THE MAIN EVENTS

Date of Event *

Contact Name *

Referral Code

Your Business Name

EVENT

Is the applicant’s premises located in a jurisdiction which permits civil cases to be heard in a Tribal Court?

Yes     No

Is set-up and take-down coverage need for additional dates?

Yes     No

Will there be any heavy machinery used?

Yes     No

Would you like to include a rain date?

Yes     No

Will there be any entertainment?

Yes     No

COMMERCIAL GENERAL LIABILITY

Mechanical rides/devices

Yes     No

Moon bounce, rock climbing wall, trampolines or similar rebounding devices

Yes     No

Petting zoo or animal rides

Yes     No

Firearms or fireworks

Yes     No

Overnight camping

Yes     No

Dunk tanks

Yes     No

Water hazards

Yes     No

Will attendees be permitted to swim, boat, jet ski or fish

Yes     No

Will the event use exhibitors, vendors, performers, contractors, sub-contractors or independent contractors?

Yes     No

Has parade route been approved by local authorities and will route be secured by police

Yes     No

Are parade participants permitted to throw souvenirs, candy or other items into the crowd

Yes     No

Health Fair/Convention

Will the event feature any medical or health treatment?

Yes     No

Car Show/Motor Vehicle Show

Please note, coverage for injury to participants is excluded from our policy

Do vehicles remain stationary throughout the show with he engines off

Yes     No

Will the event feature burnouts, drag races or flame throwing

Yes     No