Add An Event To An Existing Policy Or Quote You’ve requested that we add an event to your quote or policy. This is the place to give us the information we need to quote you: Step 1 of 3 33% LinkedInThis field is for validation purposes and should be left unchanged.Policyholder InformationQuote or Policy Number (if any)Please, do not type in ALL CAPS anywhere on this form.Policyholder Company NameFirst & Last Name*Phone Number*Email (If you are an insurance broker, use your email & not your clients)* Event InformationName of Event*Estimated Daily Attendance*Estimated Total Attendance (All Days)*For example: 500 attendance on Friday, 1,000 attendance on Saturday and 1,000 attendance on Sunday would be a total of 2,500 attendance, even if it's the same persons each day.Event Dates*Event Start Time*Event End Time*Start Date of Your Event (Load-In Date)* This should be the first date you move into the venue or the first date you otherwise need your policy to start.What is the Last Date You Will Load-out* This should be the last day you will be in the venue or the last day you would otherwise need your policy.Indoors or Outdoors?*Budget/Cost for this event*Estimated Gross Receipts*Detailed Event Description*If there are musical performances, list all performers names/group names along with the type of music performedDoes the event include any Inflatables, Moon Bounces, Mechanical Rides, Golf Carts (or similar mobile equipment), Camping, Stunts, Pyrotechnics, Special Effects, Aircraft, Pools, Lakes, Rivers, or other Bodies of Water, Games, Car Races, Rides, Animals, Rap Performances, Heavy Metal Performances, Hip Hop performances, Rigging Activities, or any other Hazardous Activities? If yes, provide details.*If you have vendors / subcontractors providing any of these services you should also get named on their policy as an additional insured. Venue InformationName of Venue*Venue Contact's First & Last name*Venue Contact's Email Venue TelephoneVenue FaxAddress* Mailing Address City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Venue's additional insured wording (found in your rental agreement)Or you can upload a copy of your rental agreement below.List anyone else you need named as Additional Insured on your policyAdditional Premium will apply. Include name, any specific wording, complete address and relationship to event.What Per Occurrence limit does the venue require?*What Aggregate limit does the venue require?*Type of Security (Your own, private company, peer group, ushers, etc.)*How many of each*Is security armed?* Yes No Will your event take place at more than 1 location?* Yes No Provide details of all of your other locations*Upload a copy of your venue lease/rental contract & a copy of your flyer/adOPTIONAL but will tell us pretty much everything we need to know on how to structure your policy. Acceptable file types: pdf, jpg, gif, png, doc, docx, xls, xlsx. Maximum File Size: 128MB. Drop files here or Select files Accepted file types: pdf, jpg, gif, png, doc, docx, xls, xlsx, Max. file size: 256 MB. Any additional information we need to know?