Click Here For Policy Features Theater Production Liability Application Step 1 of 5 20% FacebookThis field is for validation purposes and should be left unchanged.Policyholder InformationPlease, do not type in ALL CAPS anywhere on this form.Your Company Name (if any. If none, leave blank)The company name on the policy should be the same legal entity signing the rental agreement, contract, or permit, if any. This is NOT the place to put the name of the location or event name. You will be asked for that information later. Insurance Brokers- DO NOT put your name here. You will be asked for that information on the next screen.The company name on the policy should be the same legal entity signing the rental agreement, contract, or permit, if any. ---------- This is NOT the place to put the event location or event name. You will be asked for that information later. ---------- Insurance Brokers- DO NOT put your name here. You will be asked for that information on the next screen. Your First & Last Name(Required)Policyholder or Contact person's First & Last Name ONLY. Do not enter anything else here except a persons name.Entity Type(Required)-IndividualDBACorporationLLCNonprofit CorporationPartnershipAddress(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Primary Phone Number (Preferably Mobile)(Required)DO NOT place a 1 in front of your telephone number.Can this phone accept texts?(Required) Yes No Click Yes if you would like reminder texts about your quote & policy.Email (If you are an insurance broker, use your email & not your clients)(Required) Enter Email Confirm Email This field is hidden when viewing the formObsolete as of 8-20-19 Website AddressHow many years has this event occurred in the past?(Required)Who referred you to us?Are you a Non-Profit Corporation?(Required) Yes No Is this insurance for a Wedding?(Required) Yes No Bride's First & Last Name(Required)Groom's First & Last Name(Required)Are you an insurance agent/broker applying for a quote on behalf of your client?(Required) Yes No For Insurance Agents & Brokers OnlyYour Insurance Agency Name(Required)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(Required)Agents Last Name(Required)Can we text you with important quote updates?(Required) Yes No Send texts to(Required)AddressIf 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 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 Office TelephoneDO NOT place a 1 in front of your telephone number.Remember to enter your email address on the previous screen in lieu of your client's email. Event DetailsName of Event(Required)Estimated Daily Attendance(Required)Estimated Total Attendance (All Days)(Required)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(Required)Total Number of Shows/Performances(Required)Start Date of Your Policy (Load-In Date)(Required)Include first Rehearsal date, if any. 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(Required) 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(Required)Event End Time(Required)Everyone off the premises by midnight?(Required) Yes No Admission charge for this event(Required)Indoors or Outdoors?(Required)Detailed Event Description(Required)Are there any musical performances?(Required) Yes No Provide performers names &/or group names & include their genre (the type of music performed)(Required)If there are any live performances, or athletes, do you want UNPAID participants covered?(Required)PAID performers will require workers' compensation insurance which you can apply for at the end of this application. 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(Required)Number of Food vendors at your event(Required)Do you require all vendors to have their own insurance and name you as additional insured?(Required)Budgeted Cost for this event(Required)Estimated Gross Receipts(Required)Total income, including entry fees, concessions, sponsorships, etc., you are making from the event. If nothing, enter 0. Venue InformationName of Venue(Required)Venue Contact's First & Last name(Required)Venue Contact's Email Venue TelephoneAddress(Required) Location 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.Does any contract require a Primary & Noncontributory endorsement?(Required)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?(Required)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)(Required)Note if the venue requires less than $1,000,000, we will quote you $1,000,000 which is our minimum and the industry standard.What Aggregate limit does the venue require (found in your rental agreement)(Required)Note if the venue requires less than $1,000,000, we will quote you $1,000,000 which is our minimum and the industry standard.Who is supplying security(Required)Is security armed?(Required) Yes No Explain why there is the need to have armed security at your event.(Required)Most insurance companies will not quote you if you are hiring armed security unless they are uniformed police officers.Type of Security (Uniform, peer group, ushers, etc.)(Required)How many of each(Required)Type of seating (folding, bleachers, standing, / reserved, general admission(Required)Will your event take place at more than 1 location?(Required) Yes No Provide details (including activity, location names, addresses and attendance) of all of your other locations(Required)Upload a copy of your venue lease/rental contractOPTIONAL 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. Additional Event DetailsDoes 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.(Required)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(Required)Premium PaidList any previous claims(Required)Upload a copy of your event flyer or advertisement (Unless your website shows your ad).Optional. 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? Options That Can Be Added To your PolicyAdditional premium will apply. Would you like a quote for the sale or serving of alcohol? (Liquor Liability)(Required) Yes No Are you directly selling, serving, sharing income from the sale of alcohol, or have a liquor license in your name?(Required) Yes No Then why do you feel you need a liquor liability policy?(Required)Estimated total liquor sales? (All Days Combined)(Required)Name on Liquor License(Required)How will you prevent serving minors & the intoxicated?(Required)Describe the training & experience of persons serving alcohol(Required)Number of patrons you will serve? (All Days Combined)(Required)Average age of attendees?(Required)Average cost of a drink?(Required)Would you like a quote for Rented/Borrowed Auto Liability?(Required)This insurance only covers liability, not physical damage (collision or comprehensive). We recommend you purchase collision damage waiver coverage from the rental company. Golf carts or other mobile equipment are not Autos unless licensed/registered for road use. Yes No Is this coverage needed only because the venue contract / permit requires it? Or will you be renting vehicles or have employees / volunteers drive their own car for errands?(Required) I only need it because it is required in my contract. I will be renting vehicles or have employees/volunteers use their vehicles. Number of vehicles you will rent or borrow?(Required)Your cost to rent the vehicles?(Required)Are all drivers at least 25 years old?(Required)Any vehicles seat more than 12 persons?(Required)What will the vehicles be used for?(Required)Would you like a quote for Rented &/or Owned Equipment?(Required) Yes No Date rented equipment is being picked up(Required) Date the last of the equipment is returned(Required) Description of all equipment(Required)Describe protection / security at principal location(Required)Total Value of RENTED Equipment/Sets/Props/Contents?(Required)Total value of OWNED equipment/Sets/Props/Contents?(Required)Owned property also requires an itemized schedule of the equipment including: Item Name / Model / Serial # / Replacement Cost. Email the schedule to support@insurevents.comWould you like a quote for Volunteer / Staff / Performer Accident Medical?(Required)This coverage is not a substitution for workers' compensation insurance which may be required in your state. Yes No Number of Daily volunteers?(Required)Number of Daily staff?(Required)Number of Daily Performers &/or Participants?(Required)Do not include Volunteers or Staff that you have included above. Do not include staff of independent contractor companies. They cannot be covered. They need their own policy.Describe what duties the Participants (if any) will have(Required)Would you like a quote for Rain (Weather) Insurance?(Required)Requires you to submit at least 10 days in advance of your event date. Yes No Coverage Date(s)(Required)Policy Limit(Required)Coverage Time Begins(Required)Coverage Time Ends(Required)Would you like a quote for Event Cancellation/Non-Appearance Insurance?(Required)Requires you to submit at least 21 days in advance of your event date. Yes No For outdoor events, is the performance area under a cover/roof? Explain.(Required)Budgeted Total Gross Receipts?(Required)Budgeted Total Expenses?(Required)Would you like a quote for an Annual Policy?(Required) Yes No Estimated number of events over the next 12 months?(Required)Average Attendance per event?(Required)For each event provide us with Event Name/Type of Event/Event Dates/Total Attendance Per Event(Required)