(1) You (are) (are not) (strike phrase not applicable) insured under a
policy  or  policies  of  insurance  provided  by  the  undersigned  and
providing  liability  coverage  to  renters  of aircraft. If coverage is
provided,   it   is   in    the    following    amount    or    amounts:
$________________________.
  (a)  The  above  insurance  is  subject  to  a  deductible  amount  of
$____________________.
  (2) You (are) (are not) (strike phrase  not  applicable)  insured  for
hull damage to the aircraft. If hull insurance is provided, it is in the
amount of $________________.
  (a) The above insurance is subject to a
deductible amount of $________________.
  (3)  Although  insurance  may  be  provided  for liability and/or hull
coverage,  the  undersigned's  insurance  carrier  has  full  rights  to
subrogate  against  you  for  any payments it may be required to make on
account of any damage or loss arising  out  of  your  operation  of  the
aircraft.  It  is  suggested  that you carry insurance to protect you to
partially or fully cover this possibility.
                                 _____________________________
  (Day)
  (Year)
  2. The notice delivered pursuant to subdivision one  of  this  section
shall  constitute  a  material  part  of  any rental agreement, and each
renter shall give written acknowledgement of receipt of such notice.
  3. Delivery of the above notice to a renter  shall  cover  all  future
rentals,  unless the insurance coverage set forth in the original notice
has been reduced or eliminated.
  4. Copies of the notices provided  for  in  subdivision  one  of  this
section  shall  be  maintained  by the owner for a period of three years
from the last date that the renter has  rented  an  aircraft  from  such
owner.
  5.  Whoever  fails  to  deliver  the  notice  in  accordance  with the
provisions of subdivision one of this section shall be  fined  not  less
than  one hundred dollars nor more than five hundred dollars for a first
offense, and not less than  five  hundred  dollars  nor  more  than  one
thousand dollars for a second or subsequent offense.
Structure New York Laws
241 - Qualifications of Operator; Federal License.
242 - Possession and Exhibition of License Certificate.
243 - Aircraft; Construction, Design and Airworthiness; Federal Registration.
246 - Penalties for Violation of the Foregoing Provisions.
247 - Examination of Wrecked Aircraft Before Destruction or Removal.
248-A - Operation of Aircraft on Certain Lakes in the Town of Lewisboro, County of Westchester.
249 - Location of Privately-Owned Airports.
250 - Service of Summons on Nonresidents or Residents Who Depart From State.
251 - Liability of an Owner of Aircraft.
251-A - Notice of Insurance Coverage in Aircraft Rental Agreements.
251-B - Flight School Background Checks.
251-C - Disqualification of a Flight Instruction School Applicant.