Refund Policy
Coverage purchased via this web site is fully refundable if the following conditions are met:

The insured event did not occur, and notification was given to us prior to the effective date of coverage. Please be advised that coverage begins at 12:01 a.m. on said effective date.

We will not cancel coverage or refund any premium once the coverage becomes effective.

TO CANCEL AN EVENT INSURANCE POLICY PLEASE CALL MERRIWETHER & WILLIAMS INSURANCE SERVICES INC. AT (415) 986-3999 / (415) 986-3999

Merriwether & Williams Insurance Services, Inc. reserve the right to modify this Refund Policy at their discretion. Any such revision or change will be binding and effective immediately after posting of the revised Refund Policy on Sparta Insurance Programs Web site. You agree to periodically review our Web site, including the current version of our Refund Policy. Our refund policy is made available on our Web site. It is your obligation to review our refund policy for any such revisions.

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SPECIAL EVENTS LIABILITY INSURANCE APPLICATION

Name of organization or name you used to apply for your event permit: *

Contact Person: *

Phone: *
--
Fax:
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Address: *

City: *

State: *

Zip Code: *

Email: *


POLICY INFORMATION

Certificate of Liability Insurance required by:
PUBLIC ENTITY: *

Department:


EVENT INFORMATION
Name of event: *

Number of Event Days: *

If your event runs for more than 5 days please call 800.420.0555

Day 1: *

Day 1 Start Time: *
:
Day 1 End Time: *
:
Estimated daily attendance of the event: *
(Must be same number applied for on permit)

Location: *
(Name of the facility (Descanso Gardens, Seal Beach, etc.) and City

Describe in detail the activities taking place in the event: *

Will the event include any other activities?
(Example: "Family reunion picnic with D.J." or "birthday party with jumper" etc.)

Note: We do not cover D.J.'s or Jumpers, they must carry their own insurance

Will there be VENDORS selling Food or Non-Food products (Clothing, etc.)? *
Yes
No

Will ALCOHOL be SOLD? *
Yes
No

Will ALCOHOL be SERVED and is included in the admission/or ticket? *
Yes
No

Will ALCOHOL be SERVED without charge to your guests? *
Yes
No

I am an authorized representative of the applicant and certifies that reasonable enquiry has been made to obtain the answers to questions during the application process. I further understands that any coverage provided is limited to the event described in, and at the location indicated, in the Terms & Conditions section of this quote. I certify that the answers are true, correct and complete to the best of his/her knowledge.

Please print a copy of this application for your records.







California License # 0C01378
Refund Policy