Event Cancellation Insurance Application

  • Event Cancellation Insurance Application

  • Click here for Insurance Terms & Definitions.

  • APPLICANT INFORMATION

     

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  • EVENT DETAILS

  • Event Start Date:*
     - -
  • Event End Date:*
     - -
  • Has this/have these performance(s) or event(s) been held before?*
  • Is/are the performance(s) or event(s) part of a larger production, promotion, series, or tour?*
  • Rows
  • Event will be held:*

  • Will the event require construction work?*
  • Will adverse weather conditions preclude the fulfillment of event?*
  • Would the non-appearance of any individual, group, act, team, etc. preclude the fulfillment of the event?*

  • UNDERWRITING QUESTIONS

  • If the performance(s) or event(s) has/have been held before under the present management or any other, hasthere ever been a loss?*
  • Has the Applicant sustained any loss or damage during the last five years which would have been covered by thistype of insurance had it been in force?*
  • Has the Applicant had similar insurance (as applied for herein), declined, cancelled, or renewal refused?*
  • Are there any other material facts or items of information with regard to the proposed performance(s) or event(s)which should be disclosed? (A material fact is one likely to influence acceptance or assessment of this proposalby underwriters).*

  • COVERAGE OPTIONS

  • Non-Appearance:*
  • Rows
  • Has any person to be insured have any history of non-appearance?*
  • Has any provision been made for understudies or substitutes?*
  • Is/are the person(s) to be insured suffering from any physical, psychological or other medical conditions? Is/are the person(s) to be insured undergoing any form of medical or other treatments? Is/are the person(s) to be insured following any prescribed medical regime?*
  • Have all necessary arrangements for the successful fulfillment of the performance(s) or event(s) to be insured been made?*
  • Have all necessary licenses, visas, and/or permits been obtained and have all contractual arrangements been confirmed in writing?*
  • If the performance(s) or event(s) has/have been held before under the present management or any other, has there ever been a loss?*
  • Has the Applicant sustained any loss or damage during the last five years which would have been covered by this type of insurance had it been in force?*
  • Has the Applicant had similar insurance (as applied for herein), declined, cancelled, or renewal refused?*
  • Are there any other material facts or items of information with regard to the proposed performance(s) or event(s) which should be disclosed? (A material fact is one likely to influence acceptance or assessment of this proposal by underwriters).*
  • Door Registration Receipts:*
  • Personal Property:*
  • Reduced Attendance*

  • Additional Information, Comments

  • Would you like to receive our quarterly newsletter?*

  • NY License # BR-1001302          

    CA License   # 0I36156 - dba in CA as New York Film Emporium Insurance Services

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