Please include the following for each additional event needing coverage - Event Name, Event Location, Event Organizer (individual or entity to be covered), First Day of Event (include set up dates), Last Day of Event (include dismantlement dates), Estimated Total Number of Participants (do not include your volunteers or staff members - these individuals are covered under the group accident and general liability policies.
If yes, please provide an explanation below:
To add Additional Insureds, please include the following for EACH Additional Insureds - Legal Name, First Name, Last Name, Address, City, State, Zip Code, Email, Relationship to the Insured (Venue, Municipality, Contractor, etc.) and any required certificate verbiage.
Please list each Additional Insured that requires the Primary and Non-Contributory Endorsement below.
Please provide details or type "NO" below
