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
  1. All brochures describing any and all services; or website address above.
  2. 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?  
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, 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
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