Reliable Coverage for One Day Events

Fill out the application below to see if you quality for One Day Event Coverage. From weddings to retirement parties, we have you covered.

One Day Event Insurance Application

"*" indicates required fields

Date

Date of Event:

How many days is this event?

Location Address:

Street Address City ZIP / Postal Code

How many people will be attending the event?

What type of event are you holding?

Will there be food or alcohol served?

Will there be any outside vendors?

Will there be any entertainment?

First Name:*

Last Name:*

Contact Number:*

Email Address:*

Mailing Address:

Please provide a copy of your CDL
All vendors must show proof of insurance coverage with no less than 1,000,000 each occurrence/2,000,000 aggregate to be on premises.

Once you provide ALL the information we will begin quoting. Read below for agent information/ contact information.

Name

This field is for validation purposes and should be left unchanged.

Agent: Sherry Neyman 0B63420

Office Number: (209) 836-2775

Email: [email protected]

Please send this form to [email protected] and [email protected].
If you have any questions, please do not hesitate to contact the office number.