30 Years Experience
   
ENTERTAINMENT PRO INSURANCE
   Motion Picture, Television, Theatrical, Music, Broadcasting and Special Events   
   
Login
  Site Map  |  Contact
       
Skip Navigation LinksHOME > APPLICATIONS > ONLINE FORMS > DECLARED EVENT
Step One: Complete Form
Step Two: Review and Submit
Step Three: Finish
PLEASE DO NOT USE THIS FORM FOR NEW ACCOUNT SUBMISSION, PLEASE REFER TO THE SPECIAL EVENT APPLICATION. THIS FORM IS TO DECLARE AN EVENT ONLY ON AN EXISTING POLICY AND MAY REQUIRE APPROVAL FROM THE INSURANCE COMPANY UNDERWRITER.
Welcome to Declared Event EZ-Quote from Entertainment Pro Insurance.

For fast service on your commercial accounts complete the form below and hit the “Step Two” button. Your submission will be electronically delivered to the next available Commercial Lines Underwriter.
 
  BASIC INFORMATION
Client Name :
 
Date Declared:
Date of Event:
Load In & Load Out Dates:
Type of Event:
Name of Event:
Your Duties at this Event:  
Contact Person:
Phone:
E-mail Address:
 
    ADDITIONAL QUESTIONS
If Music / Genre Type:
Name of Artist/Band:
# of Tickets Printed:
Venue Capacity:
Expected Attendance:
Liquor at Event: Responsible for it?
Did you Sign Venue Contract?
Venue Name:
Venue Address:
Venue City/State/Zip:
    ADDITIONAL COVERAGES
  Rented Equipment Limit ($5,000 minimum - $2,000,000 maximum):   $
  Dates rented equipment will be in delivered and returned
 
  1a. Will rented portable equipment (i.e. lighting, sound, video, portable toilets, generators, forklifts, etc.) 
      Dollar replacement value required (you may have to ask the rental company for the values):  $
   
  1b. Will rented Furniture be used (i.e. dining tables, any kind of chairs, sofas, coffee tables, end tables, etc.): 
      Dollar replacement value required (you may have to ask the rental company for the values):  $
   
  1c. Will rented Fixtures be used (i.e. awnings, tents, etc.): 
      Dollar replacement value required (you may have to ask the rental company for the values):  $
   
  1d. Will rented Growing Plants be used (i.e. ficus trees /bushes, other types of potted plants be used as barriers or decoration): 
      Dollar replacement value required (you may have to ask the rental company for the values):  $
     
  2. Will the property be stored overnight? 
       If Yes, please provide details on how it will be stored:
     
  3. Will you be responsible for transporting the property?
 
 
If "Yes": Please describe how it is being transported: 
If "No": Name of who is transporting the property?
1. Who is transporting the property? 
 
You:        Rental House        Other:
2. Is the company transporting the property naming you as an Additional Insured on their insurance policy?
     
  4. Will the property stay in your possession at all times prior to returning to rental company? Will it be secure?
    Please explain: 
 
 
   ATTACH COPY OF VENUE CONTRACT 
Additional Certificate Holders:
Certificate Address:
Certificate City/State/Zip:
What is their Relationship:
    
ADDITIONAL COMMENTS:  
   
    (You will get a summary page to review before submitting)