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

  

   

 

 Annual/Multiple Foreign Special Events 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.

  3. If you only have one event, complete the Single Event Insurance Application. 

 

  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 Company / Organization:
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
Operations:
Description of Business/Operations:
Estimated Number of Events Annually:
Any Loss in the Past 3 Years?:

 

General Liability 

General Liability:

Occurrence / Aggregate

Liquor Liability:

Recommended for Events with Alcohol

Waiver of Subrogation:

Included

 

Contingent Automobile Liability

Hired/Non-Owned Liability:

Hired/Non-Owned Auto Physical Damage:

Occurrence / Aggregate

 

Inland Marine

Property Coverages

Unscheduled Owned Equipment:

Rented Equipment, Props, Sets & Wardrobes:

Terrorism:

Included

 

Notes

 

 

 

 

 

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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 Foreign Events Application