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About
Our Story
Our Community
Testimonials
Careers
Claims Services
COPA
Personal
Business
Benefits
Specialty
International
Contact
Get Quote
English
Français
Camp Renewal Application
This application is necessary to provide us with your camp’s most current information. It is essential that we have complete and accurate information for us to properly insure your camp.
GENERAL INFORMATION
Please review the following information and make changes/amendments/additions as necessary.
Owner of Organization:
*
Name of Camp:
*
Camp Contact:
*
Camp Phone:
*
Off-Season Phone:
*
Fax:
*
Off-Season Fax:
*
Email:
*
Mailing Address:
*
Camp Address:
*
Website:
*
Number of Full-Time Staff:
Number of Part-Time Staff:
Number of Volunteers:
PROPERTY UPDATES
See attached spreadsheet for the property update schedule. This schedule has been revised to provide us with more complete information. Have you made any changes to your property? If so, update as necessary. Also, please advise us if you are planning any new construction this upcoming season. An important concept to be aware of when assessing the value of your property is Co-Insurance. The camp program contains an 80% Co-Insurance clause. What this means is that an insured building must be covered to at least 80% of its replacement value or you will not be fully reimbursed in the event of a loss. We have tried to provide you with replacement minimums, please review your building values to be sure they are adequate. If you have any questions on this contact our office. Contents must be insured to a minimum total value of 35% of the highest valued building. This provides blanket coverage over all contents. It is advisable that you create a schedule for your contents so that this limit is exact. Again, review your contents replacement cost to be sure the value is adequate. Office Equipment Floater - We can now offer an endorsement that will cover office equipment (laptops, computers, photocopiers), at a lower deductible if required or requested.
GENERAL LIABILITY UPDATES
Annual Number of Campers (based on last year). Remember to include all spring, summer, fall sessions, March and Christmas breaks as well. Do not include rentals groups in this number.
Total Annual Campers:
*
Max # of Campers per day:
*
Please indicate the Maximum number of campers for any one day. (i.e. max number of beds, max number of meals served at any one time, max number of day camp spaces available etc.)
Do you run off season sessions?
*
Yes
No
Is your camp in use or open year round?
*
Yes
No
Is the camp provincially accredited?
*
Yes
No
If yes, name of organization:
*
Do you rent to outside groups?
*
Yes
No
If you are renting to outside groups, please remember that you must request their proof of liability insurance.
Do you require weekend group coverage for groups without insurance?
*
Yes
No
The price is $250, which insures you for up to 10 weekend groups.
Do you require Incidental Medical Malpractice coverage for your nurses?
*
Yes
No
The price is $250 per nursing position.
Do you have any non-camp operations? (i.e. school, church, etc.)
*
Yes
No
If yes, please describe:
*
Do you have missionaries working under your ministries name?
*
Yes
No
Do they go outside North America?
*
Yes
No
If yes, for how long?
*
Please describe their missionary work:
*
Do you as an organization conduct any mission trips?
*
Yes
No
Do you have other sources of income? (i.e. Trailer parks, year round leased sites, etc.)
*
Yes
No
If yes, please describe:
*
# of trailer sites?
*
Do you board horses for others?
*
yes
no
If yes, state annual revenue:
Please advise if you have any other operating names that should appear on the policy:
Has any subsidiary organization been created or acquired since the date of the last application?
*
Yes
No
If yes, please provide full details:
Has there been any changes in the scope of operations for the association?
*
yes
no
If yes, please provide full details:
Have any plans for merger, acquisition, consolidation or divestiture been currently approved by the Board of Directors?
yes
no
If yes, please provide full details:
Have there been during the policy period, or is there now pending, any suits, claims or proceedings against this Association or any subsidiary?
yes
no
If yes, please provide full details:
Does the Organization carry out any disciplinary action, review activities or issue licenses and/or permits?
yes
no
If yes, please provide full details:
Total Budget for the next 12 months:
*
Total number of Board Members:
*
Was there a budget deficit in the last year?
*
yes
no
What was the amount of the deficit?
*
Has the deficit been addressed in the new budget or is it being carried forward?
*
What was the reason for the deficit?
*
MISCELLANEOUS
If you have any questions or concerns, please let us know what they might be and we will address them when we return your renewal quote to you.
Activities List
Camp Name:
Summer Activities
*
Select All
Archery Range
Arts and Crafts
Baseball
Basketball
Bicycle Trips
Canoeing Flat Water
Caving
Disc Golf
Environmental Education\ Fishing
Fitness Training
Flag or Touch Football
Geo Caching
Giant Swing
Golf
Gymnastics
Hiking/Backpacking
Horseback Riding
Kayaking Flat Water
Lacrosse
Martial Arts
Mountain Biking
Mountain Boarding
Orienteering
Performing Arts
Photography
Rappelling/Rock Climbing
Recreational Swimming - Pool
Roller Skating/In-Line Skating
Ropes Course/Low Elements
Sailing
Snorkeling
Soccer
Softball
Swimming - Waterfront
Tennis
Trampolines
Volleyball
Wagon Rides
Wakeboarding
Wall/Rock Climbing
Water Spray Pad
Water Tubing/ Water Skiing
Windsurfing
Zip Line
Winter Activities
*
Select All
Arts and Crafts
Basketball
Cross-Country Skiing (not alpine)
Fitness Training
Gymnastics
Ice Skating
Lacrosse
Martial Arts
Performing Arts
Photography
Recreational Swimming - Pool
Snow Shoeing
Snow Tubing
Tobogganing
Volleyball
Wall/Rock Climbing
Referral Activities
*
Select All
Air Rifle Range less then 500' per second
Alpine Skiing/ Downhill
Ice Climbing
Other Hockey Activities
Paintball
Skateboarding
Slingshots
Sports Leagues
White Water Canoeing
White Water Kayaking
White Water Rafting
Wilderness Survival Training
These activities need to be discussed.
High Risk Activities
*
Select All
ATV
Back Country Alpine Skiing
Diving over 30 Feet
Flying
Go Karts
Hang Gliding
Hockey Leagues
Hot Air Ballooning
Motorbikes/Minibikes
Motorcycles
Parachuting
Rifle Range
Rodeo
Scuba Diving
Sea Doo
These activities are not allowed unless confirmed otherwise by our office.
Any other activities?
*
Confirm
I hereby confirm that the information submitted is correct to the best of my knowledge.
Name
*
First
Last
Phone
*
Email
*
Enter Email
Confirm Email
F3-AA-Name-2
This field is for validation purposes and should be left unchanged.
