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Beazley Access Event Cancellation Proposal Form
Insured Details:
Name of Insured:
Address:
Town / City:
State/ County:
Country:
Regulatory:
Is the Insured a private individual (a person acting outside their business, trade
or profession)?
Yes
No
Event Details:
Name of Event:
Address:
Town / City:
State/ County:
Country:
Type of Event to be Insured:
Convention/ Conference open to the public
Convention/ Conference not open to the public
Sporting Events (please describe)
Other type of Event (please describe)
Has the Event been held before?
Yes
No
Is the Event open to the public?
Yes
No
Event Dates:
Event From Date:
Event To Date:
Adverse Weather:
Will the Event be held wholly or partly in the open air, in a tent, marquee or a
temporary structure?
Yes
No
Is cover required for the effects of Adverse Weather?
Yes
No
Does the Event Venue or any area critical to the Event have any history of
flooding or exposure strong winds?
Yes
No
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