Welcome, Outside User!
AMM – Outside User Liability Application

AMM – Outside User Liability Application

Municipalities are encouraged to make their facilities available for use by community organizations and groups.
Within the AMM General Insurance Program, municipalities have insurance coverage for damage to property caused
by outside organizations, and liability protection for injuries to members of these groups arising from the negligence
of the municipality.


However, these organizations are NOT covered by the AMM General Insurance Program for either property they
may bring into a municipal building, or for injuries or damage arising from their activities on the property. Proper
Risk Management states that users of municipal facilities should provide evidence of liability insurance, at a
minimum limit of $2,000,000 per occurrence.


Various outside groups may have access to event liability insurance from their parent organizations such as Sport
Manitoba, Boy Scouts, and Girl Guides etc. Such groups should confirm for themselves whether such insurance is
already available or enforced.


Through a partnership with PAL Insurance Canada Ltd., Western Financial Group Insurance
Solutions is pleased to introduce the new online AMM Outside User Liability Portal for
all facilities and outside users of municipal facilities. This Outside User Liability Coverage
application has been developed in order to:

  • Provide a quick, safe and easily accessible platform for users to apply, purchase and receive an Outside User Liability Policy for the rental and use of a municipal facility.
  • Promote safe, responsible use of municipal facilities.
  • Reduce the risk of injuries/property damage and subsequent liability risk for municipalities.
  • Process payment directly on the website, using secure payment software, powered by Moneris.
  • Reduce Administrative work for Municipalities. Outside Users, the Municipality, and Western Financial Group, will each receive a copy of the policy and invoice for their respective records.



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Section 1

Reference #
18-110844


Select Policy Document Language: * 
 
Province: * 
 
Search by Event Location or Name of Venue: * 
   
Name of location of event: * 
   
Address of location: * 
   
City: * 
   
Postal Code: * 
   
Limit of Liability (million): * 
 
Is this a private residence, house, farm or field?: * 
               

Section 2

Name of insured/host: * 
   
Address: * 
   
City: * 
   
Province: * 
 
Postal Code: * 
   
Phone Number: * 
   
Email: * 
   
Additional Insured: * 
               

Section 3

Add Additional Insured: If an additional insured is required to be named, please describe the additional insured relationship to the event. Select if the additional insured is the Event Venue or Event City/Municipality and provide their name and address. Then select the ADD ADDITIONAL INSURED. You may add more additional insureds by repeating these steps.
Type: * 
 
 
 
Name Of Additional Insured: * 
   
Address:    
   
City:    
   
Province:    
 
Postal Code:    
   


Section 4

Type of Function / Sport: * 
 
Will there be alcohol served/consumed at any of the activities: * 
               
Number of People / Participants: * 
   
Minors Allowed: * 
               
Approval Code: 
   
Start Date: * 
 
Start Time: * 
 
# of days: * 
 
End Date: * 
 

Section 5

Code (optional): 
   
Brokerage Name: * 
   
First Name: * 
   
Last Name: * 
   
Address: * 
   
City: * 
   
Province: * 
 
Postal Code: * 
   
Email: * 
   
Verify Email: * 
   
Phone: * 
   

Section 6

I /We hereby declare that the answers and declarations above, whether in my own hand or not, are true and that I /we warrant that no material fact has been withheld or misstated and agree that this proposal will form part of the policy and will form the basis of the contract with underwriters. I /we understand that the underwriters may declare any policy issued void in the event of any false statement, misrepresentation, omission or concealment whether made intentionally, innocently or accidentally. For purposes of the Insurance Companies Act (Canada), this document was issued in the course of Lloyd's Underwriters' insurance business in Canada
I/we agree: * 
        
I have reviewed the information above and have ensured it is 100% accurate. I have also included any Additional Insureds that may be required within the Venue’s rental agreement/requirements.
Check to confirm: * 
        
Payment Method: 
 
   

HELPFUL INFORMATION
Here are a few things to try to get your certificate successfully:
  1. Check the screen for any error messages. They will appear in red above the location of the error.
  2. Double check your information to make sure it has been entered correctly.
  3. You can always start over from scratch if you are having issues.
  4. You may want to try a different browser. Sometimes the settings of a certain browser may cause a problem and using a different browser will allow you to complete your submission.

 

CUSTOMER SERVICE
E-mail:  municipalinfo@westernfgis.ca
Phone: 
Western Financial Group
201-600 Empress St.
Winnipeg Manitoba Canada R3G0R5
P: 1-800-665-8990
Hours: Monday- Friday, 8:30 am to 4:30 pm CST

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