Professional Forester's General Liability Application
click here to download a PDF application that can be mailed or faxed.
If you have any questions, problems, or concerns
please contact Outdoor Underwriters at 1-866-961-4101.
Company Information |
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Name of Company* | Email Address* | ||
Representative* | Main Number* | ||
Mailing Address* | Mobile | ||
Fax | |||
City* | |||
State* | How did you find us?* | ||
Zip* | Please describe | ||
Location Address | |||
Business Form* | |||
Desired Effective Date* |
Coverage Limits
Commercial General Liability (Occurrence Form)
Deductible $500.00 Property Damage & Bodily Injury per claim
General Aggregate | $ |
Products & Completed Operations Aggregate | $ |
Personal & Advertising Injury | $ |
Each Occurrence | $ |
Damage to Rented Premises (each occurrence) | $ |
Medical Expense (any one person) | $ |
Foresters Special Liability | $ |
Prior Carrier Information
Insurance Carrier | Limits of Liability | Premium | |
Last Year | |||
Two Years Ago | |||
Three Years Ago | |||
Describe any past losses Please include as much detail as possible including dates, descriptions of incidents, reserves, and amounts. |
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Additional Insured
Name | Complete Address | ||
Interest |
Schedule of Hazards
Number of Forestry Employees* | Total Forestry Payroll* | $ | |
Number of Executive Officers* | Total Executive Officer Payroll* | $ | |
Sub-Contractors Cost | $ | ||
What activities are subs used for? | |||
What percentage of your business is control burn?* |
Required Attachments
- All brochures describing any and all services; or website address above.
- Three years hard copy Loss Runs, if unavailable, provide a no loss letter signed by insured.
You can upload your documents below or email them to [email protected] or fax them to 803-451-5695.
Is Applicant a Graduate, Registered Forester? | |
Give a brief description of applicant’s activities and Operations |
Does the applicant: | |||
Use subcontractors? | * | ||
Work in populated or urban areas? | * | ||
Lease any premises? | * | ||
Operate business on a part-time basis? | * | ||
Draw plans, designs or specifications other than forest management? | * | ||
Use explosives? | * | ||
Own, operate, or lease aircraft or watercraft? | * | ||
Use/distribute/mix/apply pesticides or herbicides? | * | ||
Lease equipment to others? | * | ||
Employ seasonal or migrant labor? | * | ||
Perform work underground? | * | ||
Perform tunneling/excavation/earth moving work? | * | ||
Perform or subcontract logging operations? | * | ||
Perform control burns? | * | ||
Maintain Certificates of Insurance on all subcontractors? | * | ||
Employ only salaried employees? | * | ||
Have formal maintenance and safety programs in effect? | * | ||
Comply with all applicable OSHA standards? | * |
Are you a member of Association of Consulting Foresters (ACF) or Society of American Foresters (SAF)? If so which one: |
Any other information carrier needs to be aware of? |
After you click "Submit Application", your application for a quote will be sent to Outdoor Underwriters, LLC and we will contact you with more information about the Policy and what your Premium will be.
Payments are accepted over the phone via Visa, MasterCard, or by Check/Money Order in the mail.
Submit Application
Payments are accepted over the phone via Visa, MasterCard, or by Check/Money Order in the mail.
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