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

 

  

 

 Annual Show Organizer Application Instructions - Part I

  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:

 

Underwriting
Description of Business/Operations:

Estimated Number of Shows Annually:
Any Loss in the Past 3 Years?:

 

General Liability
Per Occurrence/Aggregate Limit: $1,000,000/$2,000,000
Certificates / Blanket Additional Insureds: Included

Waiver of Subrogation:

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

Liquor Liability:

Recommended for Events with Alcohol

Liquor Sales:

Abuse & Molestation

Each Claim / Aggregate

Product Sales:

Participant Liability:

$1,000,000

 

Excess Liability

Per Occurrence/Aggregate Limit:

 

Automobile

Hired & Non-Owned Liability:

Hired& Non-Owned Physical Damage:

Occurrence / Aggregate

Cost of Hire:

 

Spectators & Participants Medical
Coverage for Spectators:
Coverage for Participants:

 

Equipment Floater

Property Coverage

Owned Equipment:

Unscheduled

Musical Instruments/Band Equipment:

Extra Expense:

P.A./Sound Reinforcement Equipment:

Rented Equipment:

Office Contents:

Theatrical Property:

Rental Reimbursement:

Per Day

 

Inland Marine

Third Party Property Damage:

 

Notes

 

 

 

 

  

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

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