Fairgrounds Insurance Questionnaire

Please list the dates below (or provide a separate list with this information.)

	Date of Event	Expected Attendance Each Day
Event 1
Event 2
Event 3
Event 4

1. Do you require a Certificate of Insurance from all promoters and vendors during the fair?

YesNo
2. Are there carnival rides?

YesNo
2a. If yes, are you provided with Certificate of Insurance from the carnival operators?

YesNo
3. What is the total revenue from the fair? (This should include all gate admissions, parking fees, entry fees, space rental from vendors, etc.)
4. Please indicate if the fair sponsors any of the following activities

Tractor PullRodeoDemolition DeryAuto RacingFire Works
4a. Are the activities you indicated above sponsored only during the operating season?

YesNo
4ai. If no, please explain:
4b. Is there a barrier between the activity and the spectators?

YesNo
4bi. If yes, what is that distance less than?

50 feet51-75 feetOver 75 feet
5. Do you have grandstands?

YesNo
5a. If yes, what is the maximum capacity?
5b. If yes, when was the last engineering inspection of the grandstands?
6. Do you provide any of the following: security, parking, ushers or first aid station?

YesNo
6a. If yes, please explain:
7. Please provide a schedule of the fair events. (Last year’s brochure is fine.)

8. Please provide a copy of last year’s financial statements (Include both Income Statement and Balance Sheet)

	Building Age	Building Construction	Building Limit ($)	Content Limit ($)
Building 1
Building 2