Horse Show Events
App1.05a
Type of Policy.........................
Spectator Liability - Horse Show
Named Insured
Name...........................................
Street Address........................
City, State Zip.........................
,
Phone Number........................
Fax Number............................
E-Mail Address........................
Web Site.................................
Historical Info
Previous Carrier......................
Additional Insureds
1) Name of Additional Insured...................
Street Address........................
City, State Zip.........................
,
Phone Number........................
Fax Number............................
Type.......................................
Landowner
Sponsor
Other
2) Name of Additional Insured...................
Street Address........................
City, State Zip.........................
,
Phone Number........................
Fax Number............................
Type.......................................
Landowner
Sponsor
Other
Name of Show..............................
Location of Show.......................
......
Date Insured(s) will assume........ control of premises
........
/
/20
Show Dates...............................
From:
/
/20
To:
/
/20
Total Days:
Limit of Liability..........................
$500,000
$1,000,000
Comments:
Total Premium Due:
_
(May be subject to minimum policy premuims.)
PLEASE CONTACT SPI FOR PREMIUM AMOUNT.