Professional Forester's General Liability Application

Please fill out the online application below or
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
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.

Additional Insured

Name		Complete Address
Interest

Add Additional Insured

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 support@outdoorund.com or fax them to 803-451-5695.

Is Applicant a Graduate, Registered Forester?	Yes No
Give a brief description of applicant’s activities and Operations

Does the applicant:
Use subcontractors?	*	Yes No
Work in populated or urban areas?	*	Yes No
Lease any premises?	*	Yes No
Operate business on a part-time basis?	*	Yes No
Draw plans, designs or specifications other than forest management?	*	Yes No
Use explosives?	*	Yes No
Own, operate, or lease aircraft or watercraft?	*	Yes No
Use/distribute/mix/apply pesticides or herbicides?	*	Yes No
Lease equipment to others?	*	Yes No
Employ seasonal or migrant labor?	*	Yes No
Perform work underground?	*	Yes No
Perform tunneling/excavation/earth moving work?	*	Yes No
Perform or subcontract logging operations?	*	Yes No
Perform control burns?	*	Yes No
Maintain Certificates of Insurance on all subcontractors?	*	Yes No
Employ only salaried employees?	*	Yes No
Have formal maintenance and safety programs in effect?	*	Yes No
Comply with all applicable OSHA standards?	*	Yes No

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, Inc. 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