Vendors & Exhibitors Insurance Application
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Insurance Terms & Definitions
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APPLICANT INFORMATION
How did you hear about us?
*
Google
Friend / Colleague
Already a Client
Link from another website
Received an Email / Mail
Select how you found our website.
Insured Name
*
The name of your production company or entity (or individual name if not incorporated) you would like to insure. Use the same name as on your rental quote.
Entity Type
*
Individual
Corporation
Limited Liability Partnership (LLP)
Limited Liability Corporation (LLC)
Joint Venture
Partnership
Trust
Non-Profit
Other
Full Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Confirmation Email
Website
Description of your operations:
*
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EVENT DETAILS
Event Name:
*
Event Start Date:
*
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Month
-
Day
Year
Date
Event End Date:
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-
Month
-
Day
Year
Date
Total Number of Days
*
Event Website
Venue Name:
*
Venue Address:
*
Event Description:
*
Description of what product/service you will be providing at event:
Maximum Daily Attendance (Estimated):
*
Total Attendance (Estimated):
*
Will you hire any subcontractors in conjunction with the event
*
Yes
No
Will the event be open to the public?
*
Yes
No
Will there be any temporary structures built/installed for the event?
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Yes
No
If yes, who is responsible for building/installing the structure?
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Insured
Subcontractor
If a subcontractor is responsible, will they name your company as an Additional Insured on their insurance policy?
*
Yes
No
Does your exhibit include any of the following: Aircraft, Animals (other than pet contests or shows), Camping, Cattle Drives, Childcare Operations, Firearms/Ammunition/Weapons of Any Kind, Fireworks, Food Vendor, Inflatables, Mechanical Amusement Rides, Motorsports, Open Water, Paintball, Parades, Rock Climbing Walls, Rodeos, Tatooing/Body piercing, Temporary skating/skiing/skateboarding structures, or Trail Rides?
*
Yes
No
If yes, please explain:
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GENERAL LIABILITY
General Liability covers payments the insured will become legally obligated to pay as a result of Bodily Injury or Property Damage arising out of an occurrence during live events, performances, etc. Applies to third parties, excluding your own cast and crew, location. Injury to your own cast and crew can be covered under workers compensation, if selected. If you would like a quote with workers compensation a separate application is be required.
Please select a General Liability limit:
*
Exclude
$1M / $2M
$2M / $2M
$3M / $3M
$4M / $4M
$5M / $5M
$6M / $6M
$7M / $7M
$8M / $8M
$9M / $9M
$10M / $10M
LIQUOR LIABILITY
Is Liquor Liability Insurance coverage is needed?
*
Yes
No
Will alcohol be served by a Licensed bartender?
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Yes
No
If No, who will be serving the alcohol?
*
Describe training and/or experience of persons serving alcohol:
*
Average age of attendees:
What measures are in place to prevent the service of alcohol to minor and/or intoxicated persons?
*
Does the Applicant have a valid Liquor License?
*
Yes
No
Will there be an open bar?
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Yes
No
Is BYOB (bring your own bottle) allowed?
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Yes
No
Will alcohol be served by the drink?
*
Yes
No
Estimated alcohol gross receipts?
*
Have you ever been assessed a fine or violation of law concerning the sale, serving or providing of alcohol?
*
Yes
No
If yes, please explain:
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Has the applicant had any occurrences that have arisen out of the sale, serving, or providing of any alcoholic beverage?
*
Yes
No
If yes, please explain:
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Are servers, bartenders and parking valets required to participate in alcohol awareness programs?
*
Yes
No
Is there a designated driver program or escort service provided for those unable to drive?
*
Yes
No
Is there a limit placed on the quantity of alcoholic beverages purchased at one time?
*
Yes
No
If yes, please explain:
*
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RENTED EQUIPMENT COVERAGE OPTIONS
Do you require coverage for rented equipment?
*
Yes
No
Equipment Replacement Value:
*
Will the property be stored overnight?
*
Yes
No
If yes, please provide details on how it will be stored:
*
Will the Insured be responsible for transporting the property?
*
Yes
No
If yes, how will it be protected from damage during transport?
*
If no, who is transporting the property?
*
Is the company transporting the property naming the Insured as Additional Insured on their Insurance policy?
*
Yes
No
Will the property stay in the possession of the Insured at all times prior to returning to rental company?
*
Yes
No
If no, please explain:
*
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AUTO COVERAGE OPTIONS
Do you require Hired/Non-Owned Auto Liability?
*
Yes
No
Cost of hire:
*
Are all drivers at least 25 years of age?
*
Yes
No
Do all drivers have a valid United States drivers license?
*
Yes
No
Do any of the hired vehicles seat more than 12 people?
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Yes
No
What will the vehicles be used for?
*
Do you require a waiver of subrogation?
*
Yes
No
Who is requiring the waiver?
*
What is their involvement in the event?
*
Will any bus or van be hired for the purpose of transporting people?
*
Yes
No
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Additional Information, Comments
Additional Information or Comments, if necessary, can be provided.
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Yes
No
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