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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.

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THIS IS AN APPLICATION ONLY AND DOES NOT CONSTITUTE OR IMPLY ANY INSURANCE COVERAGE IS IN FORCE.

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 otherwise 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