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 ProductionInsurance.com
  A Service of Supple-Merrill & Driscoll, Inc.

 

  

 

 Annual Vendor & Exhibitor Application Instructions

  1. Please complete and submit this online application for a free, no-obligation quote.

  2. Please be sure to provide all required information in order to receive a quotation.  

 

Program Information

This is a secure application.  Strong cryptography is implemented via the Secure Sockets Layer protocol.  Our Privacy Policy.

  PDF Application (Fillable)

 

( indicates required information)

Applicant Information

Name of Organization, Individual or Company:
Entity:
Full Name of Contact:
Number:
Fax:
Street Address:
City, State: ,
Zip/Postal Code:

Email:

We will never rent, sell, or share your email address.

Website:
Applicant Type:

Risk Classification
Operations:
Description of Business / Operations:
Total Number of Days:

Number of Shows:

Effective Date:

Insurance History
Any Prior Insurance Coverage?:

Any Loss in the Past 3 Years?:

Inland Marine
Third Party Property Damage:

Rented Equipment:

Equipment of Others

Owned Equipment - Scheduled

Replacement Cost

     Theatrical Property:
     Musical Instruments:
     P.A./Sound Reinforcement Equipment:

Owned Equipment - Unscheduled

Actual Cash Value

     Theatrical Property:
     Musical Instruments:
     P.A./Sound Reinforcement Equipment:
Coverage Enhancements
     Accounts Receivable:
     Business Personal Property:
     Computers:
     Extra Expense:
     Newly Acquired Property:

Any One Item / All Items Combined

     Property Rented of Leased to Others:
     Rental Reimbursement:
     Valuable Records Research:
Terrorism: Included
General Liability ?

General Liability:

$1,000,000/$2,000,000

Occurrence / Aggregate

Certificates / Blanket Additional Insureds:

Included

Waiver of Subrogation:

Primary & Non-Contributory Wording Only if Required by Locations and Vendors

Number of Waivers:

Liquor Liability:

Recommended for Events with Alcohol

Liquor Sales:

Terrorism:

Included

Automobile

Hired/Non-Owned Liability:

Hired/Non-Owned Auto Physical Damage:
 

Occurrence / Aggregate

Cost of Hire:

Number of Loaned or Donated Vehicles / Days:

# of Vehicles

# of Days

Excess Liability
Per Occurrence/Aggregate Limit:

Terrorism:

Included

Workers' Compensation

Available in: AL, AR, AZ, CA, CO, CT, DC, FL, GA, IA, ID, IL, IN, KS, KY, LA, MD, ME, MI, MO, MN, MS, MT, NC, NE, NH, NJ, NM, NV, NY, OK, PA, TN, SC, TX, UT, VA, VT, WV.

In addition, for clients located in the above states, locations can now be added for operations that occur in the following 8 states: AK, DE, HI, MA, OR, RI, SD, WI.

Limits:
Waiver of Subrogation:

All States Endorsement:

Included

Other Than Monopolistic States

Notes

  

  

 

Terms and Conditions

Please carefully review the Terms and Conditions below:

  • Please read all exclusions indicated on quotation.

  • The quotation received is not binding on the Insurer in any way.

  • By clicking 'Submit Application' you are not agreeing to purchase coverage.  Via email, you will receive a free, no-obligation insurance quotation.

  • Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto, commits a fraudulent insurance act, which is a crime and subjects the person to criminal and (NY: substantial) civil penalties. (Not applicable in CO, HI, NE, OH, OK, OR, VT). In DC, LA, ME, TN and VA, insurance benefits may also be denied.
  • Please note that once coverage is bound, the policy cannot be cancelled.

  • The insurance quotation will be based solely on the coverages and limits selected on this application.

  • Please ask your Supple-Merrill & Driscoll, Inc. representative to explain coverage details, exclusions, limits or other provisions of any insurance policy.

Type your name below, to indicate that you have read

and accepted the Terms and Conditions above:

 

 

   

  

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ProductionInsurance.com is the entertainment division of Supple-Merrill & Driscoll, Inc.  California License 0517777.

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ProductionInsurance.com | Annual Trade Show Vendor, Exhibitor & Concessionaire Application