Home » Our Forms » Performing Artists Insurance Questionnaire

Explore our questionnaire for our performing artists insurance program.

Get Started

Get in Touch

Performing Artists Insurance Questionnaire - Young Man Using a Laptop While Sitting at a Wooden Table By the Window

Home » Our Forms » Performing Artists Insurance Questionnaire

Everyone’s insurance needs are different. Consider filling out our form and we’ll get back to you soon.

Get the performing artists insurance coverage for your needs.

Please complete the form to your best ability. Fields marked with an * are required.

"*" indicates required fields

Step 1 of 5

20%

This field is for validation purposes and should be left unchanged.

General Information

First Named Insured*

First Name* Last Name*

Mailing Address

Street Address Apartment City State ZIP Code

Contact Person

First Name Last Name

Web Address

Email Address

Phone

Fax

Years in Business

Requested Start Date of Insurance Policy

MM slash DD slash YYYY Requested Start Date of Insurance Policy

Federal Tax ID

Payroll

Sales/Receipts

Description of Operations

Estimated Annual Attendees

Management/Ownership Information

Do you own your theatre space?

Yes

If you own the building, do you rent/loan it to others?

Yes

Are there emergency procedures in place?

Yes

Do local authorities require inspection?

Yes

If yes, how often?

Does management require Certificate of Insurance, with GL limits of at least $1,000,000 from all vendors, suppliers, and contractors?

Yes

Do you do any performances involving aerial work, pyrotechnics or crowd interaction?

Yes

If yes, please provide details.

General Liability Coverage - Requested Limits

General Aggregate - Limit

Products & Completed Operations - Limit

Per Occurence - Limit

Personal & Advertising Injury - Limit

Damage to Rented Premises - Limit

Medical - Limit

Hired & Non-Owned - Limit

Liquor Liability - Limit

Other - Limit

Do you operate a school or provide instruction to students?

Yes

Do you teach classes that are open to the public?

Yes

If yes, what age groups?

Estimated annual number of classes

Estimated annual number of students

Are background checks performed on instructors/teachers?

Yes

Inland Marine Coverage

Sound Equipment

Sound Equipment - Limit

Sound Equipment - Valuation

Sound Equipment - Deductible

Lighting Equipment

Lighting Equipment - Limit

Lighting Equipment - Valuation

Lighting Equipment - Deductible

Fine Arts

Fine Arts - Limit

Fine Arts - Valuation

Fine Arts - Deductible

Theatrical Property

Theatrical Property - Limit

Theatrical Property - Valuation

Theatrical Property - Deductible

Signs

Signs - Limit

Signs - Valuation

Signs - Deductible

Other

Please provide details.

Other - Limit

Other - Valuation

Other - Deductible

Workers Compensation

8810 Clerical Staff - Annual Payroll

9154 Theatrical Staff - Other (stage crew, management, sound, etc) - Annual Payroll

9156 Theatrical Performer, Musician, Dancer, etc. - Annual Payroll

Other Classification - Annual Payroll

Officers/Owners to be Included/Excluded

List Name/Title and Payroll

Read Maury Donnelly & Parr, Inc.‘s Reviews

Read Our Reviews

Contact Maury Donnelly & Parr, Inc.

Contact One of Our Locations

800-638-9202

Prefer to speak with someone from Maury Donnelly & Parr, Inc.?
Contact us directly.

Insurance Solutions

Personal Insurance
Business Insurance
Insurance by Industry
Explore Interactive Graphics

About Maury Donnelly & Parr, Inc.

About Our Agency
Work With MDP
Read Our Reviews
We Are Independent
The Rooster

Get Help

Report a Claim
Make a Payment
Request Auto ID Card
Policy Review
Web Accessibility

Contact One of Our Locations

We are licensed in all 50 states.

800-638-9202

Browse by Location

Experience the Value of an Independent Agency

Maury Donnelly & Parr, Inc. is a professional insurance agency that is devoted to keeping our insured protected and providing them with insurance solutions for their needs. MDP strives to offer personalized levels of service in our niche programs as well as a wide range of insurance knowledge to write most classes of business, regardless of their size. Our goal is to provide insurance of the highest quality so every client may obtain coverage levels that are right for their unique situation and to always value coverage over policy price.

Clickable Coverage® is a registered trademark of FMG Suite, LLC, d/b/a Agency Revolution.