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Hunting Lease and Timberland
Liability Insurance
The Arkansas Forestry
Association and the Davis-Garvin Agency have joined to provide AFA
members affordable rates for:
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Hunting Lease
Liability Insurance
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Timberland Liability
Insurance
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Combined
Hunting Lease & Timberland Insurance
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PRINT AND MAIL FORMS WITH CHECKS TO AFA
Hunting
Lease Liability Insurance
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Comprehensive General
Liability
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Limit
of Liability
$1,000,000 each occurrence
$2,000,000 aggregate
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Deductible
$0 per
occurrence
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Master policy basis
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Landowners would be listed as
an additional insured party
Named
Insured: AFA-member hunting clubs leasing land from AFA landowner members. A
separate certificate will be issued to each hunting club.
APPLICATION
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Landowner Name: |
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Address: |
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City:
ST: ZIP: |
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Home Ph.: |
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Work Ph.: |
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E-mail: |
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County(ies): |
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Number of Acres to be Covered: |
Leasing from more than one landowner? Attach a separate
sheet with the above information for each.
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Name of Hunting Club: |
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Contact Person: |
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Address: |
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City:
ST: ZIP: |
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Home Ph.: |
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Work Ph.: |
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E-mail Address: |
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Signature: |
Premium Calculation
No. of
acres _______ X
$.19 per acre = $ ___ ______
includes
fire damage liability
($175 minimum)
Add landowner(s)
as a named insured (optional)
(attach name[s]) ___ X
$26 each = $
__ ____ _
Total due for Hunting Lease Liability = $ ____
______
Client
Code: ARKANFOR2
Please make check for insurance premium payable to
Davis-Garvin Agency.
Coverage is subject to approval by Davis-Garvin Agency.
Master policy effective date is August 1, 2007, to August 1, 2008. Applications
received after August 1, 2007, will be effective upon approval and will expire
August 1, 2008.
Timberland
Liability Insurance
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Comprehensive General
Liability
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Limit of Liability
$1,000,000
each occurrence
$2,000,000
aggregate
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Deductible
$250 per
occurrence
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Owners, landlord and tenant
Liability limited to $1,000,000 per occurrence
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Special Master Policy rating
basis
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Liability coverage for the
landowner does not provide protection for owned timber. Separate coverage
is available for fire, lightening, wind, flood, ice and theft. Contact
Davis-Garvin Agency for more information.
Named
Insured: AFA forest landowner member
APPLICATION
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Landowner Name: |
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Address: |
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City:
ST:
ZIP: |
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Home Ph.: |
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Work Ph.: |
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E-mail: |
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County(ies): |
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Number of Acres to be Covered: |
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Describe any past losses: |
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Are locations fenced or posted? Y N
Any
dams/spillways/bridges? Y N
Any leased hunting or commercial
hunting? Y N
Any
property used for mining? Y N
Any watercraft or docks? Y N
Any of the
property leased for farming? Y N
Any buildings? Y N
Are
certificates of insurance required
for leased or commercial hunting? Y N
Any lakes or ponds? Y N
Signature of Landowner
Premium Calculation
No. of
acres ___________ X $.35 per acre =
$
_______
($175 minimum)
Client Code:
ARKANFOR2
Please make check for insurance premium payable to
Davis-Garvin Agency.
Coverage is subject to approval by Davis-Garvin Agency.
Master policy effective date is August 1, 2007, to August 1, 2008. Applications
received after August 1, 2007, will be effective upon approval and will expire
August 1, 2008.
Combined Hunting Lease Liability
& Timberland Insurance
Premium Calculation
No. of
acres _____ ___
X $.50 per acre = $ ___ ___
($200
minimum)
Add landowner(s) as a named insured (optional)
(attach name[s])
X $26 each = $ _
_
Total
due for combined insurance = $ _____________ _
Client Code: ARKANFOR2
Please make check for insurance premium payable to
Davis-Garvin Agency.
Coverage is subject to approval by Davis-Garvin Agency.
Master policy effective date is August 1, 2007, to August 1, 2008. Applications
received after August 1, 2007, will be effective upon approval and will expire
August 1, 2008.
IMPORTANT NOTICE
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Direct all questions related
to insurance coverage to the Davis-Garvin
Agency Hunting Club Department, 1-800-845-3163.
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Direct questions regarding
AFA membership status to the AFA office at (501) 374-2441 or
sglaze@arkforests.org.
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These programs are available
to AFA members in good standing. For Hunting Lease Liability Insurance,
both the hunt club and landowner must be AFA members to qualify.
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Separate checks must be
written to AFA for membership dues and Davis-Garvin Agency for premiums.
Combined checks will be returned.
Check
#1: The insurance
premium must be made payable to Davis-Garvin Agency.
Check
#2: AFA dues must
be made payable to AFA (refer to dues schedule below if joining as a new member
or changing membership category to “forest landowner”).
Mail
all checks and forms to:
AFA Insurance
Program
410
S. Cross St., Ste. C
Little
Rock AR 72201
Join
the Arkansas Forestry Association
Both the
forest landowner and hunting club must be members in good standing of the
Arkansas Forestry Association to participate in this preferred insurance
program.
See dues
schedule.
Please
make check for membership dues payable to Arkansas Forestry Association.
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