NWSF Liability Insurance Request Form
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NWSF Liability Insurance Request Form

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NWSF LIABILITY INSURANCE REQUEST FORM

NWSF Liability Insurance Endorsement Request Form

Event Name
Event Date(s)
Name Insured
Address Line 1
Insured Address
Address Line 2
City
Postal Code
Phone Number
Insured Email
Estimated Attendance
Adults
Childern
Type of Event or Product/Service Provided
Will alcohol be served? Contact fair office for alcohol sales requirements

Alcohol Sales
Are you a:

First Name
Last Name
Email Address

FAIR OR INTERIM EVENT RATES

TYPE PREMIUM

First Booth (Each Exhibitor) $100*
Each Add’l Booth (same exhibitor) $75*
Each Game Booth $125*
Exhibit Hall event coverage (No Liquor Sales) $100*
All Liability Insurance requests are Subject to Approval
*Rates are Subject to Change- This is an indication of premium

Items Listed below are not acceptable for endorsement:

Permanent Tattoos, Body Piercing & Massages, Haunted Houses, Concerts/Promoters/Performers, Playground Equipment, Wheelchair/Stroller Rentals, Gun Shows, Climbing Walls, Inflatable Amusements(Includes Moonwalks, Bounces & Pillows, Amusement Rides/Devices (Includes Gyroscopes & Spaceballs), Child Care, Sales of Tobacco Products, Autos or Auto Parts, Rodeo Events, Motorsports Events, Ice/Roller Skating

Items listed below require additional premium and must be approved before acceptance for endorsement to your policy

Liquor Liability, Pony Rides, Petting Zoos, Exotic Animals, Game Booths/Arcades, Dunking Booths, Golf Carts/Scooters, Segways
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