Event Planning Form

Event Planning Form
Please complete this form at least 45 days before any event that is not part of your regular programming. This form helps MSC assess insurance needs for your event.

MSC's insurance provider typically requires 45 days to obtain any additional insurance needed for an event. Timely notification of any event you are planning ensures MSC can have any contracts and insurance documents in place in time for your event.
Project Name
Department
Event Name
Start Date and Time

MonthDayYear
Date
Hour MinutesAM/PM Option
End Date and Time

MonthDayYear
Date
Hour MinutesAM/PM Option
Venue/Event Location
Multiple Locations
Venue Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list all event venues and addresses.
Venue as Additional Insured?
Certificate Holder/Additional Insured
COI Certificate Holder/ Additional Insured Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Same Address
Event Description
Will your event involve any of the following?
Will your project be responsible for transporting event participants?
Please note that MSC will require the following:
- Name and driver's license information for all drivers.
- A driver's record check for each driver, conducted by MSC at the project's expense.
- Proof of insurance for all vehicles.
Lobbying?
Please ensure that all expenses related to this event are coded with the Lobbying or Grassroots Lobbying Functional Expense code on the AP Form.
What bills or issues will event attendees lobby on?
Who will event attendees be communicating with regarding the bills or issues?
Is the event located on public/city/county property?
Please attach proof of permit

Cancelof
Based on the information provided, your event will likely require additional insurance coverage or your venue has requested a COI.

Please download this form and complete is as fully as you are able. Once it is complete, please attach it below.

Additionally, after reviewing your event activities, you may receive a notice from MSC requesting all event participants complete a liability waiver, which MSC will provide.
NIA Special Event Endorsement Request

Cancelof
Please ensure that any event related contracts are submitted via the AP Form.

Use the space below to let MSC know about any upcoming contracts related to the event - whether they will be submitted immediately or are still in negotiation.

MSC's Contracts Team will review the contracts and route them for signature.

To be considered legally binding, all contractual agreements are executed between the vendor and Movement Strategy Center, not the FSP. The party the vendor is contracting with is to read "[YOUR FSP NAME], a fiscally sponsored project of Movement Strategy Center" located at "1625 Clay Street, 6th Floor, Oakland, CA 94612."

All contracts and agreements must be signed by MSC's Executive Director.

MSC's special event insurance covers most event activities, but typically requires that vendors have their own coverage. Please upload proof of coverage for any event vendors when submitting contracts through the AP Form.
Please list any anticipated event vendors or contractors.
Submitted By:

First NameLast Name
Email
example@example.com
Project Director (hidden)
Project Director Email (hidden)
example@example.com
PA Email
example@example.com
Project Name as Text (hidden)
FSP Clause
Location Language
Submission Date

MonthDayYear
Date
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Transportation Language
Task Name
Date Language
Please attach all executed vendor agreements. Please note: This attachment is for insurance review only. These attachments will not be submitted for payment.

Attached executed agreements for caterers, performing artists, etc.
Cancelof
OLDInsurance Considerations
Contractor Insurance Upload

Cancelof
Are there outstanding payable for this event? (Please select all that apply)
Contract Upload

Cancelof
Desired Outcome of Event
Estimated Attendance
Will participants pay to attend?
Please describe any security measures that will be in place for this event.
Should be Empty:

Event Planning Form

Please complete this form at least 45 days before any event that is not part of your regular programming. This form helps MSC assess insurance needs for your event.

Based on the information provided, your event will likely require additional insurance coverage or your venue has requested a COI.

Please download this form and complete is as fully as you are able. Once it is complete, please attach it below.

Additionally, after reviewing your event activities, you may receive a notice from MSC requesting all event participants complete a liability waiver, which MSC will provide.

Please ensure that any event related contracts are submitted via the AP Form.