Add-On – Insurevents

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:

Policyholder Information
Quote or Policy Number (if any)
Policyholder Company Name
Please, do not type in ALL CAPS anywhere on this form.
First & Last Name*
Phone Number*
Email (If you are an insurance broker, use your email & not your clients)*

Venue Information
Name of Venue*
Venue Contact's First & Last name*
Venue Contact's Email
Venue Telephone
Venue Fax
Address*
Mailing Address City State / Province / Region ZIP / Postal Code Country
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 policy
Additional 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/ad
OPTIONAL 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

Accepted file types: pdf, jpg, gif, png, doc, docx, xls, xlsx, Max. file size: 256 MB.
Any additional information we need to know?
Comments
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