Special Event Insurance

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Special Event Insurance

Get A Customized Insurance Quote For Your Special Event

All quotes include:

$1,000,000 of Liability Coverage
Host Liquor Liability Included
$1,000 Medical Payments Coverage
$1,000 Deductible

Apply Online

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Application PDF Download Here

Special Event Insurance Application

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Type of Event *

Name and Address of Honoree(s). If wedding, include info for both partners. *

Venue Name *

Venue Contact Phone Number *

Venue Location *

Event Start Date *

Event End Date *

Maximum Number of Attendees *

Optional Coverages Available *

Cancellation / Postponement Gifts Jewelry Loss of Deposit

Photographs and Video Professional Counseling Rented Property Special Attire

A. Is the Applicant, Honoree 1, or Honoree 2 aware of any circumstances or conditions which may result in a loss under this insurance? *

Yes No

B. Do you understand and agree that the cost of the policy is fully earned and non-refundable if the policy is canceled within 30 days of the date of the first event? *

Yes No

C. I understand and agree that the underwriter retains the right to review the application for accuracy, and that the policy will not provide any insurance coverage if any application information is falsely reported, falsely stated, incorrectly selected, stated, misreported, misrepresented, misstated or wrongly stated, whether or not intentional. I declare, under penalty of perjury, the information I have provided in this application is true and I have not withheld or misrepresented any facts. *

Yes No

D. I understand that coverage is NOT in effect until premiums have been paid and a binder of coverage generated. *

Yes No

Electronic Signature *

Date *

Comments *

Submit For Quote

﻿Special Event Insurance﻿

Special Event Insurance Application

Special Event Insurance