Special Event Quote - Connecticut

Contact Information

Contact Name:
Company Name:
Address:
City:
Zip Code:
Business Phone Number:
Preferred Time to Call:
Business Fax Number:
E-mail Address:

Event Location

Event Address:
Event City:
Describe Event Location:
Maximum Capacity of Location:
Event Will Be Held:
Seating Type:
Crowd Control:





Bleachers:
Construction:
Height:
ft.
Age:
Side Rails Provided:
Condition (describe):

Event Details

Event Begins:
Event Ends:
Estimated Attendance (per day):
Estimated Participants:
Estimated Gross Receipts:$
Detailed Description of Event:
Hazards:


Desired Insurance

Limits of Liability:$
Products Coverage:
Deductible:$

Comments and/or Questions

Please note that no coverage is in effect until bound by an insurance carrier. This is a request for a quote, not a guarantee of insurance.