Special Event Quotation

Please enter the following information, click submit and we will gladly respond with a quotation via e-mail:

Please select the event type from one of the below lists:

Ceremonies
Concert
Dance
Exhibitions / Conventions
Festivals/Cultural/Amusement
Fundraisers
Games
Lectures
Meetings
Parties
Political
Religious/Spiritual
Sales
Shows
Sporting Events
Theatre Events

Contact Information:

Name of individual/Company/Corporation
Entity Type
Street Address
City
State & Zip
Contact Person
Phone (required)
Fax (optional)
Email (required)

Qualification Questions:

Any: Stunts, Pyrotechnics, Aircrafts, Hazardous Activities, Car Races, Precision Driving, Mechanical Devices, Film Production, Rap/Hip-Hop, Rock/Metal, Rides or Water Activities?	Yes No
The Event will take place in the United States?	Yes No
Any armed private security guards?	Yes No
Any prior event with any losses of any kind?	Yes No

Event Details:

Event Name
Budget (Cost of event)
Brief Description of Event
Venue Name, Address, City, State & Zip
Location Information	Indoors Outdoors
List Celebrities (if any) at event
Average Daily Spectators
Average Daily Participants
Event Start Date
Event Finish Date

Complete for Concerts or Events with Music:

Type of Music
Music Decade
Artist, Band or DJ Name

Coverage Options

General Liability (required):

Blanket Additional Insured's & Certificates, including City Certificates	Automatically included
Liability Limit: Occurrence / Aggregate
Waiver of Subrogation	Include Exclude

Additional Coverages (optional):

Rented Equipment Limit
Third Party Property Damage
Liquor Liability ($1 Million limit)	Include Exclude
Event Cancellation Coverage	Include Exclude
Participants Medical Coverage	Include Exclude
Spectators Medical Coverage	Include Exclude
Hired & Non-Owned Auto Liability ($1 Million Limit)	Include Exclude
Auto Physical Damage Coverage (requires auto liability coverage be included)	Include Exclude

Vendor's Coverage (optional, only if you want your coverage to extend to the vendors):

Number of Exhibitors (no sales)
Number of Concessionaires (non-food sales)
Number of Concessionaires (food sales)
Number of Performers & Attractions

Please click submit & we will respond shortly by email. Please click reset to start over.