Property Application – Insurevents

Policyholder Information
Your Company Name

Insurance Brokers- DO NOT put your name here. You will be asked for that information on the next screen.
Your Full Name*
Address*
Street Address City State ZIP Code
Primary Phone Number (Preferably Mobile)*
Can this phone accept texts?
- Yes
- No
Click Yes if you would like reminder texts about your quote & policy.
Secondary Phone Number
Can this phone accept texts?
- Yes
- No
Email (If you are an insurance broker, use your email & not your clients)*
Enter Email Confirm Email
Hidden
obsolete 8-20-19
Website
How many years of experience do you have?*
Who referred you to us?
Are you an insurance agent/broker applying for a quote on behalf of your client?*
- Yes
- No
For Insurance Agents & Brokers Only
Your Insurance Agency Name

Remember to enter YOUR email address above, NOT your client's email. Otherwise they will receive automatic notifications and our quote instead of you.
Agents First Name
Agents Last Name
Address
If you're one of our regular brokers, you can skip this part. We'll look you up by your name and email. If you're new, or your address information has change, please continue.

Mailing Address City State / Province / Region ZIP / Postal Code Country
Telephone
Fax
Remember to enter your email address on the previous screen in lieu of your client's email.

Details
Type of Business (Promoter, Sound & Light, Artist, etc.)*
First date property will be in your possession*
MM slash DD slash YYYY
Last date property will be in your possession*
MM slash DD slash YYYY
Total Value of RENTED Equipment/Sets/Props/Contents?*
Total value of OWNED equipment/Sets/Props/Contents?*
Description of all equipment*
Principal Storage Location*
Will the property be in your possession at all times?*
If property is stored overnight explain how it will be kept safe*
Will you be transporting the property at any time?*
Does any of your equipment go underwater?*
Will you travel outside of the U.S. with your equipment?*
Upload a copy of your property schedule which must include Make, Model, & Serial # of all OWNED items valued at more than $500.
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.
Do you rent your equipment to others?*
- Yes
- No
What is the total value of the equipment you rent to others?*
Your previous Insurance company*
Premium paid
List all previous claims*

Options
For RENTED equipment would you like to cover continued rental fees in case of a claim?*
- Yes
- No
If you have a covered claim, this coverage reimburses your rental company for their loss of rental income during your claim handling. The rental company will generally make you responsible for their lost rental opportunity. This coverage has a 72 hour waiting period from the time the claim is reported in writing to us.
Total cost to rent your equipment*
For OWNED equipment would you like to cover the cost to rent replacement equipment in the event of a loss?*
- Yes
- No
If you have a covered claim, this coverage reimburses your rental fees for replacement equipment rented to continue your project.
Estimated cost to rent replacement equipment to complete your project.*
Email
This field is for validation purposes and should be left unchanged.

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Policyholder Information