Vendor Application – Insurevents

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Vendor Liability Application

Vendor Liability Insurance protects you from financial losses due to injury claims by attendees caused by your negligence, including sickness or injury caused by your products. It covers legal fees and settlements or judgements when you are sued. Coverage is available in all states and insured with an ‘A’ Rated insurance company. This customizable package of insurance products is designed to protect you from liability claims associated with the following sales, services, or displays:

Food & Beverages, Food Trucks, Arts & Crafts, Trade Show / Convention Exhibitors, Farmers Market Vendors, Job Fairs, Retail Carts, Mall Kiosks, Gift Wrap Stands, D J’s, Character Photo Exhibits (Santa, Easter Bunny, etc.) Game Booths, Plus Many More.

"*" indicates required fields

Step 1 of 4

URL

This field is for validation purposes and should be left unchanged.

Policyholder Information

Your Company Name

Please, do not type in ALL CAPS anywhere on this form.

Your Full Name*

First & Last

Entity Type*

Address*

Street Address City State ZIP Code

Primary Phone Number (Preferably Mobile)*

DO NOT place a 1 in front of your telephone number.

Can this phone accept texts?*

Yes

Email (If you are an insurance broker, use your email & not your clients)*

Enter Email Confirm Email

Website

How many years of experience do you have?*

Who referred you to us?

Are you a Non-Profit Corporation?

Yes

Are you an insurance agent/broker applying for a quote on behalf of your client?*

Yes

For Insurance Agents & Brokers Only

Your Insurance Agency Name

Agents First Name

Agents Last Name

Address

Mailing Address City State / Province / Region ZIP / Postal Code Country

Telephone

DO 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.

Information on your 1st upcoming event

Name of Event or Description*

Event Dates*

Event Hours*

Name of Location or Promoter*

Their Contact's First & Last name*

Contact's Email

Contact's Telephone

Address*

Mailing Address City State / Province / Region ZIP / Postal Code Country

Who do you need to name as Additional Insured (found in your rental agreement)*

Enter NONE if there aren't any

What Per Occurrence Limit is Required (found in your contract)*

Note if the location requires less than $1,000,000, we will quote you $1,000,000 which is our minimum and the industry standard.

What Aggregate Limit is Required (found in your contract)*

Note if the location requires less than $1,000,000, we will quote you $1,000,000 which is our minimum and the industry standard.

Does the contract require a Primary & Noncontributory endorsement?*

Higher rates apply if you need it.

Yes

Does the contract require a Waiver of Subrogation endorsement?*

Higher rates apply if you need it.

Yes

Upload a copy of your vendor contract with the Promoter/Location

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?

Resources

Client Services

Resources

Client Services

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Vendor Liability Application

Policyholder Information

For Insurance Agents & Brokers Only

General Information

Information on your 1st upcoming event

Options That Can Be Added To your Policy

Support

Client Services