Theater Production Application

Theater Production Liability Application

Step 1 of 5

Event Details
Name 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*
Total Number of Shows/Performances*
Start Date of Your Policy (Load-In Date)*
MM slash DD slash YYYY

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*
MM slash DD slash YYYY

This should be the last day you will be in the venue or the last day you would otherwise need your policy.
Event Start Time*
Event End Time*
Everyone off the premises by midnight?*
- Yes
- No
Type of Policy (Promoter, Artists, Fair, etc.)*
Admission charge for this event*
Indoors or Outdoors?*
Detailed Event Description*
If there are musical performances, list all performers names/group names along with the type of music performed
If there are any live performances, or athletes, do you want UNPAID participants covered?*
- Yes
- No
Number of UNPAID performers or participants
Paid performers or participants must be covered under Workers' Compensation. You'll be given the option of applying for a Workers' Compensation quote later in this application.
What are their duties?
Number of Non-Food vendors at your event*
Number of Food vendors at your event*
Do you require all vendors to have their own insurance and name you as additional insured?*
Budget/Cost for this event*
Estimated Gross Receipts*

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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.
Does any contract require a Primary & Noncontributory endorsement?*
Higher rates apply if you need it.
- Yes
- No
See "What is a Primary & Noncontributory endorsement" here.
Does any contract require a Waiver of Subrogation endorsement?*
Higher rates apply if you need it.
- Yes
- No
See "What is a Waiver of Subrogation" here.
What Per Occurrence limit does the venue require (found in your rental agreement)*
What Aggregate limit does the venue require (found in your rental agreement)*
Who is supplying security*
Is security armed?*
- Yes
- No
Type of Security (Uniform, peer group, ushers, etc.)*
How many of each*
Type of seating (folding, bleachers, standing, / reserved, general admission*
Will your event take place at more than 1 location?*
- Yes
- No
Provide details (including addresses) of all of your other locations*
Upload a copy of your venue lease/rental contract
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.
Accepted file types: pdf, jpg, gif, png, doc, docx, xls, xlsx, Max. file size: 256 MB.

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Additional Event Details
If event includes any Stunts, Pyrotechnics, Aircraft, Pools, bodies of water, games, attractions, Car Races, Rides, Moon Bounces, Inflatable Activities, or other Hazardous Activities provide details
If you have vendors / subcontractors providing any of these services you should also get named on their policy as an additional insured.
Your previous Insurance company*
Premium Paid
List any previous claims*
Upload a copy of your event flyer or advertisement (Unless your website shows your ad).
Optional. 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?

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Theater Production Liability Application

Step 1 of 5

Policyholder Information

For Insurance Agents & Brokers Only

Event Details

Venue Information

Additional Event Details

Options That Can Be Added To your Policy

Support

Client Services