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Rs (for accounts where premium exceeds $5,000.) Copy of rental agreement or contract to rent or use venue Athletic Events- Complete the Amateur Sports Special Events Supplemental Application ACCOUNT INFORMATION Applicant Name: Address: Web site: www. Contact person (Billing): Contact person (Loss Control): Effective dates requested: Event gross revenue: $ For Profit Other: E-mail Address: Phone: Phone: Individual Partnership Association Years this entity in business: Corporat.

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How to fill out the SPECIAL EVENT SUPPLEMENTAL APPLICATION online

Filling out the Special Event Supplemental Application online can be a straightforward process when you understand the necessary components. This guide provides clear, step-by-step instructions to ensure that you provide all required information accurately and efficiently.

Follow the steps to complete your application online.

  1. Use the ‘Get Form’ button to access the application form and open it in your web browser.
  2. Begin filling out the Account Information section. This includes providing your name as the applicant, address, website, emails, and phone numbers for the billing and loss control contacts.
  3. Specify the effective dates requested for your insurance coverage, the gross revenue expected from the event, and select whether the event is for profit or nonprofit. Include details regarding the applicant's entity type and years in business.
  4. Answer the claims history question regarding any claims filed in the last four years and provide details if necessary.
  5. Describe the event including its name, date(s), times, and attach any brochures or promotional materials if available. Estimate the total number of attendees and volunteers expected.
  6. Indicate whether alcohol will be served at the event, and provide the name and insurance status of the servers if applicable. If liquor liability coverage is desired, note this and complete the additional required liquor liability section.
  7. Identify the venue for the event, including its address, seating capacity, and type of seating. Specify who will be providing security and describe any safety arrangements.
  8. Answer the swimming question and specify if certified lifeguards will be present. Include their CPR training status and ensure that certificates are available to the insured.
  9. Discuss any other entities that require proof of insurance and outline their specific names and interests if they need to be named as additional insured.
  10. Indicate any additional activities present at the event such as amusement rides or fireworks, and provide descriptions of those if applicable.
  11. Complete any required fraud notice statements. Finally, ensure that the form is signed and dated by the applicant and the producer.
  12. Once all fields are filled out, save changes, and you may choose to download, print, or share the application as needed.

Start filling out the Special Event Supplemental Application online today!

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