Hang Gliding and Paragliding Association of Canada

308-1978 Vine St. Vancouver, BC, V6K 4S1
Phone: 877-370-2078, Email: admin@hpac.ca

Site and Special Events Insurance Certificate
APPLICATION FORM

Application made by:

Address:

City: Prov.: Postal Code:

Phone number: Email:

Contact responsible: HPAC Mem. #:

Address:

City: Prov.: Postal Code:

Phone number: Email:

Note: Insurance Certificate will be emailed to Contact Responsible above.

Names of individuals or entities to be listed as Additional Insured: (use complete legal names only, no abbreviations, no nicknames)

 

 

 

 

 

 

 

I (applicant responsible sign here) agree to follow (within the best of my abilities) the guidelines of the HPAC/ACVL regarding Third-Party Site/Events Insurance (next page).

Date:

Insurance Certificate Documentation - Information

The HPAC/ACVL requires that the issuing of any insurance certificate documentation must comply with the following guidelines:

Any site, location, All events and / or demonstrations where insurance has been provided by the HPAC/ACVL, requires that all individuals participating at the site, location, event and or demonstration:

  1. be insured members of the HPAC/ACVL and
  2. have signed the HPAC Waiver.

The HPAC/ACVL expects that a reasonable effort will be made by the applicant to ensure compliance with these guidelines.

Insurance Certificates will only be issued upon receipt of the completed application (previous page).

SPECIAL EVENT REQUIREMENTS

Competition or Fly-In and / or demonstration organizers must ensure that

  1. An Order Respecting Special Aviation Events Safety (or an exemption to the Order) is applied for
  2. where applicable, a NOTAM is applied for (See HPAC Safety Form C-11) and / or
  3. where applicable that competitors (or the organiser) file a "HAGAR" Cross Country notifications to the nearest Flight Information Centre (FIC).

Certificate Fees: There are no fees associated with Site and Special Event Certificates.

All forms and further information is available from the HPAC/ACVL office or the website.

HPAC N-07 Rev.6 2013-02-21