Insurance Definitions
The following information is missing:
Applicant Information
Thank you for your interest in our Special Events product. This product is designed to provide General Liability, Host Liquor Liability and/or Liquor Liability for a one day, multi-day or annual term policy.
Applicant Name
Contact Name
Contact Phone
Contact Email
What is the applicant entity type?
Association
Civil Union
Commercial Trust
Condominium Association
Corporate Partnership
Corporation
Estate
Family Partnership
Governmental Agency
Homeowner Association
Husband And Wife
Individual
Leasing Company
Limited Liability Company
Limited Partnership
Non-Profit Corporation
Partnership
Railroad
Real Estate Trust
Trust
What is the applicant's role in the event?
Host
Vendor
Sponsor
Organizer
Caterer
Catering Service
Performer/Entertainer
Bartending Service
Event Information
Event Location Address
Event Location Address Line 2
Zip Code
City
State
AL - Alabama
AR - Arkansas
CA - California
CT - Connecticut
FL - Florida
GA - Georgia
IL - Illinois
IN - Indiana
IA - Iowa
KY - Kentucky
MD - Maryland
MS - Mississippi
NC - North Carolina
OH - Ohio
OK - Oklahoma
PA - Pennsylvania
SC - South Carolina
TN - Tennessee
TX - Texas
VA - Virginia
Select the Lines of Business to Quote
General Liability
Liquor Liability
Start date of event
End date of event (If one day event, end date should be the same as start date. Quote includes coverage for events continuing past 12:00 AM)
Event Description: Full description of event including details on all activities taking place
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Fraud and Privacy Policy
Underwriting Companies
