Florida Special Event
Insurance Quote
Business Name:      
Entity to be Insured:
Contact Name:       
City:                            Florida
Zip Code:
Phone #:      Ext #:
Email Address: (Required) 
How to Contact You:                 Cell Phone:

Event Location and Date(s):

Event Address:
Event City:          Florida
Event Zip Code:

Type of event(s) to take place:
Sporting Event
Trade Show
Consumer Show
Other Special Event


General Event Information:

Will admission be charged:

Will there be other charges or fees:    
If Yes, list types of additional charges:

Expected attendance # (REQUIRED INFORMATION):

Will alcohol be served:
If Yes, served by employees or volunteers:

Will additional insureds be named on this Special Event Insurance:

Additional Information or Comments

Click on the "Submit Quote Information" button below to send
your Florida Special Event Insurance quote request.**

**Information received from this Florida Special Event Insurance quote request
form sent to "YOUR AGENCY NAME" will be for our use only and will not be
sold, given to or distributed to any other parties. A quote will be based on
the Florida special event insurance policy information provided and does
not guarantee acceptance of the risk by us. The precise coverage afforded
is subject to meeting underwriting guidelines, and the terms, conditions and
exclusions of the policy as issued. By submitting this request you acknowledge
that this is neither an offer to insure nor a guarantee of insurance. Completion of
this form does not entitle your organization or business to a Florida Special Event
Insurance policy. We are licensed in Florida and will not provide special event
insurance quotes for other states.

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