Welcome to
Vendors and Exhibitors Online Quote Form from Entertainment Pro Insurance.
For fast service on your commercial
accounts complete the form below and hit the “Step Two†button. Your submission
will be electronically delivered to the next available Commercial Lines Underwriter.
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CONTACT INFORMATION
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Name of Company / Organization:
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Company Name is required!
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Entity Type ( Indiv, Corp. LLC, etc.):
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Entity type is required!
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Primary Address (No PO Box):
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State and Zip Cod is required!
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Mailing Address (If different to primary):
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Contact Person:
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Contact Person is required!
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Phone:
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Phone is required!
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Fax:
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Fax is required!
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E-mail Address:
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Email address is required!
Please enter a valid e-mail address!
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QUALIFICATIONS QUESTIONS
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Any: Stunts, Pyrotechnics, Hazardous Activities, Mechanical Devices,
Animals Rides, Rap/Hip-Hop/rock/metal music performances,
massage machines:
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Qualification Question 1 - Yes or No Required!
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Exhibitor will be stationed behind their booth or in a designated area
through-out the event?
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Qualification Question 2 - Yes or No Required!
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The event will take place in the United States?
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Qualification Question 3 - Yes or No Required!
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Are you responsible for any type of security or maintenance personnel?
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Qualification Question 4 - Yes or No Required!
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Any Prior Losses related to Event's Exhibits?
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Qualification Question 5 - Yes or No Required!
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EVENT DETAILS
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COVERAGE OPTIONS
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COVERAGES
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General Liability ($1,000,000)
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Automatically Included
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Blanket Additional Insureds & Certificates, including City Certs:
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Automatically Included
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Waiver of Subrogation:
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If Waiver of Subrogation - is required!
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Third Party Property Damage:
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If Third Party Property Damage - is required!
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ADDITIONAL COMMENTS:
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FRAUD STATEMENT
Any person
who knowingly and with intent to defraud any insurance company or another person
files an application for insurance containing any materially false information,
or conceals for the purpose of misleading information concerning any fact material
thereto, commits a fraudulent insurance act, which is a crime and subjects the person
to criminal and (NY: substantial) civil penalties. (Not applicable in CO, HI, NE,
OH, OK, OR, VT). In DC, LA, ME, TN and VA, insurance benefits may also be denied.
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(You will get a summary page
to review before submitting)
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