Exhibitor Liability Application Form

Exhibitor Liability Application Form

Hope in the Land Expo | Carolinian Canada Coalition
This application form is for an Exhibitor Liability insurance policy for Vendors participating in the Hope in the Land Expo. This policy will provide the necessary coverages to satisfy the Expo's insurance requirements, including a $2M Liability limit and Additional Insured status for Carolinian Canada Coalition. Increased liability limits are available for an additional premium - please contact clientservices@cadeinsurance.com for more information.

Thank you for submitting this Application! One of our team will be in touch within 3-5 business days following receipt with next steps!
Your Name*

First NameLast Name
Name of Vendor (eg. Business, Organization Name)*
Named Insured as it should appear on the policy*
Eg. ABC Gifts o/b John Doe if unincorporated sole proprietor; ABC Gifts Inc. if incorporated entity.
E-mail*
example@example.com
Phone Number*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website
Description of Products or Services for sale or promotion at the booth, kiosk or table:*
Do you require coverage if someone is injured by a product you make or sell or by work you have completed? (Products and completed operations coverage - not available for Food & Beverage):*

YesNo
Does your product or work involve any of the following?

Amusement devicesAthletic performance and stuntsATMBaby productsBody piercing and permanent tattooing (on site)CannabisChemicalsChristmas tree lotExplosives (including fireworks/pyrotechnics)Flames/FireFertilizersGamesGoods on consignment and/or unattended boothHealth and wellness testing including but not limited to treatments/services with respect to medical rehabilitation, wellness, physiotherapyHeating pads/blanketsInstallationLicensed or unlicensed or motorized vehiclesLiquid nitrogenLive animalsLottery salesMassage and massage productsMechanical bullOxygens/aromatherapy barsPesticides/pollutantsPharmaceuticals, nutraceuticalsPhotoboothPre-Packaged prepared foreign foodSeafood/Fish (including sushi)Service or repair of products (on site)Time shares salesTobaccoToys that are powered and/or ridingVirtual and/or virtual reality setupsVitamins, health or dietary supplementsWatercraft exhibits in the waterWeapons (including but not limited to knives, firearms, martial arts accessories)Weight loss plans or productsNONE OF THE ABOVE
Confirm that only ONE booth/kiosk/table/stand is setup at any one given time (eg. no second vendor booth at a different event or elsewhere in this event).*

YesNo
Will you have candles at your booth?*

Open flame candlesUnlit candlesNo
Are you operating an artist studio at your private residence as part of a studio tour?*

YesNo
Are you doing e-Commerce (Online Sales) at your booth?*

Online salesPayment method only - Personal Point of Sale (POS) DevicesNo
Will you be selling skin care products/cosmetics including but not limited to lotions and soaps?*

YesNo
Do you require insurance for loss/damage coverage to your own property in your own vendor space?*
Additional underwriting will be required, including information about your property, security measures you will have in place as an exhibitor, and fire safety information.
Will you be serving or selling food or beverages?*

YesNo
Describe the food/beverages for sale/service
Will a deep fryer be used on site?

YesNo
What type of fire suppression system will be used?
Is this a Food Truck and/or Trailer?

YesNo
If cooking/preparing food and/or beverages for onsite consumption, it is required that the health authority/department approved your food stand licensing. Contact the local community health services department for information if you are unsure.

I understand
I hereby declare that the answers and declarations above, whether in my own hand or not, are true and that I 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 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 policy would be issued in the course of Lloyd's Underwriters' insurance business in Canada.*

I Agree
I have reviewed the information above and ensured it is accurate. I understand this is an Application, submitted in order to request a quote for coverage. The submission of this application does not bind me (the undersigned) to purchase insurance, nor does review of the application bind any Insurer to issue a policy.*

I Agree
Should be Empty: