Name of your organization/Association? (Market/Group/Fair):
Name of Event / Individual Market: *
Location Address-Market: *
Location City-Market: *
Location Province-Market: *
Ontario
Quebec
British Columbia
Alberta
Saskatchewan
Manitoba
Newfoundland
Nova Scotia
New Brunswick
PEI
Yukon
NWT
Nunavut
Postal Code-Market:
Vendor Organizer/ Contact Phone Number: *
Vendor Organizer / Contact Email: *
How Many days is your event (If liability coverage required for days for setup and teardown, include those additional days: Note Continuous Days):
1
3
10
15
1 Month
6 Months
1 Year
Please provide your Start/Effective Date (If liability coverage required for setup, enter the setup date):
End Date:
Do you have any vendors at your event that have a booth size over 600 square feet?:
Please select your Minimum Commercial General Liability Limit:
$2 million
$3 million
$4 million
$5 million
Note: Our policy automatically includes the following extensions in our Commercial General Liability: Bodily Injury and Property Damage, Personal Injury, Tenants Legal Liability ($500,000), Medical Payments ($2,500 pp / $25,000 Max), Non-Owned Auto, Cross Liability, Blanket Contractual Liability, Employees / Volunteers as Additional Insured.
Please provide additional insured details: (state the additional insured requirements in your vendor agreement):
Will you make it a requirement that these vendors have Products and Completed Operations Coverage (Injuries from the products they sell)?::
Yes
No
For all vendors that purchase a policy we can email a copy of these policies to you, please provide the email address to send the purchased vendor policies to?:
Will you have any vendors serving or selling food or beverages (includes non and alcoholic drinks) at your event?: *
Yes
No
Are you the Host / Organizer of this event or vendor area?: *
Yes
No
Please provide the name of the person filling out this form: *
