GENERAL INFORMATION - Please complete all questions in this section.
5. Location(s), Dates of Operation, Expected Attendance and Hours of Operation: (List additional locations on separate page)
Note: If Liquor Liability coverage is desired, please contact Kevin Morency for a quote. (Liquor Liability will only be available if we provide the General Liability for your agritainment operation.)
PICK-YOUR-OWN OPERATIONS (See separate sections for Pumpkins and Christmas Trees, if applicable.) Note: Pick-Your-Own coverage will only be available if we provide the General Liability for your agritourism operation.
PUMPKIN FARM TOURS AND SALES
CHRISTMAS TREE SALES
INFLATABLES (Jumping Pillows, Bouncy Houses/Slides, Etc.)
ZIP LINE OPERATIONS
GOLF DRIVING RANGE
COMMERCIAL AUTOMOBILE INSURANCE
UMBRELLA AND WORKERS' COMPENSATION INSURANCE
The information I have provided is true and accurate to the best of my knowledge. I have not willfully concealed or misrepresented any material fact(s) or information. I understand completion of this questionnaire does not compel the company to provide coverage.
Questions? 877-244-9090Kevin Morency | firstname.lastname@example.org Morency & Associates Inc.141 New Shackle Island Rd, Hendersonville, TN 37075Fax: 615-452-6580https://agritainmentinsurance.com/