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Facility Insurance Application Facility Name I Facility Age Contact Person I Title Facility Location Phone I Fax I Email Annual Admissions I Seating I Total Capacity I Total Gross Receipts

Health Club Facility Swimming Pool Supplemental Application I. General Information Named Insured I DBA Facility Address Website I Email How many pools? Indoor Outdoor II. Pool

Hired & Non-Owned Auto Supplemental Application Separate application required for each location To be completed and returned with Commercial Auto ACORD application I. General Information Named

Liquor Liability Application This is a warrantee application for primary or excess liquor liability insurance. All questions must be answered. If the answer to any question is none, state 'none'

Skating Facility Inflatables Supplemental Application Separate application required for each location I. General Information Named Insured I DBA Facility Address Website I Email II.

Skating Facility Supplemental General Liability Application Separate application required for each location I. General Information Named Insured I DBA Facility Address Website I Email D

JVBERi0xLjcNJeLjz9MNCjEzIDAgb2JqDTw8L0xpbmVhcml6ZWQgMS9MIDIzMTYwNy9PIDE2L0UgMjI0MDc5L04gMS9UIDIzMTI4Ny9IIFsgNjE4IDI4NF0+

JVBERi0xLjcNJeLjz9MNCjEzIDAgb2JqDTw8L0xpbmVhcml6ZWQgMS9MIDI2ODU0NC9PIDE2L0UgMjYxMDk1L04gMS9UIDI2ODIyMy9IIFsgNjE1IDI4NF0+

PROGRAM HIGHLIGHTS ■ Financial strength: A.M. Best A+ (Superior) rated carrier with a Financial Size Category rating of XV ■ Nationwide availability: Coverage in all states ■ Flexibility:

The Take1 101 Series101 What is a loan-out corporation? Loan-out corporations are separate legal entities (corporations or LLCs) whose purpose is to “loan out” the owner of the entity for their

Specialty Underwriting LIVE Event Service Providers Program Event Planners/Producers/Coordinators Features • Take1 is the largest General Agent with stated carrier Underwriting Authority focused