Special Events Insurance

One Day Event only chooses the top rated policies for you and we guarantee our coverage will meet all your venue's requirements!

CIGNA Domestic

CIGNA International

CIGNA Global Plans

408-286-1111

408-997-7890

CA Lic#

0697055

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(Please check any you are interested in):		General Liability Accident Medical Earthquake Inland Marine Worker's Compensation Commercial Auto EPLI Flood Hired & Non-Owned Auto Umbrella Abuse/Molestation Cyber Liability

COMPANY INFORMATION
How did you hear about us? :
Corporate Name:
Trade Name:
Contact first name:
Last name:
Date of Birth:
Phone Number:
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Email Address:
Website:
Entity Type:
Year Business Started (Month/Year):
Years of Management Experience:
Type of Management Experience:
Mailing Address
Mailing Address:
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Location Address
Location Address:
City:
State:
Zip code:

Operation type?	with operators without operators Both
With Operators - Projected Annual Gross Sales:	$
Without Operators - Projected Annual Gross Sales:	$

Desired Effective Date:
Describe your operations- Check all that apply:	Backyard Birthday Parties Parks Corporate Events Street Fairs Carnivals Events where you charge each participant Other
Do you or your company operate any Street Fairs, Carnivals or Midways?:	Yes No
Please attach the signage or waiver for your Corporate Events:
Please attach the signage or waiver for Street Fair Events:
Please attach the signage or waiver for your Carnival Events:
Please attach the signage or waiver for your Events where:

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Copyright 2005-2015 Jeewanjee Insurance Agency All rights reserved California Lic # 0697055
1494 Hamilton Ave #101, San Jose, CA 95125