Commercial Lines - Vendor/Exhibitor Application

QUALIFICATION QUESTIONS

Does the Vendor/Exhibitor's activities include any Stunts, Pyrotechnics, Hazardous Activities, Mechanical Devices, Rides, Rap/Hip-Hop/Rock/Metal Music Performances, Massage Machines?*

Yes
No

Vendor/Exhibitor will be stationed behind their booth or in a designated area throughout the event?*

Yes
No

Does the Vendor/Exhibitor provide bounce houses or inflatables?*

Yes
No

Confirm your understanding that only one exhibitor at one event will be covered by the policy.*

Yes
No

The event will take place in the United States?*

Yes
No, it will take place in Canada
No

Is vendor responsible for any type of security or maintenance personnel?*

Yes
No

Will there be any temporary structures installed/built for your event?*

No
Yes

Please explain.*

Do you plan to hire any contractors/sub-contractors in conjunction with this event?*

No
Yes

Please confirm that you will obtain certificates of insurance from each contractor/sub-contractor listing you as Additional Insured on their insurance policy.*

Confirmed

This is a requirement to bind coverage.

EVENT INFORMATION

Please choose the option that best describes your vendor/exhibitor activities:*

Please explain your "other" designation.*

What is the name of the event that you will be vending/exhibiting at?*

What type of event will this be?*

Please explain your "other" designation.*

Please provide a brief description of what will be going on at the event:*

Outside of your own vending/exhibiting activities.

Is the event open to the public?*

Yes
No

What is the budget for your operations at this event?*

How much will it cost you to be able to sell/exhibit at the event?

How many square feet will your booth/cart/tent be occupying at the event?*

How many people do you anticipate will be visiting your booth/cart/tent?*

What is the name of the venue that will be hosting the event?*

What is the event venue's address?*

Street Address City State ZIP Code

What is the name of the person or entity that is organizing the event?

What is the Event Organizer's address?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Commercial - Vendor/Exhibitor Application

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Commercial - Vendor/Exhibitor Application

Customer Information

QUALIFICATION QUESTIONS

EVENT INFORMATION

COVERAGE OPTIONS

LIABILITY

VEHICLES

INLAND MARINE

INJURY TO CAST & CREW