Free Quote « Horse Insurance with Smith-Embry

Please complete the below Form for a quote on insurance for your horse.
Sample form:

EQUINE CLUBS & ASSOCIATIONS

Complete Information below for a more accurate quote

How did you hear about us? *

Please enter the name/farm or website here

List of other sources *

Name *

Email *

Address *

City *

State *

Zip Code *

Phone *

Fax Number *

Contact Preference *

Phone

Mail

Click here to learn more about Horse Club Liability Insurance

Location of Operation if different from above address

Address *

City *

State *

Zip Code *

Does the Club own, lease or permanantly occupy a facility? *

Yes

If Yes: We will need writen guidelines for the use of that facility.

Does Club rent any premises on a long-term lease? *

Yes

Number of Club Members *

Maximum # of Club members at any one Event? *

Maximum # of Spectators at any one event? *

Select Limit Required *

$500,000 per occurrence/$1,000,000 annual aggregate

$1,000,000 per occurrence/$2,000,000 annual aggregate

Excess over $1,000,000 – Provide Limit required below:

Provide Limit Required *

Provide Public Events/ Show Days Below (Do not show activities limited to members only except for parades)

Show Dates *

Sanctioning Organization(s)? *

Location of each show *

Show Dates *

Location of each show *

Show Dates *

Location of each show *

Show Dates *

Location of each show *

Show Dates *

Location of each show *

Show Dates *

Location of each show *

Show Dates *

Location of each show *

Dates of each *

Location of each show *

Dates of each *

Location of each show *

Describe any non-equine activity conducted by the Club *

Description of Event(s) *

Description of Activities *

Location of Event *

Are dogs allowed at the events? *

Yes

Restrictions required? *

Yes

Do you currently have an Equine Liability Policy? *

Yes

Any prior losses? *

Yes

If yes:

Name of Insurance Company *

Expiration date of current policy? *

Have you had any prior insurance cancelled or non renewed? *

Yes

Comments / Questions *

With the information you have provided in this questionnaire, we will submit an application to the insurance companies we represent to obtain the most competitive quote for your Equine Clubs & Associations Liability Insurance. The quote and the application will be sent to you for review and signing should you want the insurance placed.

Questions? Call Smith-Embry Insurance Associates, Inc. (502) 493-9911

Select *