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Special Event Insurance
Special Event Insurance
$2,000,000 in coverage.
Premiums starting at $75.
Host liquor liability coverage included at no additional cost.
Insurance program administered by an insurance broker licensed in all 50 States.
Owner's Name
*
Contact Phone Number
*
Contact Email Address
*
Name of Business
Organization
Sole Proprietor
Partnership
S-Corp
C-Corp
LLC
Non-Profit
Business Address
Type of Work
Years in Business
*
Years Experience in Industry
Please select at Least 1 of the following Coverage Types:
1.
General Liability (Desired Coverage)
None
$300K to $600K
$500K to $1M
$1M to $2M
2.
E&O Professional Liability (Desired Coverage)
None
$300K
$500K
$1M
$2M
3.
Worker's Compensation (Desired Coverage)
None
$100K to $500K
$500K to $1M
$1M to $2M
4.
Business Auto (Desired Coverage)
None
$100K
$500K
5.
Bond (Desired Coverage)
None
$10,000
$15,000
$25,000
$50,000
$100,000
$100,000+
Vehicle 1 Year
---
Vehicle 2 Year
---
Vehicle 1 Make
Vehicle 2 Make
Vehicle 1 Modle
Vehicle 2 Modle
Vehicle 1 Coverage Requested
Liability
$250 Deductible
$500 Deductible
$1000 Deductible
Vehicle 2 Coverage Requested
Liability
$250 Deductible
$500 Deductible
$1000 Deductible
I have more than 2 vehicles to insure.
Yes
No
Current Auto Insurance Status
Paid In-Force
Just Lapsed (Less than 30 Days)
Just Lapsed (More than 30 Days)
I don't currently have auto insurance.
Business Property
$5,000
$25,000
$100,000
$250,000
$1,000,000
$5,000,000
$10,000,000
Roof (Year Updated)
---
Furnace (Year Updated)
---
Plumbing (Year Updated)
---
Wiring (Year Updated)
---
My Current Insurance Status
Paid In-Force
Just Lapsed (Less than 30 Days)
Just Lapsed (More than 30 Days)
I don't currently have insurance.
Previous Claims
Annual Revenue (Last Year)
Annual Revenue (Upcoming Year)
Number of Employees
Comments
