EventInsure

To obtain a quote:

The application is located below. Submit your application directly to HUB International and a quote will be sent to you, usually within 72 hours of application receipt.

Submission of this application does not guarantee coverage. Completion of these forms confirms your desire to obtain insurance coverage through the Special Event Liability Group Insurance Trust. Coverage will be bound for your requested dates upon receipt and approval of your completed application and payment of premium.

Insurance coverage can only be bound by the Administrator of the Purchasing Group, after review and approval.

After review and approval of your completed application, you will receive a quotation by email, fax or mail (please indicate preference on application). If you accept our quotation, please make arrangements for your payment to reach our office PRIOR TO THE EVENT DATE. We accept credit cards, cashier's checks and money orders; no personal checks. PLEASE CALL US TO PAY BY CREDIT CARD. Upon receipt of your payment, a Certificate of Insurance will be emailed, faxed, or sent to you by mail.

Note: We are unable to offer you a quote or indication over the phone. Eligibility and premium cannot be determined without the details outlined in the application.

Application Form

Outline of Special Event Liability Group Insurance Trust Policy

Insurance Company:

Best's Rating: A, XII

Named Insured:

1. Special Event Liability Group Insurance Trust
2. All Members

Additional Insured:

1. Owners, Lessors, Managers of Premises
2. Other Additional Insureds as Scheduled

Policy Form:

ISO Occurrence Commercial General Liability Form (CG 0001) including Premises/ Products & Completed Operations, Personal and Advertising Injury, Contractual Liability, Host Liquor, Broad Form Property Damage. Liquor Liability is included when a separate premium has been charged.

Primary Limits:

Each Occurrence
$1,000,000

Personal & Advertising Injury
$1,000,000

General Aggregate
$2,000,000

Products/Completed Operations Aggregate
$2,000,000

Damage to Premises Rented to You
$500,000

Medical Payments
$5,000

Optional Excess Limits Available: Up to $5,000,000 Each Occurrence & Aggregate

Special Conditions:

• Limits apply separately for each event.
• Coverage applies only to insured event.
• Provides 30-day notice of cancellation.
• Vendors, Exhibitors and Concessionaires at an event can be added as Insureds for an additional premium charge.

Specific Event Exclusions:

• Aircraft or Aviation
• All Terrain Boarding
• Balloon Rides
• Base Jumping
• Bouldering
• Boxing, Wrestling, Hockey, Contact Karate, or Martial Arts
• Bungee Jumping
• Carnival Rides
• Circuses
• Concerts over 6 hours
• Concert or Dance with Mosh Pit
• Diving
• Football (except passing camps with no contact drills)
• Hang Gliding
• Jousting
• Kayaking, Rafting or Canoeing in greater than Class 3 rapids
• Lacrosse and Rugby
• Mechanical Amusement Rides or Services
• Motorized Sporting Equipment
• Mosh Pits
• Mountain Biking
• Power Boat Racing
• Professional Sporting Activities (Games, Racing or Contests of a professional nature)
• Pyrotechnics and Explosives
• Rap or Heavy Metal Concerts
• Raves
• Rock Climbing
• Rodeo and/or Roping Events (including practice)
• Scuba Diving
• Trampoline

If you receive a claim from a third party on an event covered through our Special Event Liability Group Insurance Trust, please provide us with the following information as soon as you become aware of the claim.

A completed "Report of Injury or Loss" notice. Please obtain information contained in the attached form and mail or fax to HUB International, 2300 Clayton Road, Suite 300 Concord, CA 94520; FAX: 925-609-6550 within 24 hours or immediately if serious injury or death has resulted. If information is not complete, DO NOT DELAY. Many details can be obtained later.

A copy of the certificate of insurance issued to the event holder covering the event.

A copy of any incident, accident, or loss report taken at the time of the incident.

DO NOT admit liability to anyone.

DO NOT offer your opinion to anyone.

Claim Report Form (DOC | PDF)