How did you hear about us?
Mailing Address: including full address and zip code
Event to take place at Applicants Premises?
Waiver of Subrogation
Is the applicant’s premises located in a jurisdiction which permits civil cases to be heard in a Tribal Court?
Is set-up and take-down coverage need for additional dates?
Will there be any heavy machinery used?
Would you like to include a rain date?
Will there be any entertainment?
Is Applicant the Sole Vendor-Servers Serving Alcohol At Event
Are all Participating Alcohol Vendors/Servers Required to Carry Liquor Liability Limits for the Event
If Required, does Applicant have a Valid Liquor License?
Is the Applicant in the Business of Selling, Serving or Furnishing Alcoholic Beverages
Is BYOB or Self-Service of Alcohol Permitted?
Moon bounce, rock climbing wall, trampolines or similar rebounding devices
Petting zoo or animal rides
Firearms or fireworks
Will attendees be permitted to swim, boat, jet ski or fish
Will the event use exhibitors, vendors, performers, contractors, sub-contractors or independent contractors?
Has parade route been approved by local authorities and will route be secured by police
Are parade participants permitted to throw souvenirs, candy or other items into the crowd
Will the event feature any medical or health treatment?
Do vehicles remain stationary throughout the show with he engines off
Will the event feature burnouts, drag races or flame throwing
If security is provided by independent contractors, are
they required to carry their own insurance?
Will pyrotechnics be featured
Any special effects
Is athletic participant’s coverage desired
Is the venue designed specifically
for this type of activity
Are metal or concrete barriers in place to ensure spectator safety
Are the barriers permanent
How high are the barriers
Will the venue provide a catch fence for the event
Are spectators ever permitted in the pit or infield area
Will event feature audience participation
If a rodeo, are the transfer between animal pens and the competition restricted from the general public
Yes, describe below
Useful Event Documentation
Art Insurance Now, Bernard Fleischer & Sons, Inc 29 Broadway, Suite 1511 New York, NY 800.921.1008