Event Liability CoverageQuote Request Form Business Name Company Website Address Province British Columbia Ontario Alberta City Postal Code Contact First Name Contact Last Name Contact Phone Contact Email Start Date of Event End Date of Event Describe the Event Address of the Event Describe the Event Location Are you the owner or are you leasing the location? Own Leasing Estimated Number of Participants Estimated Number of Spectators Estimated Number of Volunteers Estimated Number of Employees Will there be alcohol served? Yes No If yes, please provide details (when will alcohol be served, served by you or third party) Will there be live entertainment? Yes No Will there be exhibitors or vendors at the event? Yes No If yes, is proof of insurance requested from these vendors? Yes No Will food be served? Yes No If yes, are there accommodations provided? Please describe d from these vendors? Will there be security on site? Yes No Estimated amount of receipts from admission sales Any other sources of income? Upload any Event Waivers Any temporary structures set up? By who? Will fireworks be used? Yes No Coverage Information Comercial General Liability $1M $2M $5M Liquor Liability Yes No Property Coverage Amount Any Additional Insured? Yes No If yes, what services are they providing to the event? If yes, Address If yes, Legal Name of Additional Insured Has the business been involved in any claims in the last 5 years? Yes No If yes, please provide a description, including dollar amount paid or held in reserve? Has the applicant ever been declined or cancelled by an insurance company? Yes No ›» SUBMIT