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

 

   

 

 Touring Entertainers 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:

Comedian
Unknown or up and coming comedian that performs at comedy clubs and venues with capacity not greater than 250.
Comedian
Well known comedian that tours and headlines. Up and coming comedian that performs at venues with capacity above 250.
Cover Band
Band or musician that performs predominantly at one or very few venues, with capacity not greater than 500.
Cover Band
Band or musician that performs regularly at different venues with capacity not greater than 500.
House Band
Band or musician that performs regularly at different venues with capacity not greater than 500.
House Band
Band or musician that performs predominantly at one or very few venues, with capacity not greater than 500.
Speaker/Lecturer
Speaker or lecturer appearing on tours or in speaking engagements.
Touring Band
Band or musician that performs regularly at venues with capacity above 500.
Touring Musician
Band or musician that performs regularly at venues with capacity above 500.

Description of Business / Operations:

 

General Information
Number of Shows, US & Canada:

Estimated

Number of Shows, International:

Estimated

Annual Payroll:
Number of Employees:

 

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

 

Artist Information

At least one artist must be scheduled.  If a band, enter each musician separately.

Artist #1
Artist's First Name:
Artist's Last Name:
Date of Birth:
Profession:
Artist #2
Artist's First Name:
Artist's Last Name:
Date of Birth:
Profession:
Artist #3
Artist's First Name:
Artist's Last Name:
Date of Birth:

Profession:

Artist #4
Artist's First Name:
Artist's Last Name:
Date of Birth:
Profession:
Artist #5
Artist's First Name:
Artist's Last Name:
Date of Birth:
Profession:
Artist #6
Artist's First Name:
Artist's Last Name:
Date of Birth:
Profession:

To include additional Artists, you may provide details in Notes section at end of application.

 

Tour Information
Tour #1
Name of Tour:
Description of Tour:
Tour Dates: to
Total Payroll:
Name of Promoter:
Tour #2
Name of Tour:
Description of Tour:
Tour Dates: to
Total Payroll:
Name of Promoter:
Tour #3
Name of Tour:
Description of Tour:
Tour Dates: to
Total Payroll:
Name of Promoter:

To include additional Tours, you may provide details in Notes section at end of application.

 

Coverage Term

Effective Date:

Annual Policy Period

 

Inland Marine
Owned Equipment, Props, Sets, Wardrobe:
Equipment, Props, Sets, Wardrobe:

Deductible

Rented Equipment, 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.

Resumption of Business Operations:

Extra expense sustained due to the necessary suspension of business operations including relocation expenses and costs to equip and operate any replacement or temporary location.

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:

# of Vehicles 

# of Days

Cost of Hire:

Mobile Studios and Film Trucks

Other Than Mobile Studios and Film Trucks

 

Excess Liability

Limits:

Per 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.

 

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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