Hunting Lease Liability Group Insurance Application

2020-2021 Application for Use of Alabama Forest Owners’ Association’s Hunting Lease Liability Group Insurance Policy

HUNTING LEASE LIABILITY INSURANCE COVERAGE

FOR THE SMALL FOREST LANDOWNER

COVERAGE INCLUDES:

General Liability

$1,000,000 per occurrence

$2,000,000 aggregate per hunting club limit

Zero Deductible

2013 Occurrence Form

Hunt Club Member vs. Hunt Club Member Coverage

Hunting Club Guest Liability Coverage

Fire Damage Coverage: $50,000 per occurrence, $1,000 deductible

Med Pay: $1,000

ADVANTAGES:

Landowner certain of adequate coverage

Designed to meet needs of small landowner

Application must be filled out completely in order to be processed.

2020-2021 Policy will become effective August 1, 2020, and will remain in effect to August 1, 2021.

LANDOWNER INFORMATION

Name of Person Representing Landowner (must have legal authority)

Name of Landowner

Last Year’s AFOA Policy Identification Number if available (examples: 190001, 192073)

Mailing Address

City, State & Zip Code

Home Telephone Work Telephone

Fax Number E-mail Address

* Each distinct ownership, whether individual, partnership, trust, corporate, etc., must maintain a membership in AFOA and qualify separately for insurance coverage. AFOA requires that each ownership be represented by the landowner himself or a designated agent with legal authority to act as the landowner's agent (In most cases, the Hunting Club representative is NOT the designated agent with legal authority).

HUNTING CLUB INFORMATION (Landowner should include the following information for each hunting club to be covered; make copies as needed.)

Name of Club Representative

Name of Hunting Club

Mailing Address

City, State & Zip Code

Home Telephone Work Telephone

Fax Number E-mail Address

Number of Members in Club Location of Leased Land: County & State

Lease Price (optional question) $ per acre Other non-cash requirements

Coverage does not apply for commercial hunting operations. Signature:

Hunting Lease Liability Insurance is available to each member of the Alabama Forest Owners' Association (AFOA) on land owned by the member which is leased to a hunting club. Land may be located anywhere in the United States.* Lands that are subleased may not be included. AFOA is taking applications for coverage under its 32nd one-year group policy which will become effective August 1, 2020 and will remain in effect to August 1, 2021. Coverage begins on or after August 1, 2020, based on date of receipt of correctly completed application and full payment. The policy names both the landowner and the hunting club as insured and each receives a certificate of insurance.

This program offers broad coverage, but it must be remembered that the insurance is strictly “hunting lease liability insurance” and does not take the place of liability insurance unrelated to leased hunting activities. Watercraft (longer than 19 feet and/or powered by motors greater than 25 hp) related accidents as well as commercial dove shoots and short term fee hunting are not covered.

It is recommended that all details of the lease agreement between the landowner and the hunting club be written and mutually agreed upon. It is further recommended that the lease agreement require the hunting club to have written by-laws which are subject to approval by the landowner.

Mail Application with 2 Checks payable to AFOA to:

AFOA - Hunting

P. O. Box 361434

Birmingham, AL 35236

Questions: Call (205) 624-2225

Personal Checks or Money Orders are acceptable. An $21 fee will be charged for each “bad check.”

Overpayments of $5+ will be refunded. Overpayments of less than $5 will be retained as a donation.

NOTICE: This form is for new users only. Current users of AFOA’s policy will receive renewal notices in the mail.