| COMMERCIAL EQUINE OPERATIONS: |
USE THESE APPLICATIONS: |
Insured Must Comply With, Complete and Sign: |
| Horse Boarding, Breeding and Training |
NAHA FORM 00 “Equine Operations Liability Insurance & Membership Application”
(20 Pages) |
NAHA Form 265 (rev. 4.04) |
| Equine Care, Custody and Control Liability |
NAHA Form 265 (rev. 4.04) |
| Horse Sales / Leasing; Equine Products Retail Sales |
NAHA Form 265 (rev. 4.04) |
| Public Use Recreational Trails |
NAHA Form 265 (rev. 4.04) |
| Farrier / Blacksmith; Equine Grooming Services |
N/A |
| Horse Riding, Driving, or Training Instruction |
NAHA Form 265 (rev. 4.04) |
| Equine Related or Assisted Therapeutic Services |
NAHA Form 265 (rev. 4.04) |
| Horse Event/Clinic (non-club or assoc. - annual policy) |
NAHA Form 16 (rev. 3.04) and
NAHA Form 265 (rev. 4.04) |
| Horse Rental, Trail Rides, and Guides and Outfitters |
NAHA Form 265 (rev. 4.04) |
| Guest Accommodations: Guest Ranch / Dude Ranch, Campground, Cabin or Cottage Rental, Bed & Breakfast.., |
Also Include: NAHA Form 54
“Recreational Activities Disclosure” (2 Pages) |
NAHA Form 265 (rev. 4.04) |
| Horse Related Camp Operations (children and adults)… |
Also Include: NAHA Form 54
“Recreational Activities Disclosure” (2 Pages) |
NAHA Form 265 (rev. 4.04) |
| Pony Ride Concession |
|
NAHA Form 265 (rev. 4.04) |
| Horse Drawn Vehicle Ride Concessions (HDV Rides) |
|
NAHA Form 265 (rev. 4.04) |
|
Single Equestrian Activities
(offering only the one service listed) |
|
|
| Farrier / Blacksmith |
If you are only providing Farrier / Blacksmith services & no other equestrian service please use NAHA FORM 293 (3 pages) otherwise use NAHA Form 00 (20 pages) |
N/A |
| Horse Riding Instruction, Horse Driving Instruction, Horse Riding / Driving Services to the Disabled |
If you are only providing one, two, or all three of these services & no other equestrian service please use NAHA FORM 290 (5 pages) otherwise use NAHA Form 00 (20 pages) |
NAHA Form 265 (rev. 4.04) |
| Horse Rental, Trail Rides, and Guides and Outfitters |
If you are only providing Horse Rental, Trail Rides, and Guides and Outfitters services & no other equestrian service please use NAHA FORM 291 (5 pages) otherwise use NAHA Form 00 (20 pages) |
NAHA Form 265 (rev. 4.04) |
| Pony Rides Concession |
If you are only providing Pony Rides & no other equestrian service please use NAHA FORM 289 (5 pages) otherwise use NAHA Form 00 (20 pages) |
NAHA Form 265 (rev. 4.04) |
| Horse Drawn Vehicle Ride Concessions (HDV Rides) |
If you are only providing Horse Drawn Vehicle Ride & no other equestrian service please use NAHA FORM 292 (5 pages) otherwise use NAHA Form 00 (20 pages) |
NAHA Form 265 (rev. 4.04) |
| Tractor Drawn Rides |
If you are only providing Tractor Drawn Rides & no other equestrian service please use NAHA FORM 294 (3 pages) otherwise use NAHA Form 00 (20 pages) along with NAHA Form 295 (1 page) |
N/A |
|
| SMALL, LOW-EXPOSURE EQUINE OPERATIONS: |
USE THESE APPLICATONS: |
Insured Must Comply With, Complete and Sign: |
| Horse Owner |
NAHA Form 141 Application for “Horse Owner / Small Equine Business Operations” (3 Pages) |
NAHA Form 26 (rev.02.05) |
Small Equine Business Operation |
NAHA Form 265 (rev. 4.04)) |
|
May include small boarding, breeding or training activities, but no more than 8 horses on premises at one time.
|
|
| BENEVOLENT EQUINE CLUBS / ASSOCIATIONS: |
USE THESE APPLICATIONS: |
Insured Must Comply With, Complete and Sign: |
| Benevolent Horsemen’s Association or Club (All types) |
NAHA Form 32 Application for: “Benevolent Horsemen’s Association or Club” (3 Pages) |
NAHA Form 16 (rev. 3.04) |
| Clubs that involve firearms carry or use…………….. |
Also Include: 257 (New 5.15.03): “Ben. Club / Association Firearms Carry and / or Use Questionnaire” (1 Page) |
|
| Clubs that provide mounted patrol services………... |
Also Include: 258 (New 6.01.03): “Ben. Club/Association Mounted Patrol Services Questionnaire”
(2 Pages) |
|
|
| SINGLE DAY OR SHORT TERM EVENT: |
USE THESE APPLICATIONS: |
Insured Must Comply With, Complete and Sign: |
| Equine Events, Exhibitions & Competitions |
NAHA Form36 Application For “Equine Events, Exhibitions and Competitions” (2 Pages) |
NAHA Form 16 (rev. 3.04) |
Commercial Equine Short-Term Operations Event(Pony RideorHorse Drawn Vehicle Ride Concession of single day duration and of up to 15 consecutive days in length.) |
NAHA Form154 Application For “Commercial Equine Short-Term Operations Event” (4 Pages) |
NAHA Form 265 (rev. 4.04) |
|
| OTHER APPLICATIONS AND FORMS |
USE THESE APPLICATIONS: |
Insured Must Comply With, Complete and Sign: |
PRIOR INCIDENT / CLAIM DISCLOSURE:
(Complete for all new risks that have had incidents within prior three year period.) |
NAHA Form 254 Prior Incident or Claim Disclosure Form (4 Pages) |
N/A |
INSURED’S STATEMENT OF NO CLAIMS, LOSSES, OR INCIDENTS:
(Complete for risks that have been uninsured during any of the three prior years.) |
NAHA Form 269 (1 Page) |
N/A |
|
| IMORTANT NOTE: All signed Risk Reduction Programs become part of the application for insurance upon which the insured exposures are based. Whether mandatory or suggested, these must always be presented to the risk when applying for insurance so that the prospective insured will know in advance what he / she must comply with to be insured under the NAHA program. |
