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Equine Clubs & Associations Liability Quote
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EQUINE CLUBS & ASSOCIATIONS
How did you hear about us?
I am already a client
Referral
Search Engine
Magazine Ad
Web Banner Ad
Facebook
Other
List of other sources
Name of Club/Organization
Name
Email
Address
City
State
Zip Code
Phone
Fax Number
Contact Preference
Phone
Email
Mail
Location of Operation if different from above address
Address
City
State
Zip Code
Does the Club own, lease or permanantly occupy a facility?
Yes
No
Does Club rent any premises on a long-term lease?
Yes
No
Provide full information of any lease premises, including full address.
Number of Club Members
Provide Limit Required
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 required (Provide Limit below)
Provide details of any Event held by your Club:
Horse Show
Clinic
Rodeos
Trail Rides
Hunts
Gymkhanas
Parades
Polo Matches
Fundraising
Promotional Activities
Award Dinner
Banquet
Others
TYPE OF EVENT
LOCATION OF EVENT:
Address
City
State
Zip Code
EVENT DATES:
ESTIMATED ENTRIES FOR EVENT
IS SHOW SANCTIONED BY ANY NATIONAL ASSOCIATION?
Yes
No
SANCTIONING ORGANIZATION:
Provide Competition Number
Name of Organization
Address
City
State
Zip Code
ADDITIONAL INSURED(S) FOR EVENT
Address
City
State
Zip Code
Are dogs allowed at Event?
Yes
No
What restrictions are required for dogs?
Leash
Confined
Is alcohol permitted at your Events?
Select
Yes
No
Describe
Is alcohol sold, serve or furnished at your Events?
Select
Yes
No
Describe
ADD ANOTHER EVENT
Select
Yes
No
Provide details of any Event held by your Club:
Horse Show
Clinic
Rodeos
Trail Rides
Hunts
Gymkhanas
Parades
Polo Matches
Fundraising
Promotional Activities
Award Dinner
Banquet
Others
TYPE OF EVENT
LOCATION OF EVENT:
Address
City
State
Zip Code
EVENT DATES:
ESTIMATED SPECTATORS PER DAY
IS SHOW SANCTIONED BY ANY NATIONAL ASSOCIATION?
Yes
No
SANCTIONING ORGANIZATION:
Provide Competition Number
Name of Organization
Address
City
State
Zip Code
ADDITIONAL INSURED(S) FOR EVENT
Address
City
State
Zip Code
Are dogs allowed at Event?
Yes
No
What restrictions are required for dogs?
Leash
Confined
Is alcohol permitted at your Events?
Select
Yes
No
Describe
Is alcohol sold, serve or furnished at your Events?
Select
Yes
No
Describe
ADD ANOTHER EVENT
Select
Yes
No
Provide details of any Event held by your Club:
Horse Show
Clinic
Rodeos
Trail Rides
Hunts
Gymkhanas
Parades
Polo Matches
Fundraising
Promotional Activities
Award Dinner
Banquet
Others
TYPE OF EVENT
LOCATION OF EVENT:
Address
City
State
Zip Code
EVENT DATES:
ESTIMATED SPECTATORS PER DAY
IS SHOW SANCTIONED BY ANY NATIONAL ASSOCIATION?
Yes
No
SANCTIONING ORGANIZATION:
Provide Competition Number
Name of Organization
Address
City
State
Zip Code
ADDITIONAL INSURED(S) FOR EVENT
Address
City
State
Zip Code
Are dogs allowed at Event?
Yes
No
What restrictions are required for dogs?
Leash
Confined
Is alcohol permitted at your Events?
Select
Yes
No
Describe
Is alcohol sold, serve or furnished at your Events?
Select
Yes
No
Describe
ADD ANOTHER EVENT
Select
Yes
No
Provide details of any Event held by your Club:
Horse Show
Clinic
Rodeos
Trail Rides
Hunts
Gymkhanas
Parades
Polo Matches
Fundraising
Promotional Activities
Award Dinner
Banquet
Others
TYPE OF EVENT
LOCATION OF EVENT:
Address
City
State
Zip Code
EVENT DATES:
ESTIMATED SPECTATORS PER DAY
IS SHOW SANCTIONED BY ANY NATIONAL ASSOCIATION?
Yes
No
SANCTIONING ORGANIZATION:
Provide Competition Number
Name of Organization
Address
City
State
Zip Code
ADDITIONAL INSURED(S) FOR EVENT
Address
City
State
Zip Code
Are dogs allowed at Event?
Yes
No
What restrictions are required for dogs?
Leash
Confined
Is alcohol permitted at your Events?
Select
Yes
No
Describe
Is alcohol sold, serve or furnished at your Events?
Select
Yes
No
Describe
ADD ANOTHER EVENT
Select
Yes
No
Provide details of any Event held by your Club:
Horse Show
Clinic
Rodeos
Trail Rides
Hunts
Gymkhanas
Parades
Polo Matches
Fundraising
Promotional Activities
Award Dinner
Banquet
Others
TYPE OF EVENT
LOCATION OF EVENT:
Address
City
State
Zip Code
EVENT DATES:
ESTIMATED SPECTATORS PER DAY
IS SHOW SANCTIONED BY ANY NATIONAL ASSOCIATION?
Yes
No
SANCTIONING ORGANIZATION:
Provide Competition Number
Name of Organization
Address
City
State
Zip Code
ADDITIONAL INSURED(S) FOR EVENT
Address
City
State
Zip Code
Are dogs allowed at Event?
Yes
No
What restrictions are required for dogs?
Leash
Confined
Is alcohol permitted at your Events?
Select
Yes
No
Describe
Is alcohol sold, serve or furnished at your Events?
Select
Yes
No
Describe
Do you currently have an Equine Liability Policy?
Yes
No
Any prior losses?
Yes
No
Name of Insurance Company
Expiration date of current policy
Comments / Questions
Submit