EVENT SUBCONTRACTORS

EVENT SUBCONTRACTORS

For AUDIO/VISIAL, & LIGHTING TECHNICIANS
Click here for Insurance Terms & Definitions.
APPLICANT INFORMATION
How did you hear about us?*
Select how you found our website.
Insured Name*
The name of your company or entity (or individual name if not incorporated) you would like to insure.
Entity Type*
Full Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*

Confirmation Email
Website
Description of your operations:*
Federal Tax ID or Social Security Number May Be Required*

I Understand
Annual Sales./Receipts:*
In Business Since:*
Do you have any ees who are currently CTS (certified technology specialists) certified?*

YesNo

Are you a member of the Event Safety Alliance (www.eventsafetyalliance.com)*

YesNo
Are you aware of the Event Safety Guide as published by the Event Safety Alliance?*

YesNo
Are you a member of any other industry trade association? If yes, please list:

	CTS	CTS-D	ATS-I
Nummber of Employees:

GENERAL LIABILITY
Select General Liability Limit:*
Excess Liability Occurrence / Aggregate Limit:*
The excess liability is an additional layer of coverage above the general liability, auto, and employers liability.
AUTO
Hired & Non-Owned Auto Liability:*

IncludeExclude
Cost of Hire:*
Number of Loaned or Donated Vehicles:*
Number of days:*
Will any bus or van be hired for the purpose of transporting people?*

YesNo
Hired & Non-Owned Auto Physical Damage:*

EQUIPMENT FEATURES

	Not Satisfied
Full Time
Part Time