Other Details
Please complete both of the following categories (see definitions listed below) and please indicate which amount is to be insured:
Sum Insured is required.
Definition of Categories
GROSS REVENUE: All monies paid or payable to the Applicant from every source arising out of the Event
EXPENSES: The total of all costs and charges incurred by the Applicant for, and in connection with, the planning, preparation, and staging of the Event.
Please answer if the sums represent the full extent of your financial responsibilities.
Please answer if there has ever been a loss.
Please answer if Applicant sustained any loss or damage during the last five years which would have been covered by this type of insurance had it been in force.
Please answer if Applicant had similar insurance, (as applied for herein), declined, canceled or renewal refused.
Please answer if there are any other material facts or items of information with regard to the proposed performance(s) or event(s) which should be disclosed.