Texas Forestry Association Insurance Program Summary
This is a Master Policy.

The Texas Forestry Association Master Policy has an effective date of August 1, 2007 to August 1, 2008.
The effective date of your policy will be August 1, 2007, or the day after the postmark date on the envelope
containing your application and premium payment, if received after that date, until August 1, 2008.

Premiums are not pro-rated if you apply after (the date of the first bound policy).
Premiums are 100% earned and there is no refund of premium if the policy is cancelled mid-term.

The TFA Master Insurance Policy is designed to cover the clubs and its’ members for liability resulting from
bodily injury or property damage to third parties, for which the club or member is legally liable, subject to
policy exclusions.

Named Insured’s: The Scheduled Participants of the Texas Forestry Association Insurance Program
Additional Insured’s: Scheduled landowner(s) who leases land to hunt club(s).
Liability limits:
o $1,000,000 per occurance/$2,000,000 aggregate
o $1,000 medical payments
o $50,000 fire legal liability
o No deductibles.
Club members are shown by endorsement as Additional Insured’s.
Coverage is provided for cross member liability.
The use of ATVs and tree stands is not excluded under the policy.
Guest Liability Coverage
Defense Cost in Addition to the Limit of Liability.

Both the landowner and the hunting club must be current members of the Texas Forestry Association
to participate in this preferred insurance program
Lands that are subleased or used for any commercial hunting activities are not eligible for coverage in
the program.

This insurance application must be fully completed and all questions must be answered. For assistance,
please call the, Outdoor Insurance Group toll free at: 888-683-7808 ext 511. For questions pertaining to
membership of the Texas Forestry Association, please call: 936-632-9461.

All conditions of coverage, terms and limitations are defined and provided for in the policy. This material is
for informational purposes only and is not intended to be a representation of coverage. Please read the
policy for terms and conditions.

Notice: “This insurance contract is with an insurer not licensed to transact insurance in this state and is
issued and delivered as surplus lines coverage under the Texas insurance statutes. The Texas Department
of Insurance does not audit the finances or review the solvency of the surplus lines insurer providing this
coverage, and this insurer is not a member of the Property & Casualty Insurance Guaranty Association
created under Article 21.28-C, insurance Code. Section 12, Article 1.14-2, Insurance Code, required
payment of 4.85 percent tax on gross premium””

 
Hunt Club Name:
Contact Person:
Mailing Address:
City, State, Zip:
Phone:
Fax:
Email:

Club Information
1. Total number of acres leased by your club:
2. Total Acres owned (titled in the name of) by your club:
3. Boats: Are used Are not used.
Coverage for club or member owned watercraft is excluded in this policy.
4. Is your club a commercial business for-profit? Yes No
5. Is your club: open to the public private membership
6. Has your club ever had an incident that resulted in a liability claim or lawsuit?
If yes, provide details:
 Yes No
7. Are non-members allowed to hunt or fish for a fee, unaccompanied by a club member?
If yes, please explain:

(It is acceptable to charge a daily fee to a guest of a club member to hunt while under the supervision and control of the member.) 		Yes No

Landowner Information
#1 Name:
Address:
City, State, Zip:
# Acres Leased:
Location of property:
Current member of Texas Forestry Association: Yes No
#2 Name:
Address:
City, State, Zip:
# Acres Leased:
Location of property:
Current member of Texas Forestry Association: Yes No
#3 Name:
Address:
City, State, Zip:
# Acres Leased:
Location of property:
Current member of Texas Forestry Association: Yes No

Premium Calculation
Number of Aces Leased: x 0.11 = Premium (includsive of taxes)
($150 minimum premium applies, inclusive of taxes)
First Landowner is at no charge. If more than one landowner, add $10 for each additional landowner.
Total Calculated Premium: (including taxes)
Total Number additional Landowners at $10:
Total Amount Due:
Example: Number of Acres Leased x 0.11 = (minimum premium applies, including tax)
Number of landowners: (2 x $10) = (First landowner free)
Total Amount:

PAYMENT INSTRUCTIONS:

Separate checks must be written to TFA and Outdoor Insurance Group. Please refer to rates.

Check #1: The insurance premium must be payable to Outdoor Insurance Group
Check # 2: TFA dues must be made payable to Texas Forestry Association

MAIL BOTH CHECKS AND APPLICATION TO:

Outdoor Insurance Group
ATTN: TFA Program
P.O. Box 20600
Wichita, KS 67208
PLEASE NOTE: Combined payments on one check will be returned

JOIN THE TEXAS FORESTRY ASSOCIATION TODAY

Both the landowner and the hunting club must be members in good standing of the Texas Forestry
Association to participate in this preferred program.

Landowner Membership dues are based on forest acreage:

Up to 500 Acres $50.00 per year
All acreage over 500 $50.00 plus .02 per acre

Hunting Club Membership dues are:

Hunting Club $50.00 per year

Please contact the Texas Forestry Association at 936-632-8733 or at tfa@texasforestry.org to request a
membership application, or refer to TFA’s website at www.texasforestry.org.

The Texas Forestry Association is a private, not-for-profit organization representing a broad range of
members such as timberland owners, foresters, loggers, forest product manufactures and others in the
Texas Forestry Community. TFA’s mission is to promote an economic, social, and political climate that will
advance forestry in Texas. Through education, political action, and public relations, promoting the
understanding and acceptance of forest conservation practices throughout the state, and to serve the broad
needs of the forest resource of landowners, producers, and consumers and to enhance and perpetuate the
Texas forest resource.

THIS IS AN APPLICATION FOR INSURANCE.
THIS IS NOT A BINDER OF INSURANCE.