Commercial – Liquor Liability Supplemental Application

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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.com
Does 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 LIABILITY
Do 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

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
Email
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