Vendor Insurance, Kiosk Insurance & Exhibitor Application

Same Day Quote & Issue

Exclusive to vendors, this program has been designed to meet the needs of venues and facilities that require their vendors to secure their own private vendors insurance, food vendor insurance and performers insurance coverage. EventInsuranceQuote.com wants to help make it easy and affordable to insure your next event by providing you the most cost effective vendor liability insurance and performers liability insurance policy available. Please complete the form below and an underwriter will be in contact shortly. You can also reach out to the numbers below for any questions or concerns.

Phone: 1-800-874-9191 | Alt Fax: 602-992-8932 | E-Fax: 480-452-0593

Vendor Insurance

Insured Name

Name as it will appear on policy

Address

This is the address of your business/office or your home address.

Individual

Contact Name

Email Address

Contact email address

Contact Phone Number

Website (if any)

Use format http://www.xyzcompany.com

Business Information

Policy Effective Date

YYYY

$1,000,000

Years Experience

Years of experience in industry

Number Full Time Employees

Number Part Time Employees

Annual Payroll

Payroll excluding Owners, Partners & Officers

USD

Estimated Gross Receipts

USD

Type of Business / Products Sold

Vendor Tent

Policy Options — In addition to general liability do you require?

Policy Options

Please describe what product/service you will be providing at event:

No Additional Insured

Venue Name

Please indicate the place you will be vending or exhibiting.

Venue Address

Business Personal Property Coverage

If needed, enter total value

USD

Please answer the following questions to determine if you qualify for this policy:

Please Select:

Comments or special instructions

AFIG Broker / Producer

If you are appointed with AFIG please put your agency name/emai.

Vendor Insurance, Kiosk Insurance & Exhibitor Application

Policy Options — In addition to general liability do you require?

Please answer the following questions to determine if you qualify for this policy:

For Immediate Assistance Call Toll Free 1-800-874-9191