• Fairgrounds Insurance Questionnaire

  • Applicant is:

  • FAIR SEASON

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  • 1. Do you require a Certificate of Insurance from all promoters and vendors during the fair?
  • 2. Are there carnival rides?
  • 2a. If yes, are you provided with Certificate of Insurance from the carnival operators?
  • 4. Please indicate if the fair sponsors any of the following activities
  • 4a. Are the activities you indicated above sponsored only during the operating season?
  • 4b. Is there a barrier between the activity and the spectators?
  • 4bi. If yes, what is that distance less than?
  • 5. Do you have grandstands?
  • 6. Do you provide any of the following: security, parking, ushers or first aid station?

  • 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)

  • FAIR OFF SEASON (Only applicable if applicant owns or is responsible for the premises.)

  • 1. Do you require a Certificate of Insurance from all vendors during the non-operating season?
  • 4. Does the 4-H use the fairgrounds at any other time than the week of the fair?
  • 4a. If yes, do they have their own insurance?

  • PROPERTY INSURANCE

  • 1. Do you need Building and/or Content Coverage?
  • Rows
  • 2. Do you need Equipment Coverage?
  • 2a. If yes, total value to insure for?
  • Rows

  • COMMERCIAL AUTOMOBILE INSURANCE

  • 1. Does the business title any automobiles or other operating vehicles in the business name?
  • 2. Is insurance coverage needed for owned automobiles?
  • Rows
  • Rows
  • 3. Do any of the employees, owners or officers drive personally owned automobiles/other vehicles in the course of their work?
  • 3b. Do you verify they have liability coverage?

  • UMBRELLA, COMMERCIAL CRIME, AND WORKERS' COMPENSATION INSURANCE

  • 1. Do you need a Commercial Umbrella?
  • 2. Do you desire coverage for Crime (Employee Dishonesty, Money, Forgery)?
  • 3. Do you need Workers Compensation? (If yes, please contact Kevin Morency.)

  • SIGNATURE

  • 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? 877-244-9090
    Kevin Morency |  kmorency@morencyinsurance.com 

    Morency & Associates Inc.
    141 New Shackle Island Rd, Hendersonville, TN 37075
    Fax: 615-452-6580

    https://agritainmentinsurance.com/

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