1. Please confirm applicant acknowledges the below statement
Yes
No
In addition to standard policy exclusions, this policy DOES NOT cover:
Workers' Compensation benefits, or other health, medical, or disability expenses for the policyholder or their employees. This policy excludes "Bodily injury" to any person arising out of and in the course of that person acting on behalf of the named insured, whether through employment, voluntarily, or otherwise.
Athletic or sports participant. This policy is not intended to provide coverage for persons while participating in or practicing for specified equine activities. "Bodily injury" includes injury to any person while practicing, instructing or participating in any physical exercises or games, sports or athletic contest or exhibition for rodeo events (except barrel racing), racing, vaulting, hunts, jousting, or polo matches / practices.
Livery stable operations (horses for hire operations including, but not limited to, trail rides, carriage rides, pony parties)
Any loss arising out of or caused by dogs
Products-completed operations hazard resulting from: the sale of livestock, poultry, or animal of any kind, including but not limited to equines, cattle, dogs, cats and birds; feed mixed or prepared by the insured; tack or equipment sold, rented, loaned, or given to others which has been manufactured or repaired by the insured
Professional services related to tack repairs
Any loss arising out of or caused by communicable disease(s)
Three wheel all-terrain vehicles (ATV)
2. Do any of the following apply to the applicant’s operation?
Yes
No
If any of the below apply to the applicant’s operation, the applicant is ineligible for a Markel Equine Service Professionals or Commercial Equine Liability policy.
Allow rental of saddle animals to be hired by the hour, or for the day to the general public (including but not limited to: hay rides, carriage rides, sleigh rides, trail and endurance rides, pack trips)
Allow trainers, instructors, and / or clinicians under the age of 18 to conduct business on the applicant's premises
Allow stallions to be used for riding instruction not owned, or leased by a student
Manage and / or conduct rodeos
Pony rides as primary operations or held off premises
Process or slaughter animals for meat on premises
House or breed exotic animals
Facility primarily used for veterinary services and rehabilitation
4. Is the applicant a member of any horse related associations
Section 2/4 - Operations
1. Does applicant conduct any other commercial equine operations, i.e. riding lessons, horse training, boarding, breeding, farrier services, clinician?
Yes
No
2. Does the applicant own, lease, or have legal responsibility for property where the applicant's owned horses are kept and/or where the applicant runs their equine operations?
Yes
No
5. Does applicant own or lease horses?
Yes
No
6. Check all services provided. All services you provide must be declared. If not listed, please describe in ‘other’
7. Indicate all equipment owned and/or leased.
Provide a description of your owned and/or leased equipment (to include name of the equipment, cost, make/model and serial number)
9. Does applicant hold certifications in the modality/modalities offered?
Yes
No
10. Are animals held, tied, or contained in a stall for treatment?
Yes
No
11. Any services provided to humans, dogs or other animals?
Yes
No
13. Does applicant have any employees or helpers?
Yes
No
14. Does applicant sell hay or feed?
Yes
No
15. Does applicant sell tack or clothing?
Yes
No
Section 3/4 - Policy information
Previous coverage
3. Has any prior coverage been cancelled (other than non-pay) or non-renewed in the last 5 years?
Yes
No
Coverage selections
1. Select general liability and care, custody and control limits
Option 1
Option 2
Option 3
Options
Liability limit: (occurrence/aggregate)
Care, custody and control / legal liability limit:
Option 1
$300,000 / $900,000
$5,000 / $25,000
Option 2
$500,000 / $1,000,000
$10,000 / $50,000
Option 3
$1,000,000 / $3,000,000
$25,000 / $100,000
Note: Care, custody and control provides legal liability coverage should an applicant be found negligent of an injury or death of an equine not owned by the applicant while in the care, custody and control of the applicant. This coverage includes cost to defend any suit alleging injury or death. This cannot be restricted by contractual or hold harmless agreements. The coverage for the exposure is excluded in most general liability policies. Settlements are based on actual cash value at time of loss. Please read wording in policy coverage form. Those not eligible for this coverage are veterinarians, commercial transporters, rehabilitation centers, and embryo transplant facilities.
2. Does applicant use equine swimming pools, hot walkers, and/or treadmills?
Yes
No
3. Does applicant or any employees transport equines they do not own?
Yes
No
4. Would applicant like to add excess liability to the policy?
Yes
No
Note: For extra protection and additional premium, applicant can select to add excess liability. Excess liability provides an additional layer/limit of liability insurance that will exceed the general liability limit selected on applicant's liability policy.
Does applicant have vehicles titles or leased with a passenger capacity over 15?
Yes
No
