Commercial Lines – Liquor Liability Supplemental ApplicationEmet Digital2019-01-02T12:24:59-08:00 Get started by filling out this form and someone from our team will contact you shortly! Commercial - Liquor Liability Supplemental Application Legal Name of Insured* The individual or company name that the policy will be under.dba (if applicable) Please list the dba that your company is listed as doing business as, i.e. Frankel & Associates dba Filmins.comDoes your organization own or lease LONG-TERM vehicles?* Yes No Long term rental/leases are 6 months or more a year.Do employees or volunteers regularly use their autos for company business?* Yes No This is not commuting back and forth to work. This includes driving specifically for work purposes during working hours.Please explain this vehicle usage in detail.*Do you verify that insurance is in place with limits of at least $300,000 before employees or volunteers can use their vehicles?* Yes No How many volunteers do you have driving personal autos for work purposes?*What is your total number of employees?*HIRED AUTO LIABILITYDo you hire or rent vehicles during your fairs/festivals/events?* Yes No What types of vehicles do you rent?* How many vehicles do you estimate that you rent per year?* What is the avarage duration of these rental vehicles?* Please explain the usge of these vehicles for your business operations.* Are any of these vehicles 12 or 15 passenger vans?* Yes No How many of these vehicles are 12 or 15 passenger vans?*Are any vehicles provided/donated for your use as part of a sponsorship or promotional agreement?* Yes No Please provide a copy of the rental agreement and include a description of vehicle types, estimated number, duration and usage of these vehicles.* Drop files here or Select files Accepted file types: doc, docx, pdf, xls, xlsx, jpg, gif, giff, Max. file size: 50 MB, Max. files: 5. This information is required to determine the relationship between the sponsored/promotional company and your business operations by the underwriter.Do either the volunteer/employees or sponsored/promotional companies require that you have primary liability?* Yes No Please provide the names of the owners of these vehicles that require you to carry primary auto liability coverage.*Please provide your email address for correspondance.* Enter Email Confirm Email PhoneThis field is for validation purposes and should be left unchanged.
