C‐APP019‐0815 Page2of3
GUIDES AND OUTFITTERS - SUPPLEMENTAL APPLICATION
OPERATIONS / EXPOSURES / CONTROLS
Age of participants include those under the age of 16:
Adult is required to accompany anyone under age 16
Confirm anyone under 16 has a certificate of completion of approved hunter safety course
Boat exposures exist. Number of boats: _______ Types of boats: _______________________________
Boat motors (if any) are 60 HP or less
Length is 26 feet in length or less
Life jackets are required for all riders
Safety gear provided on all boats
Whitewater exposures are level 1 and 2 only, no level 3, 4 or 5
Bicycle tours
Camping exposures
Fishing (other than charter boats or cruises)
Hiking exposures
Insured obtains all required permits and/or permissions if accessing public lands or private property
Hunting exposures
Land that activities occur on is owned by applicant
Land owned by third parties is only used with owner’s permission
Lodging facilities owned by insured (complete Hotel/Motel Supplemental Application)
SUBCONTRACTORS / INDEPENDENT CONTRACTORS
Uninsured subcontractors are not acceptable
Risk Transfer – Subcontractors:
Additional Insured – Status granted to you on the subcontractor’s policy
Certificates of Insurance - Always obtained from a subcontractor prior to any work being done for you
Limits of Liability - Subcontractors are required to carry limits equal or above your own
EMPLOYEES
Guides (whether employees or subcontracted) all have at least two years of experience
Guides have CPR training
RECEIPTS
Receipts from all operations including lodging & miscellaneous
$
Receipts from lodging only
$
Miscellaneous (other) that is not guide, outfitter or lodging
related - Describe:
$
COVERAGE OPTIONS - LIABILITY (check if you would like an optional quote on any of the following)
Employee Benefit Liability – U058
Employment Practices Liability Insurance – U817 (Not available in AR, LA, MT, NM, NY, VT)
High Limits General Liability
Identity Recovery – i.e. Identity Theft – U651
Medical Expense Limit of $10,000 rather than $5,000
Stop Gap Liability – U066