DRONE DAMAGE & LIABILITY POLICY Logo
  • DRONE DAMAGE & LIABILITY POLICY

    Application 20240501
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  • OPERATIONS

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  • SCHEDULE

    UAS equipment that you own or that you rent/lease for more than 30 days
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  • Physical damage coverage also includes physical damage arising from, occasioned by or in consequence of war, hi-jacking and other perils such as malicious damage, sabotage or any unlawful seizure or wrongful exercise of control of the aircraft. 

  • UAS Ground and Payload equipment that you own or that you rent/lease for more than 30 days for which physical damage coverage is required.
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  • UAS Spare Engines and Spare Parts which are owned by you or for which you are legally responsible.
  • NON-OWNED PHYSICAL DAMAGE COVERAGE

  • UAS OPERATORS

  • Will all operations be conducted:

    (a) By operators holding a valid Report Pilot Airman Certificate with Small UAS Rating, or

    (b) Under Section 333 of the FAA Modernization and Reform Act of 2012, or

    (c) Under a Certificate of Authorization or Waiver (public entities only)? 

  • UAS OPERATOR EXPERIENCE, 15 to 54 lbs

    List minimum operator experience required by the applicant to operate UAS:
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  • UAS OPERATORS, EMPLOYED & CONTRACT, 55 lbs and up

    If you operate multiple UAS and use multiple operators, please upload a document with the minimum experience and training applicable to each type of UAS flown at the end of this application.
  • INSURANCE & CLAIMS HISTORY

    If you answer "Yes" to any of the below questions, please upload a document with those details at the end of the application.
  • LIABILITY COVERAGE

    Limits of Insurance
  • ACTS OF TERRORISM UNDER THE TRIPRA

    Coverage for Acts of Terrorism under the Terrorism Risk Insurance Program Reauthorization Act of 2007 and 2015 (TRIPRA). Coverage provided for bodily injury and property damage for which you may be liable for certified acts of terrorism.
  • FRAUD STATEMENTS

  • Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects that person to criminal and civil penalties (In Oregon, the aforementioned actions may constitute a fraudulent insurance act which may be a crime and may subject the person to penalties (In New York, the civil penalty is not to exceed five thousand dollars ($5,000) and the stated value of the claim for each such violation (Not applicable in AL, AR, AZ, CO, DC, FL, KS, LA, ME, MD, MN, NM, OK, PR, RI, TN, VA, VT, WA and WV APPLICABLE IN AL, AR, AZ, DC, LA, MD, NM, RI and WV Any person who knowingly (or willfully in MD) presents a false or fraudulent claim for payment of a loss or benefit or who knowingly (or willfully in MD) presents false information in an application for insurance is guilty of a crime and may be subject to fines or confinement in prison.

    It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the department of regulatory agencies. APPLICABLE IN FLORIDA and OKLAHOMA Anyperson 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 (In FL, a person is guilty of a felony of the third degree

  • APPLICABLE IN KANSAS

  • Any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written statement as part of, or in support of, an application for the issuance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act. APPLICABLE IN MAINE, TENNESSEE, VIRGINIA and WASHINGTON It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits.

  • APPLICABLE IN MINNESOTA

  • A person who files a claim with intent to defraud, or helps commit a fraud against an insurer, is guilty of a crime.

    Any person who knowingly and with the intention of defrauding presents false information in an insurance application, or presents, helps, or causes the presentation of a fraudulent claim for the payment of a loss or any other benefit, or presents more than one claim for the same damage or loss, shall incur a felony and, upon conviction, shall be sanctioned for each violation by a fine of not less than five thousand dollars ($5,000) and not more than ten thousand dollars ($10,000), or a fixed term of imprisonment for three (3) years, or both penalties. Should aggravating circumstances be present, the penalty thus established may be increased to a maximum of five(5) years, if extenuating circumstances are present, it may be reduced to a minimum of two (2) years.

    Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense and may be subject to penalties under state law.

    All particulars herein are declared to be true and complete to the best of my/our knowledge and no information has been withheld or suppressed and I/we agree that this application and the terms and conditions of the policy in use by the insurer shall be the basis of any contract between me/us and the insurer. | hereby authorize the insurer to investigate all or any qualifications or statements contained herein.

  • APPLICABLE IN PUERTO RICO

  • Any person who knowingly and with the intention of defrauding presents false information in an insurance application, or presents, helps, or causes the presentation of a fraudulent claim for the payment of a loss or any other benefit, or presents more than one claim for the same damage or loss, shall incur a felony and, upon conviction, shall be sanctioned for each violation by a fine of not less than five thousand dollars ($5,000) and not more than ten thousand dollars ($10,000), or a fixed term of imprisonment for three (3) years, or both penalties. Should aggravating circumstances be present, the penalty thus established may be increased to a maximum of five(5) years, if extenuating circumstances are present, it may be reduced to a minimum of two (2) years

  • APPLICABLE IN VERMONT

  • Any person who knowingly presents a false statement in an application for insurance may be guilty of a criminal offense and may be subject to penalties under state law.

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  • THIS APPLICATION DOES NOT COMMIT THE INSURER TO ANY LIABILITY NOR MAKE THE APPLICANT LIABLE FOR ANY PREMIUM UNLESS AND UNTIL THE INSURER AGREES TO EFFECT THIS INSURANCE.

     

    ANCO Insurance | Gina O'Hara & Cassie Doolittle | 512-809-8769

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