Special Events Quote
Fields marked (*) are mandatory.
General Information
Business/Company Name
The entity to be insured is a  
Contact Name
Address
City
State
Zip
Phone *
Fax
Email Address *
Event Date / Location(s)
Date(s) of your event
Event Location (Address)
City
State
Zip
Will there be other locations?
(If Yes, list additional locations in comments section below.)
Event Information
How many people will attend event?
Will admission be charged?
If Yes, how much per person? ($)
Charges other than admission? (i.e. food, drink
, merchandise etc.)
Estimated total gross income from all event
-related charges ($)
Will alcohol be served?
Serverd by
Your Employees
Volunteers
Please describe any entertainment, special
exhibitions, organized sporting events, or
competition that will take place at event
Will transportation or lodging be provided?
Are you required to name additional insure ds on
this insurance?
Additional Comments
Additional Comments