Fillable Member Companies Of Western World Insurance Group (Colonial General Insurance Agency, Inc)

Fill Online, Printable, Fillable, Blank Member Companies Of Western World Insurance Group (Colonial General Insurance Agency, Inc) Form

Use Fill to complete blank online COLONIAL GENERAL INSURANCE AGENCY, INC pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Member Companies Of Western World Insurance Group (Colonial General Insurance Agency, Inc)

On average this form takes 10 minutes to complete

The Member Companies Of Western World Insurance Group (Colonial General Insurance Agency, Inc) form is 1 page long and contains:

  • 0 signatures
  • 36 check-boxes
  • 24 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your Colonial General Insurance Agency, Inc forms online.

BROWSE COLONIAL GENERAL INSURANCE AGENCY, INC FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
A110 (08/11)
Event, Party & Wedding Planners
General Liability
- Supplemental Application
(Complete in addition to ACORD)
1.
Name of Applicant:
2.
Annual Gross Sales
:
$
3.
Number of owners:
Number of employees (other than owners):
4.
Describe your event planning business, types of events organized, and describe venues :
5.
Do you work more as a coordinator who is responsible for the entire event, or rather as a consultant
who provides advice and contacts? Coordinator Consultant Other
6.
What is your website address?
7.
How many events per year do you plan/produce?
8.
What is the average attendance per event?
9.
Do you carry Errors & Omissions Liability coverage?
Yes No
If yes, Carrier Name:
Limits carried:
If no, please complete E&O application EOAPP1.
10.
Do you operate out of your home office?
Yes No
or from
a commercial office space?
Yes No
11.
Please list professional credentials:
12.
Have you participated in any seminars or workshops sponsored by the Association of
Bridal Consultants or the Association of Certified Professional Wedding Consultants?
Yes No
13.
Do you use subcontractors?
Yes No
If yes, do you require them to provide Certificates of General Liability Insurance?
Yes No
Do you require subcontractors to list you as an additional insured?
Yes No
14.
Vendors:
What criteria do you use to determine vendor suitability?
Who pays vendors? (Client directly or do sales flow through you?)
If client pays vendors directly, are separate commission agreements made between you and the
vendor?
Yes No
Does applicant have any ownership interest in any of the vendor companies?
Yes No
If yes, describe:
15.
Please check all exposures that apply to your business:
Amusement devices
Amusement rides
Animal rides
Athletic events
Celebrity events
Concert promotion
Extreme activities
Fireworks
High Profile events
Inflatable amusements
Nightclubs
Product advertising events
Product marketing launches
Talent agency
Televised events
16.
If alcohol is provided at events, who carries the Liquor Liability Insurance Coverage?
Applicant's Signature
Date
Title
Producing Agent
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Member Companies Of Western World Insurance Group (Colonial General Insurance Agency, Inc)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document