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The Equestrian Group |
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Call
Toll Free 1-800-874-9191
Fax
480-452-0593
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For no-obligation
Special Event insurance quote, please complete
the following form
Horse Show / Special
Event Quotation
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| Insured Name |
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| Address
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| Address2 |
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| City |
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| State |
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| Zip |
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| Entity Type |
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| Years Experience |
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Primary
Contact |
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| First Name |
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| Last Name |
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| E-mail |
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| Phone |
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| Fax |
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| Other phone |
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Event
Description |
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| Event Name |
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| Type of
Event |
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| Brief description of event |
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What are the dates of the
event? |
| Start |
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| End |
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| What is the cost/budget of your
event? |
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Venue Details
(Location where event takes place): |
| Venue Name |
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| Venue Address
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| Venue City |
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| Venue State |
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| Venue Zip |
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Attendance |
| Average Daily Spectators |
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| Average Daily
Participants |
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| Number of
Event Days |
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| Total
Event Attendance |
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Participant Details
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| # of Exhibitors (No Sales) |
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| # of Concessionaires (Non Food
Sales) |
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| # of Concessionaires (Food Sales) |
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# of Attractions (Performers) |
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Liability Options — in addition to general
liability do you require : |
| a. Liquor liability? |
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| e. Rented equipment coverage? |
<- if yes, enter total
value |
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Underwriting Questions |
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1.
Underwriting Questions |
| a. Will
all participants sign liability releases ? |
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| b. Confirm only one event can be
covered per policy. |
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2.
Claim History |
| Any prior event with any losses of
any kind declared by the insured and/or known by the
broker? |
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How did you hear about us? |
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Insurance Definitions |