eSpecialEventInsurance Events Insurance

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Use the application form below to select your event, choose optional coverages, answer eligibility questions, acknowledge disclosures and purchase insurance online.

Event
Options
Equipment &
Vendors
Eligibility
Insured
Information
Additional
Insureds
Disclosures
Verify
Confirm

Selected Event Type:

Search for Event
Select Event

Date your event will start:

Length of Event in Days: (maximum 180 days)

Number in Attendance:

If your event runs longer than 180 days or has more than 5000 attendees you will need to submit a quote request to eSportsInsurance. Submit a Quote Request Now

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Insured Information

Insured Name:
Please provide the name of the organization or company hosting the event.

Contact Name:
Please provide the name of the person to contact.

Address 1:

Address 2:

City:

State:

Zip:

Phone Number 1:
(No formating - example:7705551212)

(optional) Phone Number 2:
(No formating - example:7705551212)

Email Address:

Confirm Email Address:

Are you an Insurance Broker? If you are not an approved broker with our company, you must contact us BEFORE applying for coverage online. Yes No

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Additional Insureds:

Please enter the name of the venue where your event will be held and click ‘Save’ to add it.

You can also enter additional entities to be added as additional insured under your policy, such as additional event venues, event co-sponsors, or government entities that request to be added as additional insured.

You can add unlimited additional insureds for no additional cost. You may also add additional insureds at a later date once your coverage is bound.

Entities added as additional insured here are included as an additional insured, but only with respect to the liability arising out of the negligence of the named insured (the event host)

Additional Insured Information

Entity Name:

Address 1:

Address 2:

City:

State:

Zip:

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State Disclosures.

Please read the following state disclosures and check the box at the bottom of the page to signify that you have read and accept these terms.

Applicable in AL, AR, DC, LA, MD, NM, RI, and WV:
“Any person who knowingly (or willfully)* presents a false or fraudulent claim for payment of a loss or benefit or knowingly (or willfully)* presents false information in an application for insurance is guilty of a crime and may be subject to fines and confinement in prison. *Applies in MD Only.”
Applicable in CO:
“It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the Department of Regulatory Agencies.”
Applicable in FL and OK:
“Any person knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony (of the third degree)*. *Applies in FL Only.”
Applicable in KS:
“Any person who knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written statement as part of, or in support of, an application for the issuance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act.”
Applicable in KY, NY, OH and PA:
“Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties· (not to exceed five thousand dollars and the stated value of the claim for each such violation)*. *Applies in NY Only.”
Applicable in ME, TN, VA and WA:
“It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties (may)* include imprisonment, fines and denial of insurance benefits. *Applies in ME Only.”
Applicable in NJ:
“Any person who includes any false or misleading information on an application for an insurance policy is subject to criminal and civil penalties.”
Applicable in OR:
“Any person who knowingly and with intent to defraud or solicit another to defraud the insurer by submitting an application containing a false statement as to any material fact may be violating state law.”

I have read the appropriate State(s) disclosure

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Application cannot be processed until an event has been selected.

If you are ready to purchase the insurance coverage online, click Purchase Insurance Online.
Your application will be verified and if it is correct you will be taken to the Confirm tab to confirm the application and checkout with a credit card.

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eSpecialEventInsurance requires that you confirm your application by submitting an electronic signature. To confirm your application, read the text below and provide an electronic signature (type your name).

I verify that all the information in this application is accurate and true.

Confirm Signature:

Event Type:
Start Date:
Number Days:
Attendance:

Insurance Cost

General Liability:

DTRP:

HNOA:

Equipment:

Vendors:

Tax:

Prog. Mgmt Fee:

Total:

Click "Calculate Base Premium" button to update.

Your event is not available to be bound online. Please submit a quote request to eSpecialEventInsurance and we will be in contact with a quote as soon as possible.

Submit a Quote Request Now

You have entered some Additional Insured Information but have not saved it. Click Save to save the information or Continue to ignore the entered information.

Get A Quote

The following Events/Activities are NOT Eligibile for on-line purchase.

State Disclosures.