Last Updated - 3/19/24
FRAUD WARNING
ANY PERSON WHO KNOWINGLY, AND WITH INTENT TO INJURE, DEFRAUD, OR DECEIVE ANY INSURER, FILES A STATEMENT OF CLAIM OR AN APPLICATION CONTAINING ANY FALSE, INCOMPLETE, OR MISLEADING INFORMATION IS GUILTY OF A FELONY OF THE THIRD DEGREE.
SAFE OPERATION OF INSURED VESSEL REPRESENTATION
By signing below the applicant(s) represents that there will be no coverage for any applicant, skipper, captain, crew or their passenger(s) while under the influence of alcohol in excess of the legal amount defined by the laws of the state where this policy is delivered or any passenger who has consumed or is under the influence of marijuana in any amount, any illegal drug in any amount, or any prescription drug (Other than marijuana) in excess of the amount prescribed to the passenger by a licensed physician or where a warning exists which indicates that the substance could impair physical or cognitive ability.
BINDING ARBITRATION DISCLOSURE & ACCEPTANCE
This policy includes a binding arbitration agreement if a dispute between us and you, and/or between us and any and all persons making a claim of any kind under this policy of insurance cannot first be settled by mediation. The results of the arbitration are final and binding on the insured and the insurance company. In an arbitration, an arbitrator, who is an independent, neutral party, gives a decision after hearing the positions of the parties. If you accept this policy, you agree to resolve any dispute that cannot be resolved through mediation by binding arbitration instead of a trial in court including a trial by jury. Arbitration takes the place of resolving disputes by a judge and jury and the decision of the arbitrator cannot be reviewed in court by a judge and jury. I have read the above binding arbitration disclosure.
APPLICANT’S ATTESTATION – FLORIDA BOATING SAFETY
The renter applicant hereby attests that they have a valid Florida boating safety identification card issued by the commission, a temporary certificate, or another form of boating certification authorized pursuant to Florida Statute 327.395.
I have been given adequate instruction on the following items:
Coverage is subject to all policy terms and conditions.
As the owner/operator/manager of the rental company above, I acknowledge that our check-out and training process for all participants will include, but is not limited to the following items:
16. If tubing, skiing, wakeboarding, or knee boarding are allowed, all participants will be instructed on the following rules:
The rental facility will:
This document does not in any way amend or modify any legal requirements you have as the rental facility or livery, and it is your burden to comply with all legal requirements. By providing this information, no legal liability or extra-contractual coverage is created or accepted beyond the limits of coverage afforded by your policy. On behalf of the rental company, the signatory below acknowledges the rental company will use a company-accepted checkout form for all rentals.