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

 

   

 

 Promoters Insurance 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 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 Information

Operations:
Description of Business/Operations:

 

Insurance History
Any insurance declined or cancelled in the past 3 years?

Yes  No

Any prior insurance coverage?

Yes  No

Any loss in the past 3 years?

Yes  No

 

Procedures
Years of Industry Experience:

Is a standard contract used with all facilities?

Yes  No

Is a standard contract used with Artists/Performers/Talent?

Yes  No

Does the contract require the artist to name you as Additional Insured?

Yes  No

Who is responsible for injury to the spectators?

Promoter  Venue

Are Security personnel subcontracted from a third party?

Yes  No

Are certificates of insurance obtained?

Yes  No

 

General Event Information
Typical Types of Events:

Will any events have stunts, pyrotechnics, or other hazardous activities?

Yes  No

Any rap/hip-hop concerts or events with live rap/hip-hop music?

Yes  No

Estimated number of events/shows for the upcoming year:

Average number of attendees per event:

Maximum number of attendees per event:

 

Events & Admissions
        Previous 12 Months Upcoming 12 Months
        # of Events Admissions #of Events Admissions
Concerts (other than rap/hip-hop):
Concerts (rap/hip-hop):
Festivals (camping, music):
Festivals (camping, no music):
Festivals (no camping, no music):
Trade Shows:
Other Events:

 

Revenue
   

  Previous 12 Months

Upcoming 12 Months

Concession Sales Other Than Liquor:

Ticket Sales:

Other Sales:

 

Coverage Term

Effective Date:

Annual Policy Period

 

Inland Marine
Rented Equipment:
Rented Props, Sets, Wardrobe:
Third Party Property Damage:
Office Contents:
Business Income/Extra Expense:

Hired & Non-owned Auto Physical Damage:

Per Vehicle / Aggregate Limit

EDP:

Electronic Data Processing Equipment

Computers and related equipment, media, software. Software extra expense is automatically included up to 25% of the hardware limit.

Limited Computer Virus:

Attaches to EDP and provides limited coverage for computer viruses.

Accounts Receivable:
Valuable Papers and Records:
Money & Securities:
Waiver of Subrogation:
Worldwide Coverage:

 

General Liability

Limits:

Occurrence/Aggregate

The excess liability is an additional layer of coverage above the general liability, auto, and employers liability. Note that this excess policy will only sit on top of risks insured through Abacus programs.

Fire Legal:
Medical Payments:

Blanket Additional Insureds / Certificates of Insurance:

Included

Blanket additional insureds allow for unlimited certificates to vendors and locations. City certificates, other special certs, and waivers of subrogation are picked up under their respective coverages.

City/Other Special Certificates:

FilmL.A., Inc., NYC Mayor's Office of Film, Cities that require Special Wording on Certificates, etc.

Waiver of Subrogation:

Primary & Non-Contributory Wording Occasionally Required by Locations

Throwing Objects Exclusion:

The base policy excludes coverage for objects thrown by performers from the stage. This exclusion may be removed, subject to underwriting review.

Employee Benefits Liability:

 

Automobile
Hired/Non-Owned Liability:
Waiver of Subrogation:
Number of Loaned or Donated Vehicles / Days: # Vehicles Days
Cost of Hire:

Mobile Studios and Film Trucks

Cost of Hire:

Other Than Mobile Studios and Film Trucks

 

Excess Liability

Per Occurrence/Aggregate Limit:

The excess liability is an additional layer of coverage above the general liability, auto, and employers liability. Note that this excess policy will only sit on top of risks insured through Abacus programs.

 

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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