POLICY RECOMMENDATIONS(Please check any you are interested in)
Hired & Non-Owned Auto
1) Loss Runs (5 years)
2) No loss letter if operating with no insurance
3) Copy of Rental Agreement / Waiver
4) Safety Rules
5) Pictures of signage with hold harmless wording (Pay for Play Only)
6) Diagram Filled Out
Section 1: COMPANY INFORMATION
How did you hear about us?
Are you an ERS or Inflatable Office customer?
Name of Insured:
Is named insured a?
Years in business:
# of Bulls Owned:
Annual Gross Rev:
Do you ever process payment cards?
Estimated annual number of payment card transactions:
Number of Employed Operators
Names of all operators:
If independent contractors are ever used to operate, est. annual costs for such labor $
Create Password (this will allow you to access you application at a later time) :
Please make sure that you have completed everything to the best of your knowledge before going to the next page.