Special Event Insurance Quote

Please complete the form below so we can provide you with a quote for the special event insurance quote you are requesting.

Step 1 of 6

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What is Your Name?(Required)

First Last

What is your role in the operation?

CEO, Organizer, Executive Producer, Director, Owner, Marketing, Secretary...

What is the full legal name of your company/operation?(Required)

What type of organization is this?(Required)

Describe your organization's role & responsibility in event(Required)

Hosting, producing, sponsoring, vendor at an event...

What is the mailing address of the organization?(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

E-mail(Required)

Fax

Hahaha who still uses faxes?

Does the event have a website?(Required)

Yes

Please enter the event's website here.

What type of Event is this?(Required)

Please check all that apply

Anniversary Party

Bar/Bat Mitzvah

Beer Garden/Beer Tent

Block Party

Birthday Party

Car Show

Competition or Show

Concerts/Musical Performance

Conventions/Trade Show/Exhibit

Festival

Flea Market

Film Shoot

Fund Raiser

Graduation Party

Individual Vendor Booth at a larger event

Motor Vehicle Race/Show

Music Video Shoot

Parade

Party/Social Event

Photo Shoot

Picnic

Sporting Event/Tournament

Swap Meet

Sweet 16

Theatre Performance

Wedding/Wedding Reception

Other

If OTHER please explain(Required)

What type of shoot is this?

What is the Title/Working Title of this production

What is the name of the music artist(Required)

What Music Category is this for?(Required)

What is the title of the song?(Required)

Please provide a detailed description of the event.(Required)

Please provide a detailed SYNOPSIS of the story.(Required)

Please provide a DETAILED breakdown of the shoots.(Required)

Include a location types, and details on the types of scenes to be shot.

Will any of the following be involved in the shoot?(Required)

NONE OF THESE

Live gangster rap music

Hard-Core or Soft-Core pornography

Stunts

Pyrotechnics

Aircraft, boats, helicopters, motorbikes, snowmobiles, ATVs

Animals

Race tracks or race courses

Blanks, squibs, guns

Other hazardous activities

Please provide details on the above.(Required)

Details means details: usage, frequency, breeds, handlers, stent teams...

Is this event part of a larger function?(Required)

Like a carnival, a street fair....

Yes

If “Yes,” describe(Required)

Is there an admission charge?(Required)

Yes

If “Yes,” what is the cost of admission per person?(Required)

What date will the event start?(Required)

MM slash DD slash YYYY

What date will the event end?(Required)

MM slash DD slash YYYY

What date do you need coverage to start?(Required)

Please account for set up/load in

MM slash DD slash YYYY

What date do you need coverage to end?(Required)

Please account for take down/clean up

MM slash DD slash YYYY

If event dates differs from desired coverage dates, explain

Start Time (HH:MM AM/PM)(Required)

End Time (HH:MM AM/PM)(Required)

What is the name of the venue that the function is taking place at?(Required)

What is the full address of where the event will take place?

Street Address City State / Province / Region ZIP / Postal Code

What type of location is this?(Required)

Check all that apply.

Arena

Catering Hall

Convention Center/Hotel

Fair Grounds

Film Studio

Liquor Licensed Establishment

Other

Private Residence

School

Sound Stage

Stadium

Theater

if "Other" please explain in detail.(Required)

Is the event indoors or outdoors?(Required)

Indoors

Outdoors

Event Details

ESTIMATED ATTENDANCE PER DAY(Required)

TOTAL Attendance for ALL days.(Required)

What is the maximum capacity of facility?(Required)

How many people can the venue hold?

Average age of the attendees?(Required)

Give us your best approximation.

Is this event invite only or open to the public?(Required)

Invite

Public

How many years has the event been previously held?(Required)

Enter 0 (zero) if this is the 1st year for the event.

What was the actual total attendance for Prior Year’s event?(Required)

Does facility you are holding the event at require a contract for usage?(Required)

Yes

Will you be subcontracting any work for this event?(Required)

Yes

What type of labor will be performed by subcontractors?(Required)

What forms of protection are in place with subcontractors?(Required)

Formal Contracts that require them to hold us harmless and indemnify us

They are required to maintain liability insurance

They are required to name us as additional insureds on their liability

They are required to maintain workers compensation

None of the above

Liability Details

What liability limit do you need?(Required)

$500,000

$1,000,000

$2,000,000

OTHER

If OTHER please specify(Required)

What is the total cost to produce this event?(Required)

Enter "0" (zero) if none

What is the projected revenue from this event?(Required)

Enter "0" (zero) if none

Please specify which of the following will be present.

Will the event include any of the following?(Required)

Please check all that apply

Aircraft including drones

Animals (other than pet contests & shows)

Archery

Camping/Overnight exposure

Cannabis including but not limited to edibles, CBD, THC etc

Cattle drives

Childcare operations

Firearms/Ammunition/Weapons of Any Kind

Fireworks/Pyrotechnics

Food vendors

Golf Carts

Hay/Wagon Rides

Inflatables

Mechanical amusement rides

Medical Exams and/or Vaccines

Motorsports

Obstacles

Open Flames

Open water exposure

Paintball

Parade

Rock climbing walls

Rodeos

Tattooing/Body piercing

Temporary Skating/skiing/skateboarding structures

NONE OF THE ABOVE

Please provide details on the above.(Required)

Are Vendors, Attraction Owners and Performers required to carry their own insurance?(Required)

Yes

If “Yes,” what liability limit do you require them to carry?(Required)

Will concessionaires provide you with certificates evidencing products liability with your organization named as Additional Insured?(Required)

Yes

Security

Is security provided by(Required)

Check all that apply

There is no security

Independent Contractors

Your Employees

On-Duty Police

Off-Duty Police

Guard Dogs

Describe the security measures.(Required)

Who contracts security?(Required)

Facility

You , The Applicant

Number of Security Personnel to Be Present?(Required)

If security provided by Independent Contractors, are they required to carry their own insurance?(Required)

Yes

Will there be any Musical Performers or Entertainers at the event?(Required)

MUSICAL/ENTERTAINMENT

Performer Entertainer Name?(Required)

Type of Music(Required)

Local or National Entertainer?(Required)

Local

National

Add a 2nd performer?

Performer 2

Performer Entertainer Name?(Required)

Type of Music(Required)

Local or National Entertainer?(Required)

Local

National

Add a 3rd performer?

Performer 3

Performer Entertainer Name?(Required)

Type of Music

Local or National Entertainer?

Local

National

Add a 4th performer?

Performer 4

Performer Entertainer Name?(Required)

Type of Music

Local or National Entertainer?

National

Local

Entertainment

Is Dancing Permitted at this event?(Required)

Yes

Sporting Events

Will there be any Athletic games at the event?(Required)

Yes

Is this a Professional or Amateur event?(Required)

Professional

Amateur

Number of Games(Required)

Number of Spectators(Required)

How many Adult Participants / Players?

How many Youth Participants / Players?(Required)

Do you need Liquor Liability for this event.(Required)

Liquor liability protects you against claims or suits that arise from the incidental selling or serving of alcoholic beverages. This can include fights, falls, and even DUI's or car accidents.

Yes

Liquor Liability

What is the ESTIMATED number of attendees consuming alcohol each day?(Required)

Will you be the sole alcohol vendor at the event?(Required)

Yes

If “No,” List number of other Vendors serving alcohol(Required)

Are all participating alcohol Vendors required to carry minimum Liquor Liability Limits for the Event?(Required)

Yes

If “Yes,” what is the Minimum Requirement(Required)

Will alcohol be dispensed by a Professional Bartender?(Required)

Yes

If “No,” describe how and by whom alcohol will be dispensed:(Required)

Describe training and or experience of the people serving alcohol.(Required)

What measures are in place to prevent service of alcohol to minor and/or intoxicated persons?(Required)

Is a Liquor License required for this event?(Required)

Yes

Do you have a valid Liquor License for this event?(Required)

Yes

How many bars, stations or areas will alcohol will be dispensed at?(Required)

Will alcohol consumption confined to this (these) areas?(Required)

Yes

If “No,” describe(Required)

Will there be an open bar?(Required)

Yes

Will liquor sold by the drink?(Required)

Yes

What is the average cost per drink?(Required)

What is you estimated DAILY Alcohol Gross $ Sales?(Required)

Is BYOB (Bring your own bottle) permitted?(Required)

Yes

Food

Will food be sold or served?(Required)

Yes

If “Yes,” describe type of food available(Required)

What is you estimated DAILY Food Gross $ Sales?(Required)

Final Underwriting

What are your total Estimated GROSS Receipts for entire period, including admission, food, beverage and concessions?(Required)

Do you need to name any additional insured entities onto this coverage?(Required)

Yes

Additional Insureds

Additional Insured Name(Required)

Additional Insured Address(Required)

Interest In the Event(Required)

Add a 2nd Additional Insured?

Yes please!

2nd Additional Insured

Additional Insured Name(Required)

Additional Insured Address

Interest In the Event(Required)

Add a 3rd Additional Insured?

Yes please!

3rd Additional Insured

Additional Insured Name(Required)

Additional Insured Address(Required)

Interest In the Event(Required)

Prior Insurance

How many years has this event been continuously insured?(Required)

3 or more

Has any insurance carrier cancelled or refused coverage?(Required)

Yes

If “yes”, please explain.(Required)

Last Year's Insurance Information

Total Premium(Required)

Carrier & Policy #(Required)

Total # of Claims(Required)

Total Claim $'s Paid(Required)

Prior year (2 years ago)

Total Premium(Required)

Carrier & Policy #(Required)

Total # of Claims(Required)

Total Claim $'s Paid(Required)

Prior year (3 years ago)

Total Premium(Required)

Carrier & Policy #(Required)

Total # of Claim(Required)

Total Claim $'s Paid(Required)

Final Authorization

What other insurance coverage do you need for this event?(Required)

NONE

Auto Liability

Abuse & Molestation

Damage to Rented Premises

Owned Equipment

Participant's Accident & Medical

Props, Sets & Wardrobe

Rented Equipment

Spectator's Accident & Medical

Third Party Property Damage

Umbrella/Excess Liability

Waiver of Subrogation

Workers Compensation

Do you require Cast & Crew Extra Expense coverage?(Required)

Yes

Select required Cast & Crew Coverge(Required)

Covered Person Extension (without sickness)

Covered Person Extension (including sickness)

Family Bereavement

Will you be transporting passengers for a fee?(Required)

Yes

What Auto Liability Limit do you need?(Required)

$1,000,000

$2,000,000

$3,000,000

$4,000,000

$5,000,000

What Abuse & Molestation Limit do you need?(Required)

$50,000

$100,000

$500,000

$1,000,000

What Damage to Rented Premises Limit do you need?(Required)

$100,000

$200,000

$300,000

$500,000

$1,000,000

$2,000,000

$3,000,000

$4,000,000

$5,000,000

What Owned Equipment Limit do you need?(Required)

$10,000

$25,000

$50,000

$100,000

$150,000

$200,000

$250,000

Other

What Workers Compensation Limit do you need?(Required)

$100,000

$500,000

$1,000,000

What is the operation's Federal Tax ID Number?(Required)

This is required for the workers compensation.

What is the total payroll, in dollars, being generated from this event?(Required)

This is required for the workers compensation.

Please provide a description of the owned equipment to be insured.(Required)

How will equipment be transported?(Required)

Who will be transporting the equipment?(Required)

Where will the equipment be stored?(Required)

Will any equipment be left in an unattended vehicle?(Required)

Yes

What Rented Equipment Limit do you need?(Required)

$10,000

$50,000

$100,000

$250,000

$500,000

Other

What Props/Sets/Wardrobes Limit do you need?(Required)

$25,000

$50,000

$100,000

$250,000

$500,000

$750,000

$,1000,000

$1,500,000

$2,000,000

Other

What type of equipment are you renting?(Required)

What Third Party Property Damage Limit do you need?(Required)

$250,000

$500,000

$1,000,000

$1,500,000

$2,000,000

Other

What Accident & Medical Limit do you need?(Required)

$25,000

$50,000

What Umbrella / Excess Liability Limit do you need?(Required)

$1,000,000

$2,000,000

$3,000,000

$4,000,000

$5,000,000

Other

What is your company's Federal Tax ID Number?(Required)

This is required for the workers comp you requested.

What is your total projected payroll for this event?(Required)

How many full time employees?(Required)

How many part time employees?(Required)

Do you have any specific insurance requirements that you need to satisfy?(Required)

Yes, I will upload them

Yes, I will paste them below

Yes, I will paste them below & upload them because that's just how I roll.

If you have insurance requirements you need to satisfy, please upload them here.(Required)

Drop files here or

Accepted file types: doc, pdf, jpg, Max. file size: 100 MB, Max. files: 4.

If you have insurance requirements you need to satisfy, please paste them here.(Required)

If you have you have a flyer or marketing materials for the event, please upload them here.

Drop files here or

Accepted file types: doc, pdf, jpg, Max. file size: 100 MB, Max. files: 4.

Enter Your Name(Required)

Enter your name to acknowledge the following: 1. No Mechanical Devices or Machinery with Moving Parts 2. No Buildings Over One Story 3. No Chutes, Slides, Trap Doors, Movable or Sharply Inclined Floors 4. No Use of Live Animals 5. No Physical Contact or Jumping Out at Patrons by Actors 6. Warnings Posted for Pregnant Women and/or Those with Heart Conditions 7. No Open Flames 8. All Steps to be well Lighted and Include Handrails 9. Adequate Emergency Lighting 10. Exits Well Marked 11. Buildings Must Meet or Exceed Local Zoning and Fire Codes 12. Hayrides Must Be Tractor Drawn – No Horse Drawn Hayrides 13. Hayrides Must Be On Private Property – No Public Roads