Track Premises Liability Application - CGL

PLEASE READ THIS CAREFULLY BEFORE PROCEEDING WITH THE APPLICATION

Please answer all questions fully. If a question does not apply mark it as "N/A" If there is not enough room to answer in the space provided please attach details.

1. This application must be fully completed. All questions must be answered to enable a timely and accurate quotation. If space is insufficient to fully answer questions, please attach a signed continuation sheet. You should retain a copy of the completed application (and of any other supporting information) for future reference.
2. All facts material to the proposed insurance must be disclosed, fully and truthfully to the best of your knowledge and belief. Failure to do so may make the contract of insurance voidable or prejudice your rights.
3. Track users should maintain valid provincial auto insurance coverages with respect to the off-road vehicle being utilized. This directly reduces exposure for track owners and operators.
4. This application is for the Commercial General Liability coverages, this is not an auto policy. It is meant to be utilized strictly along with mandatory signed approved waivers from each facility participant. If the trainee is a minor the parent or guardian must sign on their behalf or jointly.
5. If you have employees you may need to contact your Provincial Worker's Compensation Board to determine if Work Safe coverage is available for injuries to your staff.
6. Users of Tracks should recognize and appreciate they are undertaking a high-risk sport. As Participant exclusions or limitations exist in policies of this nature, track users are expected to sign waivers acknowledging and accepting this risk. Participants must take care and rely exclusively upon their own individual auto, health, life and disability insurances that they prudently arrange.
7. If you also desire property insurance coverage, an accidental death and dismemberment policy or if you are a registered non-profit that also requires a Directors & Offices policy review our website or contact OASIS.

I UNDERSTAND THAT THIS APPLICATION AND ALL INFORMATION SUPPLIED IS RELIED UPON BY THE UNDERWRITER(S) IN DETERMINING WHETHER TO PROVIDE THE INSURANCE COVERAGE HEREIN REQUESTED.