the insured willfully makes a false statement in respect of a claim, a claim will become invalid and the Insured’s right to recovery is forfeited. The Applicants have reviewed contents of this application and acknowledge that all the information is true and ' correct and understand that this application for insurance is based on the truth and completeness of this information.

I have provided personal information in this document and I may in the future provide further personal information. Some of this personal information may include, but is not limited to, my credit information and claims history. I authorize my broker or insurance company to collect, use and disclose any of this personal information, subject to the law and to my broker’s or insurance company’s policy regarding personal information, for the purposes of communicating with me, assessing my application for insurance and underwriting my policies, evaluating claims, detecting and preventing fraud, and analyzing business results. I confirm that all individuals whose personal information is contained in this document have authorized that I agree to the above on their behalf.

ABOUT OASIS Outdoor Adventure & Sport Insurance Solutions Inc.

OASIS Outdoor Adventure & Sport Insurance Solutions Inc. offers a national general liability program for accredited ATV, Off Road Trail Bikes and Snowmobile Safety Instructors while providing their courses.

Our specialties include, working with non-profit clubs, trail related exposures, outdoor adventure risks, large commercial, as well as standard line products.

For clients who own pedal bikes, ATV’s, UTV’s Dirt Bikes or Snowmobiles, go to www.insuretoys.ca to find a local broker.

CONTACT US

OASIS Outdoor Adventure & Sport Insurance Solutions Inc.

10020 12th Ave
North Battleford, SK
S9A 3A4
Canada
Phone: 1-306-446-2747
Toll Free 1-866-979-2747
Fax 1-866-488-6122
Email contact form