Sample Insurance Certificate

SAMPLE MEMBERSHIP INSURANCE CERTIFICATE

 

CERTIFICATE                                                                                                                  EFFECTIVE  DATE:
     
CONFIRMATION OF INSURANCE
 
In consideration of the payment of the premiums received, it is understood and agreed that the Member of the New Jersey State Federation of Sportsmen’s Clubs is accepted under the Master Policy for the twelve month period, effective as stated above, and that the Company’s Liability shall be as indicated, subject to the terms and conditions of the Master Policy and of this schedule.

Master  Policy   -   0565060   Lexington Insurance Company. 

Limit of Liability   -    $1,000,000 Combined Single Limit for any one occurrence and in the aggregate for all claims in any one Policy year, as more fully described in the Master Policy.

Immediate notice of any incident or occurrence which may result in a claim or suit covered by this insurance shall  be given to Haines and Haines/T.C. Irons Agency, 230 High Street, Burlington, NJ 08016.

Signed at Burlington, NJ                     by -                  

                                                                                        Authorized Representative

COVERAGE

The company will indemnify the Insured for all sums which the Insured shall be legally obligated to pay as damages and expenses, all as defined by the term “Ultimate Net Loss”, because of:

(a)   Personal Injury, including death at any time resulting therefrom, and
(b)   Property Damage arising out of:
1.        hunting, trapping or fishing for sporting purposes, including loss or injury while in camp;
2.        the legal use firearms, bow and arrow, hunting falcon or fishing equipment, while hunting or fishing, practice shooting or during competition;
3.        all other hunting or fishing related activities sanctioned or sponsored by the New Jersey State Federation of Sportsmen’s Clubs.

(A)   The term “Insured” is defined herein as each member of the New Jersey State Federation of Sportsmen’s Clubs who has enrolled in a membership plan that includes the liability protection stipulated herein and who has paid his or her membership dues in accordance with the plan.

(B)   The period of Insurance coverage coincides with membership which is one full year beginning 12:01 a.m. on the first day of the month following the month of the Insured’s membership enrollment; Insurance is renewed by renewing membership.

(C)   The limit of the Insurer’s liability against such coverage stipulated herein is $1,000,000 for each insured per incident which occurs in the United States of America, it’s territories or possessions, or Canada.

(D)   The Insurance shall be in excess of and shall not contribute with any other insurance any insured may have which would provide insurance for liability as stipulated herein.
 

EXCLUSIONS

I. The insurance shall not apply to Personal Injury or Property Damage:

(a)     which is expected or intended by the Insured, including intentional acts which result in a criminal prosecution and conviction against the Insured;
(b)    arising out of business pursuits of the Insured including the Insured’s products or completed operations;
(c)     arising out of the rendering of or failure to render professional services;
(d)    arising out of the ownership, maintenance or use, loading or unloading of;
(1)    an aircraft;
(2)    a motor vehicle or recreational vehicle whether or not licensed for highway use;
(3)    a watercraft:
(a)     owned by or rented to the Insured with an inboard or inboard-outdrive motor of more than 50 horsepower or a sailing vessel with
or without auxiliary power, 26 feet or more in overall length; or
(b)    powered by one or more outboard motors with more than 25 total horsepower.
(e)     caused directly or indirectly by war, including undeclared war, riot, civil war, insurrection, rebellion, revolution, warlike act by a military force or military personnel, destruction or seizure of use for a military purpose, and including any consequence of these.  Discharge of a nuclear weapon shall be deemed a warlike act even if accidental.
(f)     which is assumed under any contract or agreement, but this exclusion shall not apply to land rented to or controlled by the Insured which is used exclusively for hunting or fishing by the Insured.
(g)     of the New Jersey State Federation of Sportsmen’s Clubs, its officers and directors, except as members of the association as more fully defined in the Master Policy.

II. This insurance shall not apply to Property Damage:

(a)     to property owned by the Insured, rented to, occupied or used by or in the care, custody or control of the Insured.

 III. This insurance shall not apply to Personal Injury:

(a)     to any person eligible to receive any benefits required to be provided or voluntarily provided by the Insured under any  worker’s or workmen’s compensation, non-occupational disability, or occupational disease law.