DECLARATION & NOTICE CONCERNING PERSONAL INFORMATION

By submitting this form, you consent to the following:

As the appointed representative of the applicant organization, I have reviewed all parts of this application and declare that all of the information is true and correct to the best of my knowledge. Submission of this document does not bind the Applicant or the Insurer to an insurance contract, but it is agreed that the Application shall be the basis of the contract, should a policy be issued. By submitting this document, I provide Cade Associates Insurance Brokers Limited with my consent to the collection, use and disclosure of personal information and that related to the organization, including that previously collected, for the following purposes:

• Communication with underwriters for the purposes of obtaining a quote and issuing/management of the policy;
• Underwriting of policies;
• Evaluation of claims;
• Detection & prevention of fraud;
• Analysis of business results;
• Purposes required or authorized by law;
• Sharing with the Federation of Ontario Cottagers' Associations, if you are a member, solely for the purpose of confirming membership and to ensure continued improvements to this program for the collective benefit of members.