Florida Special Event Insurance Quote

Business Name:      
Entity to be Insured:
Contact Name:       
City:                            Florida
Zip Code:
Phone #:      Ext #:
Fax:         
Email Address: (Required) 
How to Contact You:           Select One Phone Email       Cell Phone:

Event Location and Date(s):

Event Address:
Event City:          Florida
Event Zip Code:

Type of event(s) to take place:
Entertainment
Sporting Event
Exhibition
Fair
Festival
Trade Show
Consumer Show
Wedding
Other Special Event

Date(s) of Event (REQUIRED INFORMATION):

General Event Information:

Will admission be charged: Select One Yes No

Will there be other charges or fees:     Select One Yes No
If Yes, list types of additional charges:

Expected attendance # (REQUIRED INFORMATION):

Will alcohol be served: Select One Yes No
If Yes, served by employees or volunteers:

Will additional insureds be named on this Special Event Insurance: Select One Yes No

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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