Festival Application

Client Information
Organization Information

Entity Type:
*Address:(No PO Boxes):

Suite, Floor, ect..:

*State - Zipcode:

Contact Information
*First Name:

*Last Name:



Event Details
*Event Type:

Is there a musical performance associated with this event? Yes No
*Will there be security at the insured event? Yes No
*Event Name:

*Venue Name:

*Venue Contact:

*Venue Contact Email:

*Venue Contact Phone:


Address Additional:

*State, Zipcode
Event Website:
*Daily attendance:

*Estimated Total Attendance:

*Description of Event:

Event Dates
*Set-up Date:

*Event Start Date:

*Event End Date:

*Tear Down Date:

If the coverage start date is more than 5 days before the event start date OR the coverage end date is more than 5 days after the event date, please explain:

Certain activities may make your event ineligible for coverage and/or may result in additional terms, conditions or exclusions being applied. Please check any and all of the following activities that apply to your event:
Aircraft Animals (non pet shows / contests) Camping Cattle Drives
Child Care Operations Firearms/Ammunition/Weapons Fireworks Food Vendor
Inflatable's/Bounce Houses Mechanical Amusement Rides Motorsports Open Water Exposure
Paint Ball Parade Rock Climbing Walls Rodeos
Tattooing/Body Piercing Temporary skating, skiing, skateboarding  
Other Details
Will any of the events occur in a bar or nightclub?
Is the event outdoors? Yes No
How many years has the event been held under current management? (If never, enter 0)
Does the applicant hire any subcontractors for the insured event?
Will there be temporary structures installed/built for your event?
During this time has the insured had any claims regarding this event? Yes No
*Gross Revenue:$:
Enter 0(zero) if you will not be generating revenue at this event.
Enter the total dollar amount you expect to spend on this event.

General Liability
Each Occurrence
What is covered?
Covers the insured for losses due to bodily injury or property damage caused by the insured's employees or agents. Locations and vendors will require general liability for 1,000,000
Liquor Liability (Occurrence Aggregate)
Please note, if the insured is not either serving or selling the liquor, additional liquor coverage is not required.
What is covered?
Liquor liability provides covers the following losses for which you may be held liable for: 1) causing or contributing to the intoxication of a person, 2) The accidental furnishing of alcoholic beverages to a person under the legal drinking age or under the influence of alcohol, or 3) Any statute, ordinance, or regulation relating to the sale, gift, distribution, or use of alcoholic beverages.

Rented Equipment, Props, Sets & Wardrobes
What is covered?
Camera, sound, lighting and miscellaneous rented equipment. Owned equipment is not covered. Props, sets, and wardrobe are covered.

Hired/Non-Owned Liability
Hired/Non-Owned Auto Physical Damage (Occ/Agg) 25k / 100k
What is covered?
Liability for vehicles rented or borrowed for the event. Liability covers injury to third parties or damage to their property.

Waiver of Subrogation:
What is covered?
The named insured's intentional relinquishing of any right to recover damages from another party who may be responsible.

Additional Insureds
Will you need to add any additional Insured?

FRAUD STATEMENT Signing this application does not bind the Applicant or the Company to complete the insurance, but it is understood and agreed that the information contained herein shall be the basis of the contract should a policy be issued. If any of the above questions have been answered fraudulently or in such a way as to conceal or misrepresent any material fact or circumstance concerning this insurance or the subject thereof, the entire policy shall be void.
*I/We have read the above and agree that to the best of my/our knowledge and belief same fully represents the true statement of facts.

How did you hear about us?
Preferred contact method
Email - Phone - Fax
*Applicant Signature:

*Applicant Title: