Helpful Tip:
If you are running out of time, simply finish the current page & click next. We will email you a link to complete the application where you left off!
Company Info
General Info
Additional Questions
Additional Questions 2
Fraud Page
Confirmation
Section 4: MORE ADDITIONAL QUESTIONS
Who is responsible for providing security?
If other than the applicant, is a certificate of insurance provided?
Yes
No
If other than the applicant, is applicant named as additional insured?
Yes
No
Is security provided armed or unarmed?
Armed
Unarmed
If the event is being held on a street or other public place of vehicular access, what protection is being used between the street and the sidewalk?
Does event involve a parade?
Yes
No
If yes, how many units?
Anything thrown from units?
Yes
No
If yes, what's thrown?
Length of Parade in Blocks?
Length of time?
Estimated no. of specators?
Any Fireworks or Pyrotechnics used?
Yes
No
If yes, please describe:
Is the applicant signing any Hold Harmless agreements?
Yes
No
If yes, with whom and what responsibilites:
Please attach samples of all Hold Harmless Agreements:
Is the applicant being Held Harmless by Others?
Yes
No
If yes, by whom and what responsibilites:
Please attach a copy of the agreement if applicable:
Has this event been held in the past by the applicant?
Yes
No
If yes, for how many years?
Attach Premium and Loss experience for the past 5 years:
Describe losses over $5000:
Has your prior insurance ever been cancelled?
Yes
No
Has your prior insurance ever refused to renew?
Yes
No
Do you have a Risk Management Plan?
Yes
No
Submit